Bloodstream infections in home infusion patients: The influence of race and needleless intravascular access devices

Kellerman, Scott E.; Shay, David K.; Howard, Jean E.; Goes, Connie; Feusner, James; Rosenberg, Jon; Vugia, Duc J.; Jarvis, William R.

doi:10.1016/s0022-3476(96)70154-3

Cited by 79 publications

(32 citation statements)

References 13 publications

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“…Although we could not demonstrate the independence of this association in the multivariate model, it remained significantly associated after stratifying for the other significant risk factors. Previous studies have demonstrated that a CVC left in place after a BSI increases the risk of further BSIs with the same or a different organism [19] (CDC unpublished data, 1997). This increased BSI risk may reflect an actual increase in the risk of the CVC becoming colonized again or that a prior bacteremia may intrinsically predispose to another bacteremia; it also may reflect an increased severity of illness.…”

Section: Discussionmentioning

confidence: 99%

Nosocomial Outbreak ofMicrobacteriumSpecies Bacteremia among Cancer Patients

et al. 2001

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To date, only 6 sporadic Microbacterium species (formerly coryneform Centers for Disease Control and Prevention [CDC] groups A-4 and A-5) infections have been reported. The source, mode of transmission, morbidity, mortality, and potential for nosocomial transmission of Microbacterium species remain unknown. From 26 July through 14 August 1997, 8 episodes of coryneform CDC group A-5 symptomatic bacteremia occurred in 6 patients on the oncology ward at the Maine Medical Center. One patient died. All isolates were identified at CDC as Microbacterium species and had identical DNA banding patterns by pulsed-field gel electrophoresis. To assess risk factors for Microbacterium species infection, a retrospective cohort study was conducted. The presence of a central venous catheter was the strongest risk factor (6/6 vs. 22/48; relative risk, 3.2; P<.0001). This outbreak demonstrates significant Microbacterium species-associated morbidity and mortality in immunocompromised populations and confirms the potential for epidemic nosocomial transmission.

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Section: Discussionmentioning

confidence: 99%

Nosocomial Outbreak ofMicrobacteriumSpecies Bacteremia among Cancer Patients

et al. 2001

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“…Tres estudios realizados en el ámbito del cuidado y tratamiento ambulatorio domiciliar, han identificado un incremento del riesgo de septicemia con el uso de los dispositivos intravasculares de primera generación y bajo ciertas circunstancias, incluyendo la administración de nutrición parenteral total (NPT), un bajo nivel educativo, edad joven, presencia de un CVC con múltiples puertos, presencia de un CVC tunelado, baño en ducha vs baño en tina y menor frecuencia de cambio del capuchón (21)(22)(23) . A su vez, en un estudio de cohorte de 872 pacientes que recibían terapias de infusión domiciliares, se encontró los siguientes factores de riesgo independientes: trasplante de médula ósea reciente, septicemia previa, administración de NPT y uso de CVC con múltiples puertos (24) .…”

Section: Extrahospitalariasunclassified

Septicemia asociada a catéter venoso central

Cardoce

2012

RC_UCR-HSJD

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“…Andererseits gibt es in der Literatur einige Publikationen, die einen Anstieg der Inzidenzdichte Katheter-assoziierter Infektionen nach Einfüh-rung bestimmter NFC-Modelle beschrieben haben [9,12,13,16,17,20,21].…”

Section: Nadelfreie Konnektionsventile Und Blutstrominfektionen -Kommunclassified

“…3 die Desinfektion der Konnektionsstelle mit dem Infusionssystem (Hub, Dreiwegehahn) erleichtern und einen berührungsfreien Umgang mit der Konnektionsstelle ermöglichen. 3 je nach Modell beim Abziehen der Spritze einen positiven Druck erzeugen, so dass kein Blut in den Katheter zurückfließt (erspart Heparin-Spülungen) [7, 12].Andererseits gibt es in der Literatur einige Publikationen, die einen Anstieg der Inzidenzdichte Katheter-assoziierter Infektionen nach Einfüh-rung bestimmter NFC-Modelle beschrieben haben [9,12,13,16,17,20,21]. …”

unclassified

Nadelfreie Konnektionsventile und Blutstrominfektionen - Kommentar aus klinischer Sicht

Simon¹,

Trautmann²

2008

Dtsch med Wochenschr

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Needle-less connection valves (NFCs) for infusion systems, blood drawing- or i. v. injection ports may offer significant benefits to the patient and the attending health care workers. On the other hand, a number of recent reports described a relationship between an increased incidence density of catheter-associated infections and the introduction of certain NFCs in clinical practice. Thus, the safety of the device in terms of an effective and feasible disinfection protocol for the outer membrane and absence of unintended bacterial deposits inside the device should have been confirmed with appropriate in vitro investigations. In addition, the introduction into clinical practice should be supervised by continuously performed surveillance for catheter-associated infections. Taking these prerequisites into account, NFCs may increase the safety and feasibility of intravenous therapy using central venous catheters in high-risk patients.

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Bloodstream infections in home infusion patients: The influence of race and needleless intravascular access devices

Cited by 79 publications

References 13 publications

Nosocomial Outbreak ofMicrobacteriumSpecies Bacteremia among Cancer Patients

Nosocomial Outbreak ofMicrobacteriumSpecies Bacteremia among Cancer Patients

Septicemia asociada a catéter venoso central

Nadelfreie Konnektionsventile und Blutstrominfektionen - Kommentar aus klinischer Sicht

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