Cutaneous Rhizopus infection at a central venous catheter site in a critically ill renal transplant patient

2012 ◽  
Vol 17 (3) ◽  
pp. 83-86
Author(s):  
Zoel A. Quiñónez ◽  
John T. Speicher ◽  
Christian Sebat ◽  
Mark Avdalovic
Keyword(s):  
Renal Transplant ◽  
Central Venous Catheter ◽  
Critically Ill ◽  
Renal Transplant Patient ◽  
Transplant Patient ◽  
Venous Catheter ◽  
Central Venous ◽  
Catheter Site

scholarly journals Effect of Central Venous Catheter Care Bundle Implementation on Outcomes of Critically Ill Patients

2020 ◽  
Vol 2 (1) ◽  
pp. 12
Author(s):  
Gehan A. F. Atia
Keyword(s):  
Central Venous Catheter ◽  
Bloodstream Infection ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Venous Catheter ◽  
Care Bundle ◽  
Central Venous ◽  
Significant Difference ◽  
Post Test ◽  
Catheter Care

Context: Central venous access device (CVAD) bundles for insertion and maintenance demonstrate a reduction in the frequency of complications and bloodstream infection when implemented with compliance monitoring, with the reported success of CVAD bundles. Aim: This study aimed to examine the effect of central venous catheter care bundle implementation on outcomes of critically ill patients. Methods: Quasi-experimental research (pre/post-test design) used to achieve the aim of this study. The study conducted at general and surgical intensive care units affiliated to Menoufia University and teaching hospital. Two study samples recruited in this study. All nurses working at the ICUs, as mentioned above, were recruited in this study. They were 6o critical care nurses. A convenient sample of all available critically ill patients at the time of the study was subjected to treatment via a central venous catheter. Four study tools used to collect the data of this study. These are a structured interview questionnaire, CVC nurses’ knowledge assessment questionnaire, nurses’ compliance assessment checklists, and patient complications assessment records. Results: The study result showed a highly statistically significant difference between pre and post-test knowledge scores of studied nurses regarding assisting line insertion, removal, maintenance, care, and infection control practices. Besides, a highly statistically significant difference between pre and post-test scores of nurses’ compliance to central venous catheter care practices of assisting in CVC insertion, blood sample withdrawal, medication and fluid administration, CVP measurements, CVC removal, and the management of central venous line complications. The study also revealed a highly statistically significant difference between the study and control group patients regarding the central venous catheter complications. However, signs of infection were the most frequent complications in both groups. Conclusion. The study concluded that a statistically significant difference between pre and post nurses’ knowledge and compliance with the CVC care bundle. The patients’ outcomes were also improved significantly after the implementation of the CVC care bundle compared to the controls. The study recommended the adoption of the current care bundle that should be disseminated and updated following the international organizations’ recommendation for implementing evidence-based practices for successful central line-associated bloodstream infection (CLABSI) prevention.

Dialysis and central venous catheter infections in critically ill patients: Results of a prospective study

1999 ◽  
Vol 27 (11) ◽  
pp. 2394-2398 ◽  
Author(s):  
Bertrand Souweine ◽  
Ousmane Traore ◽  
Bruno Aublet-Cuvelier ◽  
Laurence Badrikian ◽  
Laurent Bret ◽  
...  
Keyword(s):  
Central Venous Catheter ◽  
Prospective Study ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Venous Catheter ◽  
Central Venous ◽  
A Prospective Study ◽  
Catheter Infections

Central Venous Catheter-Associated Deep Venous Thrombosis in Critically Ill Children

2017 ◽  
Vol 44 (01) ◽  
pp. 052-056 ◽  
Author(s):  
Edward Faustino
Keyword(s):  
Central Venous Catheter ◽  
Venous Thrombosis ◽  
Deep Venous Thrombosis ◽  
Critically Ill ◽  
Venous Catheter ◽  
Critically Ill Children ◽  
Postthrombotic Syndrome ◽  
Central Venous ◽  
Pharmacologic Prophylaxis ◽  
Catheter Related Thrombosis

