Central venous catheter-related bloodstream infection caused by Staphylococcus aureus: microbiology and risk factors

Sadoyma, Geraldo; Filho, Augusto Diogo; Filho, Paulo Pinto Gontijo

doi:10.1590/s1413-86702006000200006

Cited by 12 publications

(7 citation statements)

References 50 publications

(39 reference statements)

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“…Notably, the incidence of CLABSI was found to be Ͼ3-fold higher for intensive care units (ICUs) in countries in Latin America, Asia, Africa, and Europe than for ICUs in the United States (622). S. aureus follows CoNS as the major bacterium causing CLABSI, responsible for 14 to 41% of CLABSIs (624)(625)(626)(627). S. aureus CLABSI is associated with a 7 to 21% mortality rate (612,(628)(629)(630)(631)(632) and has been estimated to cost $9,830 to $14,136 per episode (633).…”

Section: Intravascular Catheter Infectionsmentioning

confidence: 99%

Staphylococcus aureus Infections: Epidemiology, Pathophysiology, Clinical Manifestations, and Management

et al. 2015

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SUMMARY Staphylococcus aureus is a major human pathogen that causes a wide range of clinical infections. It is a leading cause of bacteremia and infective endocarditis as well as osteoarticular, skin and soft tissue, pleuropulmonary, and device-related infections. This review comprehensively covers the epidemiology, pathophysiology, clinical manifestations, and management of each of these clinical entities. The past 2 decades have witnessed two clear shifts in the epidemiology of S. aureus infections: first, a growing number of health care-associated infections, particularly seen in infective endocarditis and prosthetic device infections, and second, an epidemic of community-associated skin and soft tissue infections driven by strains with certain virulence factors and resistance to β-lactam antibiotics. In reviewing the literature to support management strategies for these clinical manifestations, we also highlight the paucity of high-quality evidence for many key clinical questions.

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Section: Intravascular Catheter Infectionsmentioning

confidence: 99%

Staphylococcus aureus Infections: Epidemiology, Pathophysiology, Clinical Manifestations, and Management

et al. 2015

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“…Trichophyton rubrum ) also opportunistically infect lesional and nonlesional AD skin, S. aureus is by far the most common superinfecting agent 48 . Like S. epidermidis , S. aureus is a frequent cause of infection in catheterized patients 49 …”

Section: Staphylococcus Aureusmentioning

confidence: 99%

Skin microbiota: a source of disease or defence?

Cogen¹,

Nizet

Gallo³

2008

British Journal of Dermatology

767

603

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Microbes found on the skin are usually regarded as pathogens, potential pathogens or innocuous symbiotic organisms. Advances in microbiology and immunology are revising our understanding of the molecular mechanisms of microbial virulence and the specific events involved in the host-microbe interaction. Current data contradict some historical classifications of cutaneous microbiota and suggest that these organisms may protect the host, defining them not as simple symbiotic microbes but rather as mutualistic. This review will summarize current information on bacterial skin flora including Staphylococcus, Corynebacterium, Propionibacterium, Streptococcus and Pseudomonas. Specifically, the review will discuss our current understanding of the cutaneous microbiota as well as shifting paradigms in the interpretation of the roles microbes play in skin health and disease.

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“…Os fatores intrínsecos ao paciente são: alteração do estado imunológico, extremos de idade, pré-existência de co-morbidades, gravidade da doença, má nutrição e colonização da pele (38)(39) .…”

Section: Fatores De Risco Para Infecção Da Corrente Sanguínea Associaunclassified

“…Já os fatores extrínsecos podem ser específicos quanto ao tipo de cateter ou comum a todos. Os principais fatores relacionados ao CVC são: local de inserção, presença ou ausência de túnel, número de lumens, uso de sistema de monitorização de pressão, infusão de nutrição parenteral, tempo de permanência do cateter, tipo de cateter, colonização da pele pericateter, dificuldade de inserção do cateter, local de internação e colonização do canhão (hub) (18,23,29,38,39,40) .…”

Section: Fatores De Risco Para Infecção Da Corrente Sanguínea Associaunclassified

Avaliação das práticas de prevenção e controle da infecção da corrente sanguínea associada ao cateter venoso central de curta permanência por meio de indicadores clínicos

Jardim¹

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A Deus, que todos ilumina e abençoa com paz serenidade e sabedoria os nossos caminhos.À Prof a Dr a Rúbia Aparecida Lacerda, minha orientadora, pela idealização e incentivo para a realização desse estudo. À Equipe de Enfermagem da UTI Cirúrgica-Adulto, por permitirem e colaborarem na realização do estudo. À Enfermeira e Amiga Naury de Jesus Danzy, por sua disponibilidade e dedicação pelos ensinamentos quanto à análise estatística e acima de tudo pela generosidade em me auxiliar na fase final com tanto afinco, mesmo nas adversidades. À Enfermeira Bruna Nunes, a minha gratidão pelo profissionalismo, ética e empenho em participarem da coleta de dados, fundamental para o desenvolvimento da pesquisa. Ao Ricardo Luís Barbosa, pela valiosa participação, contribuição estatística e resistência, mesmo nos momentos de indecisão. Aos amigos de trabalho e da vida, obrigada por torcerem por mim. A todos os pacientes que no anonimato contribuíram para este estudo. PALAVRAS-CHAVE: Infecção da corrente sanguínea associada ao cateter venoso central. Infecção relacionada à assistência à saúde. Cateter venoso central. Observação direta. Indicadores de qualidade. Jardim JM. Evaluation of practices for prevention and control of bloodstream infection associated with central venous catheter of short stay by means clinical indicators [dissertation]. São Paulo (SP), Brasil: Escola de Enfermagem, Universidade de São Paulo; 2011. ABSTRACTThere is a consensus that the process of prevention and control healthcare associated infection (HAI), based on result indicators is limited to recognize the real conditions in which assistance practices are performed. So, processual evaluations have been required to know the conformity level of these events in relation to recommendations given by the scientific evidence now available. The aim of this study was to evaluation the conformity of practices for prevention and bloodstream infection control associated with central venous catheter (BSI -ACVC) by means of specifically elaborated processual clinical indicators. These practices corresponded to: a) Evaluation the practices of registration statement evaluation and central venous catheter for short stay evaluation; b) Evaluation the practices of the insertion of central venous catheter for short stay, percutaneous insertion, complete items for insertion of CVC, enlarged sterile field at the time of catheter insertion, use of antiseptic alcohol vehicle for the patient skin cleaning and occlusive dressing presence; c) Evaluation of the adherence to care practice and maintenance of CVC insertion healing and it devices: report of dressing and frequency changes, the hubs and connectors disinfection with chlorhexidine 0,5% before handling, exchange of catheters and transducers as institutional orientation; d) Evaluation of compliance to hand hygiene procedures in trading system for infusion, medication administration, blood collection, exchange an healing completion. This was an applied research involving findings about practices performance and procedures, ai...

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Central venous catheter-related bloodstream infection caused by Staphylococcus aureus: microbiology and risk factors

Cited by 12 publications

References 50 publications

Staphylococcus aureus Infections: Epidemiology, Pathophysiology, Clinical Manifestations, and Management

Staphylococcus aureus Infections: Epidemiology, Pathophysiology, Clinical Manifestations, and Management

Skin microbiota: a source of disease or defence?

Avaliação das práticas de prevenção e controle da infecção da corrente sanguínea associada ao cateter venoso central de curta permanência por meio de indicadores clínicos

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