Taurolidine lock: the key to prevention of recurrent catheter-related bloodstream infections

Clin Nutr. 2005 Jun;24(3):462-5. doi: 10.1016/j.clnu.2005.02.001. Epub 2005 Apr 22.

Abstract

The literature shows that repeated courses of antibiotics and catheter removals in a subset of patients suffering from multiple catheter-related bloodstream infections (CRBSI), are unlikely to prevent recurrence. In acceding to preventative strategies, we report our application of the antimicrobial chemotherapeutic Taurolidine used as a daily flush solution in seven home TPN patients suffering from multiple episodes. A pretreatment infection rate of 10.8 infections per 1000 catheter days decreased to 0.8 after treatment.

MeSH terms

  • Adult
  • Anti-Infective Agents, Local / administration & dosage*
  • Bacteremia / prevention & control*
  • Catheters, Indwelling / adverse effects
  • Catheters, Indwelling / microbiology*
  • Humans
  • Middle Aged
  • Parenteral Nutrition, Home / adverse effects*
  • Taurine / administration & dosage
  • Taurine / analogs & derivatives*
  • Thiadiazines / administration & dosage*

Substances

  • Anti-Infective Agents, Local
  • Thiadiazines
  • Taurine
  • taurolidine