An Evaluation of Triple-lumen Catheter Infections Using a Guidewire Exchange Technique

Norwood, Scott H.; Jenkins, G.

doi:10.1097/00005373-199006000-00009

Cited by 27 publications

(4 citation statements)

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“…Eyer et al [23] in a cohort of 112 surgical ICU patients likewise found no relationship between catheter in situ time and CR-BSI rate, suggesting instead that severity of illness was more important. Prolonged catheterisation may be a cofactor with severity of illness in the determination of overall CR-BSI rates [24]. From among the 49 patients with clinically suspected CR-BSI, severity of underlying illness as measured by APACHE II scores was not statistically different between patients with and without CR-BSI [17.7 (range 6±27) and 17.8 (range 7±31), respectively], and therefore in this population it appeared unhelpful as a predictor of CR-BSI.…”

Section: Discussionmentioning

confidence: 99%

Central venous catheter-related bloodstream infections: an analysis of incidence and risk factors in a cohort of 400 patients

Gowardman¹,

Montgomery

Thirlwell

et al. 1998

Intensive Care Medicine

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We have defined the incidence of CR-BSI in a cohort of patients from a tertiary referral hospital, the rates comparing favourably with those reported for similar populations. We were unable to demonstrate significant differences in any patient or catheter variables between those with and without CR-BSI. The AOLC test used alone was unhelpful as a method to diagnose in situ CVC infection in this patient population.

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Section: Discussionmentioning

confidence: 99%

Central venous catheter-related bloodstream infections: an analysis of incidence and risk factors in a cohort of 400 patients

Gowardman¹,

Montgomery

Thirlwell

et al. 1998

Intensive Care Medicine

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“…We chose to study central catheters with a gauze dressing because of the acknowledged deleterious effect of transparent dressings on local catheter-related infections and bacteremia (47). Because duration of catheterization is a major determinant of local catheter-related infection (24,34,35,48,49), by choosing patients for our study with a catheter duration of three days or more we were able to optimize the opportunity of finding any catheter-related infection. Logistic regression analysis revealed that the use of placebo and the presence of 10 3 cfu/mL/25 cm 2 or greater at the catheter exit site was significantly associated as an independent risk factor for local catheter-related infections.…”

Section: Discussionmentioning

confidence: 99%

Double‐Blind Prospective Randomized Study Comparing Topical Mupirocin and Placebo for the Prevention of Infection Associated with Central Venous Catheters

Conly

Rennie

Tan

et al. 1996

Canadian Journal of Infectious Diseases and Medical Microbiolog

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“…The CDC definition of catheter colonization is based upon reasonable laboratory criteria (Table 1) 2 . Unfortunately, the identification of organisms from cultures of the catheter has also been variously described in the literature as "catheter contamination" 33,38,39 and "catheter infection" 7,13,15,27,33,39,40 . This has sometimes been clarified by the quantitative estimation of culture results, with some authors referring to a growth of less than 15 colony forming units (cfu) as contamination 39 .…”

Section: Centres For Disease Control Definitionsmentioning

confidence: 99%

Can We Achieve Consensus on Central Venous Catheter-Related Infections?

Fraenkel

Rickard²,

Lipman

2000

Anaesth Intensive Care

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Central venous catheter-related bacteraemia is a substantial and preventable source of iatrogenic morbidity and mortality. A single episode of catheter-related bacteraemia has an estimated cost of A$50,000, with an attributable mortality between 10 and 35%. Catheter colonization is diagnosed with standard culture techniques. Diagnostic criteria for catheter-related bacteraemia include the results of cultures from the catheter tip, the peripheral blood and other possible sites of infection. The presence of clinical symptoms and subsequent defervescence may assist in making the diagnosis. This review explores the existing definitions of catheter-related infections and proposes a new and more rigorous classification with criteria for definite, probable and possible catheter-related bacteraemia. The authors hope that this classification will enhance the interpretation of the literature and the planning of new investigations.Infection rates can be reduced by appropriate site selection, adequate skin preparation, sterile technique and appropriate dressings. Decreased manipulation of administration sets, with more careful technique and less frequent set replacement, may reduce hub contamination. Infection rates increase with the duration in situ of the catheter, however are not reduced by regular scheduled catheter replacement or guide-wire exchanges. A range of antimicrobial catheter materials and coatings are under investigation, some of which are effective in reducing the rate of catheterrelated bacteraemia. Chorhexidine-silver sulphadiazine and rifampicin-minocycline are the best studied combinations to date. Further developments are expected, although none are likely to be as effective as not inserting or removing the central venous catheter when it is not required.

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An Evaluation of Triple-lumen Catheter Infections Using a Guidewire Exchange Technique

Cited by 27 publications

References 0 publications

Central venous catheter-related bloodstream infections: an analysis of incidence and risk factors in a cohort of 400 patients

Central venous catheter-related bloodstream infections: an analysis of incidence and risk factors in a cohort of 400 patients

Double‐Blind Prospective Randomized Study Comparing Topical Mupirocin and Placebo for the Prevention of Infection Associated with Central Venous Catheters

Can We Achieve Consensus on Central Venous Catheter-Related Infections?

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