Infection From Intravenous Catheters

Banks, D C; Cawdrey, H.M.; Yates, D B; Harries, Matthew; Kidner, P. H.

doi:10.1016/s0140-6736(70)90833-0

Cited by 68 publications

(15 citation statements)

References 4 publications

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“…Intravenous catheters pose a risk of infection [3,9,40,42] and are frequently found in patients with septicaemia [t, 35,54]. Septicaemias originating from intravascular catheters have been demonstrated with variable incidence; 2% [9], 2,5% [40], 3% [3] and up to a 20% when breaks of the aseptic technique were observed [42t.…”

Section: Resultsmentioning

confidence: 99%

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Septicaemia in a medical intensive care unit. Clinical, biochemical and microbiological data of 109 cases

et al. 1983

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Blood cultures were obtained from 39% of all 574 admissions to our Medical Intensive Care Unit. (ICU); in 109 (19%) a pathogenic organism was demonstrated. 45% of the septicaemias were detected within the first 48 h of ICU stay have been considered as "non ICU-acquired". Septicaemic patients were significantly older, had longer ICU stays and a higher mortality rate (62%) than non septicaemic patients (28%) (p less than 0.05). Gram negative organisms (69%) predominated over gram positive (29%) and Serratia marcescens and coagulase positive Staphylococcus were the most frequently isolated. Shock appeared in 32% and had an extremely high mortality (91%) and was associated with the presence of "multiple species septicaemia". Prior to the septicaemia the survivors differed from the fatalities only in the level of serum albumin; this was significantly lower in patients with gram negative in comparison with gram positive septicaemias and in patients who developed shock. Arterial, pulmonary artery and urinary catheters, and endotracheal devices were used frequently in these patients and were statistically associated with the presence of septicaemia. The airway was the most frequent possible source for the septicaemia.

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Section: Resultsmentioning

confidence: 99%

“…Septicaemias originating from intravascular catheters have been demonstrated with variable incidence; 2% [9], 2,5% [40], 3% [3] and up to a 20% when breaks of the aseptic technique were observed [42t. In our patients we did not find a statistical relationship between central venous catheters and septicaemia.…”

Section: Resultsmentioning

confidence: 99%

Septicaemia in a medical intensive care unit. Clinical, biochemical and microbiological data of 109 cases

et al. 1983

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“…Previous case reports of C perfringens causing gas gangrene and septicaemia associated with indwelling arterial catheters exist, but when appropriate aseptic techniques are followed Clostridium species is an exceptionally unusual pathogen to isolate 2. This suggests that in order for even the most pathogenic species to cause infection the environment must be optimised 3.…”

Section: Discussionmentioning

confidence: 99%

Clostridium perfringensgas gangrene at a wrist intravenous line insertion

Determann

Walker

2013

BMJ Case Reports

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SUMMARYA patient admitted to the intensive care unit for management of hypotension following a multiple medications overdose subsequently deteriorated rapidly with sepsis. A cannula site was noted to be bruised, swollen and erythematous and the X-ray demonstrated gas sitting within the tissues surrounding the metacarpal bones. The patient was referred to the orthopaedic surgeons and quickly taken for debridement of the affected area and fasciotomies of the forearm. Microbiological investigation confirmed Clostridium perfringens to be present in multiple fluid samples taken from the affected site. BACKGROUND

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“…The use of i.v. catheters may be associated with local complications such as thrombophlebitis (1), and the use of urinary catheters is often associated with urinary tract infection (2). In both instances, these local complications can sometimes be followed by lifethreatening septicemia.…”

mentioning

confidence: 99%

Effect of plastic catheters on the phagocytic activity of human polymorphonuclear leukocytes

López-López

Pascual

Perea

1990

Eur. J. Clin. Microbiol. Infect. Dis.

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The effect of five kinds of plastic catheters (polyvinyl chloride, Teflon, polyurethane, Vialon and siliconized latex) on the phagocytic and bactericidal function of human polymorphonuclear leukocytes was evaluated. In the presence of the polyvinyl chloride, Teflon and siliconized latex catheters, superoxide radical production by polymorphonuclear leukocytes was significantly inhibited. The effect of the siliconized latex catheter was presumably mediated by products eluted from the catheter into the medium, since the incubation of polymorphonuclear leukocytes in eluates obtained from the incubation of this catheter in buffer induced a similar inhibitory effect. This phenomenon was not observed with polyurethane or Vialon catheters. Neither the catheters evaluated nor their eluates affected the uptake of opsonized Staphylococcus aureus by human polymorphonuclear leukocytes. It is concluded that the polyvinyl chloride, Teflon and siliconized latex catheters used in this study could impair the respiratory burst of human polymorphonuclear leukocytes.

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Infection From Intravenous Catheters

Cited by 68 publications

References 4 publications

Septicaemia in a medical intensive care unit. Clinical, biochemical and microbiological data of 109 cases

Septicaemia in a medical intensive care unit. Clinical, biochemical and microbiological data of 109 cases

Clostridium perfringensgas gangrene at a wrist intravenous line insertion

Effect of plastic catheters on the phagocytic activity of human polymorphonuclear leukocytes

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