AbstractThe presence of a central venous catheter and admission to the intensive care unit are the most important risk factors for deep venous thrombosis (DVT) in children. At least 18% of critically ill children with a catheter develop radiologically confirmed catheter-associated thrombosis. Clinically apparent thrombosis occurs in 3% of critically ill children with a catheter and is associated with 8 additional days of mechanical ventilation. Even when the thrombus is initially asymptomatic, 8 to 18% of critically ill children with catheter-associated thrombosis develop postthrombotic syndrome. Thrombosis is uncommon within 24 hours after insertion of a nontunneled catheter in critically ill children, but nearly all thrombi have developed by 4 days after insertion. Hypercoagulability during or immediately after insertion of the catheter plays an essential role in the development of thrombosis. Pharmacologic prophylaxis, including local anticoagulation with heparin-bonded catheter, has not been shown to reduce the risk of catheter-related thrombosis in children. Systemic anticoagulation in critically ill children started soon after the insertion of the catheter, however, may be beneficial. A multicenter clinical trial that is testing this hypothesis is currently underway.

scholarly journals Comparison between Peripheral and Central Venous Catheters Regarding Venous Pressure and Complications among Critically Ill Patients

2021 ◽  
pp. 1-7
Author(s):  
Amnah Mohammed Howthan ◽  
◽  
Nahed Ahmed Mersal ◽  
◽  
Keyword(s):  
Central Venous Catheter ◽  
Critically Ill ◽  
Standard Method ◽  
Patient Management ◽  
Essential Role ◽  
Venous Pressure ◽  
Venous Catheter ◽  
Central Venous Catheters ◽  
Critically Ill Patient ◽  
Central Venous

Central venous catheter (CVC) known as standard method for hemodynamic monitoring that plays an essential role in critically ill patient management. After recognizing critical condition, measuring, and evaluating the underlying pathophysiological strategies and receiving suitable therapy

scholarly journals Stewardship Intervention to Optimize Central Venous Catheter Utilization in Critically Ill Children

2021 ◽  
Vol 6 (2) ◽  
pp. e389
Author(s):  
Jennifer A. Blumenthal ◽  
Jennifer A. Ormsby ◽  
Dimple Mirchandani ◽  
Chonel A. Petti ◽  
Jane Carpenter ◽  
...  
Keyword(s):  
Central Venous Catheter ◽  
Critically Ill ◽  
Venous Catheter ◽  
Critically Ill Children ◽  
Central Venous

scholarly journals Secondary bloodstream infection in critically ill patients with COVID-19

2021 ◽  
Vol 49 (12) ◽  
pp. 030006052110627
Author(s):  
Junli Zhang ◽  
Peng Lan ◽  
Jun Yi ◽  
Changming Yang ◽  
Xiaoyan Gong ◽  
...  
Keyword(s):  
Risk Factors ◽  
Central Venous Catheter ◽  
Bloodstream Infection ◽  
Critically Ill ◽  
Nasogastric Tube ◽  
Critically Ill Patients ◽  
Secondary Infection ◽  
Venous Catheter ◽  
Urethral Catheter ◽  
Central Venous

Objective Secondary infection, especially bloodstream infection, is an important cause of death in critically ill patients with COVID-19. We aimed to describe secondary bloodstream infection (SBI) in critically ill adults with COVID-19 in the intensive care unit (ICU) and to explore risk factors related to SBI. Methods We reviewed all SBI cases among critically ill patients with COVID-19 from 12 February 2020 to 24 March 2020 in the COVID-19 ICU of Jingmen First People's Hospital. We compared risk factors associated with bloodstream infection in this study. All SBIs were confirmed by blood culture. Results We identified five cases of SBI among the 32 patients: three with Enterococcus faecium, one mixed septicemia ( E. faecium and Candida albicans), and one C. parapsilosis. There were no significant differences between the SBI group and non-SBI group. Significant risk factors for SBI were extracorporeal membrane oxygenation, central venous catheter, indwelling urethral catheter, and nasogastric tube. Conclusions Our findings confirmed that the incidence of secondary infection, particularly SBI, and mortality are high among critically ill patients with COVID-19. We showed that long-term hospitalization and invasive procedures such as tracheotomy, central venous catheter, indwelling urethral catheter, and nasogastric tube are risk factors for SBI and other complications.

scholarly journals Clinical practice guidelines for the management of central venous catheter for critically ill patients

2018 ◽  
Vol 2 ◽  
pp. 53-53
Author(s):  
Zhongheng Zhang ◽  
Claudia Brusasco ◽  
Antonio Anile ◽  
Francesco Corradi ◽  
Maryanne Mariyaselvam ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Central Venous Catheter ◽  
Critically Ill ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Critically Ill Patients ◽  
Venous Catheter ◽  
Central Venous
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