Editorial Type:
Article Category: Research Article
 | 
Online Publication Date: 28 May 2024

Trisodium Citrate Antimicrobial Efficacy at Different Concentrations (4.0%, 30.0%, and 46.7%) in Tunneled Hemodialysis Catheters: An In Vitro Study

MBA,
MPH,
PhD,
PharmD, and
PhD
Page Range: 13 – 22
DOI: 10.2309/JAVA-D-24-00003
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Highlights

  • Gram-positive bacteria resisted CLS more than Gram-negative bacteria and fungi.

  • 30.0% TSC showed the highest antimicrobial activity across all tested microorganisms.

  • 30.0% and 46.7% TSC were more effective against Candida albicans than heparin.

  • CLS was more effective in silicone catheters than polyurethane catheters.

  • Antimicrobial effectiveness of TSC concentrations may be microbe dependent.

Copyright: Copyright © 2024 Association for Vascular Access. All rights reserved.
Figure 1.
Figure 1.

Effect of catheter lock solution (CLS) on C. albicans growth on silicone and polyurethane catheters (log-transformed average organism count reduction from tryptic soy broth [TSB] control).


Figure 2.
Figure 2.

Effect of catheter lock solution (CLS) on methicillin-resistant S. aureus (MRSA) growth on silicone and polyurethane catheters (log-transformed average organism count reduction from tryptic soy broth [TSB] control).


Figure 3.
Figure 3.

Effect of catheter lock solution (CLS) on E. coli growth on silicone and polyurethane catheters (log-transformed average organism count reduction from tryptic soy broth [TSB] control).


Figure 4.
Figure 4.

Effect of catheter lock solution (CLS) on S. aureus growth on silicone and polyurethane catheters (log-transformed average organism count reduction from tryptic soy broth [TSB] control).


Figure 5.
Figure 5.

Effect of catheter lock solution (CLS) on S. epidermidis growth on silicone and polyurethane catheters (log-transformed average organism count reduction from tryptic soy broth [TSB] control).


Figure 6.
Figure 6.

Effect of catheter lock solution (CLS) on P. aeruginosa growth on silicone and polyurethane catheters (log-transformed average organism count reduction from tryptic soy broth [TSB] control).


Figure 7.
Figure 7.

Effect of catheter lock solution (CLS) on E. faecalis growth on silicone and polyurethane catheters (log-transformed average organism count reduction from tryptic soy broth [TSB] control).


Contributor Notes

Correspondence concerning this article should be addressed to gmiller@medcompnet.com
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