Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

20 questions · 20 findings · 4 reviews

No studies found 2 · 10%GRADE not reported 2 · 10%Very low 1 · 5%Low 0 · 0%Moderate 6 · 30%High 9 · 45%

Impregnated catheters vs non‐impregnated catheters

Clinically‐diagnosed sepsis Clinical, biochemical and/or microbiological methods · Adult patients who required central venous catheters

Impregnated catheters showed no clear difference in clinically‐diagnosed sepsis Identified by clinical, biochemical… compared with non‐impregnated catheters (moderate certainty).

1 finding from 1 review

Impregnated catheters vs non‐impregnated catheters

Catheter‐related blood stream infection · Adult patients who required central venous catheters

Impregnated catheters leads to lower catheter‐related blood stream infection (CRBSI) Identified by… compared with non‐impregnated catheters (high certainty).

1 finding from 1 review

Impregnated catheters vs non‐impregnated catheters

Catheter colonization Catheter culture (microbiological methods) · Adult patients who required central venous catheters

Impregnated catheters probably leads to lower catheter colonization Identified by catheter culture… compared with non‐impregnated catheters (moderate certainty).

1 finding from 1 review

Impregnated catheters vs non‐impregnated catheters

Catheter‐related local infection Catheter culture (microbiological methods) and clinical features · Adult patients who required central venous catheters

Impregnated catheters showed no clear difference in catheter‐related local infection Identified by catheter culture… compared with non‐impregnated catheters (moderate certainty).

1 finding from 1 review

Impregnated catheters vs non‐impregnated catheters

Adverse effects (combined) Clinical assessment · Adult patients who required central venous catheters

Impregnated catheters showed no clear difference in adverse effects (combined) Identified by clinical assessment compared with non‐impregnated catheters (high certainty).

1 finding from 1 review

Antibiotic prophylaxis vs no antibiotic prophylaxis / standard care

Number of participants experiencing shunt infection after implantation of antibiotic impregnated catheters · CSF‐shunt infections

It is very uncertain whether antibiotic prophylaxis changes number of participants experiencing shunt infection after… compared with no antibiotic prophylaxis / standard care (very low certainty).

1 finding from 1 review

Impregnated catheters vs antiseptic‐coated catheter

Symptomatic CAUTI: without microbiological evidence ‐ antibiotic versus silver alloy · Patients with an indwelling urethral catheter of short‐term duration

Antimicrobial‐impregnated catheter showed no clear difference in symptomatic CAUTI: without microbiological evidence ‐ antibiotic… compared with antiseptic‐coated catheter (moderate certainty).

1 finding from 1 review

Impregnated catheters vs antiseptic‐coated catheter

Symptomatic CAUTI: with microbiological evidence ‐ antibiotic versus silver alloy · Patients with an indwelling urethral catheter of short‐term duration

Antimicrobial‐impregnated catheter leads to lower symptomatic CAUTI: with microbiological evidence ‐ antibiotic versus… compared with antiseptic‐coated catheter (high certainty).

1 finding from 1 review

Impregnated catheters vs antiseptic‐coated catheter

Patient discomfort whilst catheter is in situ · Patients with an indwelling urethral catheter of short‐term duration

Antimicrobial‐impregnated catheter leads to higher patient discomfort whilst catheter is in situ compared with antiseptic‐coated catheter (high certainty).

1 finding from 1 review