Increased Infection Rate in Double-Lumen Versus Single-Lumen Hickman Catheters in Cancer Patients

Tf, Early; Rt, Gregory; Wheeler,; So, Snyder; Rg, Gayle

doi:10.1097/00007611-199001000-00010

Cited by 72 publications

(30 citation statements)

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“…13 Nevertheless, the frequency of bacteremia in Meisenberg's study was lower than in the study reported by Lazarus. It has to be noted that although both reports utilized two different catheters, they reported their experience globally, which makes it difficult to determine if there was any difference in the complication rate between catheters.…”

Section: Discussionmentioning

confidence: 56%

Performance of a hybrid central venous catheter utilized for both peripheral blood stem cell harvest and transplant support of patients undergoing autologous peripheral blood stem cell transplantation

Restrepo

Devore

Encarnacion

et al. 2002

Bone Marrow Transplant

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Summary:Patients undergoing autologous peripheral blood stem cell transplantation (PBSC) frequently require the sequential insertion of two central venous catheters, one for leukapheresis and one for transplant support. Hybrid catheters suitable for leukapheresis and longterm use have been increasingly used, but there is limited information regarding their performance and complication rate. The purpose of this study was to determine the performance of the Pheres-Flow hybrid catheter when utilized for both leukapheresis and transplant support, with particular emphasis on the incidence of infectious and occlusive complications. We prospectively analyzed the performance of 92 catheters in 82 consecutive patients who underwent autologous peripheral blood stem cell (PBSC) transplantation. Occlusion was the most frequent complication of this catheter with 29% of the patients experiencing difficulty drawing blood or infusing fluids. Infection was another frequent complication. Twenty-two percent of patients developed catheter-related bloodstream infections and 15 catheters had to be removed because of proven or suspected infection that did not respond to antibiotic therapy. Nevertheless, 77% of patients were able to complete leukapheresis and transplant support with only one catheter. We conclude that the utilization of the Pheres-Flow catheter for both leukapheresis and transplant support is feasible, but that new strategies need to be developed to decrease the incidence of occlusive and infectious complications of hybrid catheters.

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Section: Discussionmentioning

confidence: 56%

Performance of a hybrid central venous catheter utilized for both peripheral blood stem cell harvest and transplant support of patients undergoing autologous peripheral blood stem cell transplantation

Restrepo

Devore

Encarnacion

et al. 2002

Bone Marrow Transplant

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show abstract

“…General principles A. Use a CVC with the minimum number of ports or lumens essential for the management of the patient [251][252][253][254]. Category IB B.…”

Section: Category Ib II Surveillancementioning

confidence: 99%

Guidelines for the prevention of intravascular catheter-related infections

O’Grady¹,

Alexander²,

Dellinger³

et al. 2002

American Journal of Infection Control

635

843

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These guidelines have been developed for practitioners who insert catheters and for persons responsible for surveillance and control of infections in hospital, outpatient, and home health-care settings. This report was prepared by a working group comprising members from professional organizations representing the disciplines of critical care medicine, infectious diseases, health-care infection control, surgery, anesthesiology, interventional radiology, pulmonary medicine, pediatric medicine, and nursing. The These guidelines are intended to provide evidencebased recommendations for preventing catheter-related infections. Major areas of emphasis include 1) educating and training health-care providers who insert and maintain catheters; 2) using maximal sterile barrier precautions during central venous catheter insertion; 3) using a 2% chlorhexidine preparation for skin antisepsis; 4) avoiding routine replacement of central venous catheters as a strategy to prevent infection; and 5) using antiseptic/antibiotic impregnated short-term central venous catheters if the rate of infection is high despite adherence to other strategies (i.e., education and training, maximal sterile barrier precautions, and 2% chlorhexidine for skin antisepsis). These guidelines also identify performance indicators that can be used locally by health-care institutions or organizations to monitor their success in implementing these evidence-based recommendations.

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“…While multi122 lumen catheters are convenient for patients requiring multiple infusions or blood draws for laboratories, they also provide additional potential pathways for infection. Multiple studies have shown increased infections in multi-lumen catheters compared to single-lumen catheters in varied patient populations, including the critically ill and cancer patients[15–17]; however a meta-analysis did not detect a significant difference when excluding many studies assessed as low-quality[18]. On balance, guidelines recommend using a catheter “with the minimum number of ports or lumens essential for the management of the patient”[1].…”

Section: Closed Icu Vs Open Icumentioning

confidence: 99%

Prevention of Central Line–Associated Bloodstream Infections

Bell

O’Grady

2017

Infectious Disease Clinics of North America

180

105

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Central venous catheters (CVC) are commonly used in critically ill patients and offer several advantages to peripheral intravenous access. However, indwelling CVCs have the potential to lead to blood stream infections, with the risk increasing with an array of characteristics such as catheter choice, catheter location, insertion technique and catheter maintenance. Evidence-based guidelines have led to a significant reduction in the incidence of blood stream infections associated with CVCs. The combination of guideline implementation combined with newer technologies has the potential to further reduce morbidity and mortality from infections related to CVCs.

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Increased Infection Rate in Double-Lumen Versus Single-Lumen Hickman Catheters in Cancer Patients

Cited by 72 publications

References 0 publications

Performance of a hybrid central venous catheter utilized for both peripheral blood stem cell harvest and transplant support of patients undergoing autologous peripheral blood stem cell transplantation

Performance of a hybrid central venous catheter utilized for both peripheral blood stem cell harvest and transplant support of patients undergoing autologous peripheral blood stem cell transplantation

Guidelines for the prevention of intravascular catheter-related infections

Prevention of Central Line–Associated Bloodstream Infections

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