Triple- vs Single-Lumen Central Venous Catheters: A Prospective Study in a Critically Ill Population

doi:10.1001/archinte.1989.00390050105021

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Vol. 149 No. 5, May 1989

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Triple- vs Single-Lumen Central Venous Catheters

A Prospective Study in a Critically Ill Population

Rodrigo T. Gil, MD; James A. Kruse, MD; Mary C. Thill-Baharozian, RN; Richard W. Carlson, MD, PhD

Arch Intern Med. 1989;149(5):1139-1143.

Abstract

• To evaluate a new multilumen central venous catheterwe prospectively compared the infection rates of 63 single-lumenand 157 triple-lumen catheters in 145 critically ill patients.Using acute physiology scores, severity of illness was shownto be similar in the two patient groups. There were no significantdifferences in the rate of catheter colonization or catheter-relatedsepsis comparing single-lumen with triple-lumen catheters. However,the use of total parenteral nutrition or insertion at the femoralvein site significantly increased the rate of colonization.The only factor that was clearly associated with catheter sepsiswas the duration of catheterization. Catheter sepsis increasedfrom 1.5% to 10% when the period of catheterization exceeded6 days. We conclude that the use of triple- and single-lumencentral venous catheters in critically ill patients entailssimilar risks of infection.

(Arch Intern Med. 1989;149:1139-1143)

Author Affiliations

From the Division of Critical Care and Pulmonary Medicine, Department of Medicine, Wayne State University School of Medicine, Detroit (Mich) Receiving Hospital.

Footnotes

Accepted for publication December 16, 1988.

Presented in part at the 52nd annual scientific assembly ofthe American College of Chest Physicians, September 22-26, 1986,San Francisco, Calif. Reprint requests to Department of Medicine,Room 5S-10, Detroit Receiving Hospital, 4201 St Antoine, Detroit,MI 48201 (Dr Kruse).

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