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Peripherally inserted central catheters (PICCs) are essential for providing vascular access for many patients. Original silicone catheters have been largely replaced by polyurethane catheters — now the standard of care — due to their superior durability and lower complication rates. Manufacturers continue to introduce advanced coatings and altered surfaces to catheters with the goal of further lowering thrombotic and infectious complications; for example, hydrophobic material has been purported to inhibit platelet aggregation and suppress thrombosis.
Researchers in Australia conducted a multicenter trial in which 1100 children and adults who required PICCs received either novel hydrophobic PICCs, novel chlorhexidine-impregnated PICCs, or sta…