Intravascular Catheter Colonization and Related Bloodstream Infection in Critically III Neonates

1990 ◽  
Vol 11 (6) ◽  
pp. 301-308 ◽  
Author(s):  
Wendy A. Cronin ◽  
Teresa P. Germanson ◽  
Leigh G. Donowitz
Keyword(s):  
Bloodstream Infection ◽  
Intravascular Catheter ◽  
Catheter Colonization

Intravascular Catheter Colonization and Related Bloodstream Infection in Critically III Neonates

1990 ◽  
Vol 11 (6) ◽  
pp. 301-308 ◽  
Author(s):  
Wendy A. Cronin ◽  
Teresa P. Germanson ◽  
Leigh G. Donowitz
Keyword(s):  
Bloodstream Infection ◽  
Insertion Site ◽  
Bloodstream Infections ◽  
Coagulase Negative Staphylococcus ◽  
Intravascular Catheter ◽  
Catheter Colonization ◽  
Catheter Tip ◽  
Critically Ill Neonates ◽  
Peripheral Arterial ◽  
Intravenous Catheters

AbstractIntravascular catheter tip colonization was prospectively evaluated in critically ill neonates to determine its relationship to the type of device used, duration of catheterization, insertion site and nosocomial bloodstream infection. Sixty-one percent (376 of 621) of all intravascular catheter tips were retrieved from 91 infants. Thirteen percent (41 of 310) of peripheral intravenous, 14% (6 of 42) of umbilical, 21% (3 of 11) of central venous, 36% (4 of 11) of peripheral arterial and 100% (2 of 2) of femoral catheters were colonized. Duration of catheterization was significantly longer for colonized lines (p < .001). Eight of 26 (30.8%) peripheral intravenous catheters remaining in place for more than three days were colonized, compared with 33 of 284 (11.6%) at three days or less (p= 0.012). Coagulase-negative staphylococcus was the organism most frequently isolated from catheter tips and bloodstream infections. Catheter colonization rates in this population were higher than those found in adults. Heavily manipulated devices and those in place for longer periods of time were the most frequently colonized.

Impact of oligon central venous catheters on catheter colonization and catheter-related bloodstream infection

2003 ◽  
Vol 31 (1) ◽  
pp. 52-59 ◽  
Author(s):  
Marco Ranucci ◽  
Giuseppe Isgrò ◽  
Pier Paolo Giomarelli ◽  
Marco Pavesi ◽  
Aldo Luzzani ◽  
...  
Keyword(s):  
Bloodstream Infection ◽  
Central Venous Catheters ◽  
Catheter Colonization ◽  
Central Venous ◽  
Catheter Related Bloodstream Infection

Frequency of intravascular catheter colonization by Malassezia spp. in adult patients. Haufigkeit der Besiedelung von intravaskularen Kathetern mit Malassezia spp. bei erwachsenen Patienten

Mycoses ◽  
2004 ◽  
Vol 47 (11-12) ◽  
pp. 491-494 ◽  
Author(s):  
Nathalie Curvale-Fauchet ◽  
Francoise Botterel ◽  
Patrick Legrand ◽  
Jacques Guillot ◽  
Stephane Bretagne
Keyword(s):  
Adult Patients ◽  
Intravascular Catheter ◽  
Catheter Colonization ◽  
Malassezia Spp

Infection Control Experience in a Cooperative Care Center for Transplant Patients

2008 ◽  
Vol 29 (5) ◽  
pp. 424-429 ◽  
Author(s):  
Ahmad Nusair ◽  
Dawn Jourdan ◽  
Sharon Medcalf ◽  
Nedra Marion ◽  
Peter C. Iwen ◽  
...  
Keyword(s):  
Infection Control ◽  
Bloodstream Infection ◽  
Care Center ◽  
Solid Organ ◽  
Infection Rates ◽  
Healthcare Associated Infection ◽  
Intravascular Catheter ◽  
Transplant Patients ◽  
Care Partners ◽  
Healthcare Associated

Objective.To characterize infection control experience during a 6.5-year period in a cooperative care center for transplant patients.Design.Descriptive analysis.Setting.A cooperative care center for transplanted patients, in which patients and care partners are housed in a homelike environment, and care partners assume responsibility for patient care duties.Patients.Nine hundred ninety one transplant patients.Methods.Infection control definitions from the Centers for Disease Control and Prevention were used to ascertain infection rates. Environmental cultures were used to detect methicillin-resistantStaphylococcus aureus(MRSA), vancomycin-resistantEnterococcus(VRE),Clostridium difficile,and fungi during the first 18 months. Surveillance cultures were performed for a subset of patients and care partners.Results.From June 1999 through December 2005, there were 19,365 patient-days observed. The most common healthcare-associated infection encountered was intravascular catheter-related bloodstream infection, with infection rates of 5.74 and 4.94 cases per 1,000 patient-days for hematopoietic stem cell transplant (HSCT) and solid organ transplant (SOT) patients, respectively. G difficile-associated diarrhea was observed more frequentiy in HSCT patients than in SOT patients (3.97 vs 0.57 cases per 1000 patient-days;P<.0001 ). There was no evidence of environmental contamination with MRSA, VRE, or C.difficile.Acquisition of MRSA was not observed. Acquisition of VRE was documented.Conclusion.This study documented that cooperative care was associated with some risk of healthcare-associated infection, most notably intravascular catheter-associated bloodstream infection and C. difficile-associated diarrhea, it appears the incidences of these infections were roughly commensurate with those in other care settings.

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