Literature DB >> 25664137

Life-threatening anaphylactic shock due to chlorhexidine on the central venous catheter: a case series.

Meilin Weng1, Minmin Zhu1, Wankun Chen1, Changhong Miao1.   

Abstract

In this article, we report two life-threatening anaphylactic shocks by an antiseptic coated central venous catheter (CVC) within a 6-month period in our cancer center. Anaphylactic shock was preceded immediately after insertion of a central venous catheter (CVC) coated with silver sulphadiazine and chlorhexidine acetate (Blue FlexTip(®) ARROWg(+)ard Blue(®), 14Ga, Arrow International, Inc. USA). Though antiseptic coated CVC anaphylaxis has been reported in Japan, Europe and America, to our knowledge, this is first reported in China. We present these rare cases to remind clinicians about hypersensitivity to chlorhexidine that could potentially be life-threatening.

Entities:  

Keywords:  Chlorhexidine; anaphylactic shock; central venous catheter

Year:  2014        PMID： 25664137      PMCID： PMC4307584     

Source DB:  PubMed          Journal:  Int J Clin Exp Med        ISSN： 1940-5901


  22 in total

1.  Anaphylaxis to chlorhexidine-impregnated central venous catheter.

Authors:  M Kluger
Journal:  Anaesth Intensive Care       Date:  2003-12       Impact factor: 1.669

Review 2.  What investigation after an anaphylactic reaction during anaesthesia?

Authors:  Pascale Dewachter; Claudie Mouton-Faivre
Journal:  Curr Opin Anaesthesiol       Date:  2008-06       Impact factor: 2.706

3.  The relevance of chlorhexidine contact allergy.

Authors:  Jussi Liippo; Päivi Kousa; Kaija Lammintausta
Journal:  Contact Dermatitis       Date:  2011-01-13       Impact factor: 6.600

4.  Anaphylactic shock induced by an antiseptic-coated central venous [correction of nervous] catheter.

Authors:  T Oda; J Hamasaki; N Kanda; K Mikami
Journal:  Anesthesiology       Date:  1997-11       Impact factor: 7.892

5.  Two episodes of life-threatening anaphylaxis in the same patient to a chlorhexidine-sulphadiazine-coated central venous catheter.

Authors:  R Stephens; M Mythen; P Kallis; D W Davies; W Egner; A Rickards
Journal:  Br J Anaesth       Date:  2001-08       Impact factor: 9.166

Review 6.  Preoperative chlorhexidine anaphylaxis in a patient scheduled for coronary artery bypass graft: a case report.

Authors:  Matthew Toomey
Journal:  AANA J       Date:  2013-06

Review 7.  Investigation of allergic and hypersensitivity reactions to anaesthetic agents.

Authors:  J Watkins
Journal:  Br J Anaesth       Date:  1987-01       Impact factor: 9.166

8.  Anaphylactic and anaphylactoid reactions occurring during anesthesia in France in 1999-2000.

Authors:  Paul Michel Mertes; Marie-Claire Laxenaire; François Alla
Journal:  Anesthesiology       Date:  2003-09       Impact factor: 7.892

Review 9.  Chlorhexidine anaphylaxis: case report and review of the literature.

Authors:  A B Krautheim; T H M Jermann; A J Bircher
Journal:  Contact Dermatitis       Date:  2004-03       Impact factor: 6.600

Review 10.  Anaphylaxis to chlorhexidine-coated central venous catheters: a case series and review of the literature.

Authors:  Achyut Guleri; Abhishek Kumar; Richard J M Morgan; Mike Hartley; David H Roberts
Journal:  Surg Infect (Larchmt)       Date:  2012-05-08       Impact factor: 2.150
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  7 in total

1.  Blood compatibility of widely used central venous catheters; an experimental study.

Authors:  Bengt Klarin; Javier Sanchez; Hulda Thorarinsdottir; Thomas Kander; Dorota Johansson; Bo Nilsson
Journal:  Sci Rep       Date:  2022-05-21       Impact factor: 4.996

2.  Perioperative Anaphylaxis to Chlorhexidine during Surgery and Septoplasty.

Authors:  Ana Paula Teixeira de Abreu; Leonardo Ramos Ribeiro de Oliveira; Ana Flavia Teixeira de Abreu; Evandro Ribeiro de Oliveira; Michele Santos de Melo Ireno; Fernando Monteiro Aarestrup; Matheus Fonseca Aarestrup; Paula Fonseca Aarestrup
Journal:  Case Rep Otolaryngol       Date:  2017-03-19

3.  Inhibition of bacterial attachment and biofilm formation by a novel intravenous catheter material using an in vitro percutaneous catheter insertion model.

Authors:  Rahul Pathak; Steve F Bierman; Pieter d'Arnaud
Journal:  Med Devices (Auckl)       Date:  2018-12-19

4.  Chlorhexidine: a hidden life-threatening allergen.

Authors:  Mara Fernandes; Tatiana Lourenço; Anabela Lopes; Amélia Spínola Santos; Maria Conceição Pereira Santos; Manuel Pereira Barbosa
Journal:  Asia Pac Allergy       Date:  2019-08-01

Review 5.  [Update of the recommendations of the Bacteraemia Zero Project].

Authors:  E Gallart; M Delicado; X Nuvials
Journal:  Enferm Intensiva       Date:  2022-07-26

6.  Fortified interpenetrating polymers - bacteria resistant coatings for medical devices.

Authors:  Seshasailam Venkateswaran; Orlando David Henrique Dos Santos; Emma Scholefield; Annamaria Lilienkampf; Peter J Gwynne; David G Swann; Kevin Dhaliwal; Maurice P Gallagher; Mark Bradley
Journal:  J Mater Chem B       Date:  2016-07-18       Impact factor: 6.331

7.  Evaluation of central venous catheters coated with a noble metal alloy-A randomized clinical pilot study of coating durability, performance and tolerability.

Authors:  Gunilla Björling; Dorota Johansson; Linda Bergström; Anton Strekalovsky; Javier Sanchez; Claes Frostell; Sigridur Kalman
Journal:  J Biomed Mater Res B Appl Biomater       Date:  2017-11-06       Impact factor: 3.368
  7 in total

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