Peripherally inserted central catheter-related bloodstream infection caused by Kocuria marina in an elderly man

Môri, N.; Nishihara, Yuichi; Tayama, Hideki; Higuchi, Akiko; Aoki, Yasuko

doi:10.1007/s15010-017-0980-9

Cited by 7 publications

(11 citation statements)

References 9 publications

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“…After the exclusion of the duplicate articles, the record screening, and the snowball procedure, only 73 studies met the inclusion criteria. These 73 studies provided data on 102 patients, and these data were included in the analysis [ 4 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 ,…”

Section: Resultsmentioning

confidence: 99%

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Kocuria Species Infections in Humans—A Narrative Review

Ziogou,

Giannakodimos,

Giannakodimos

et al. 2023

Microorganisms

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Kocuria species are catalase-positive and coagulase-negative Gram-positive coccoid bacteria that belong to the family Micrococcaceae, order Actinomycetales, and class Actinobacteria. Even though they may be relatively rare, they have been increasingly reported as the causes of human infections lately. The present study aims to review all published cases of Kocuria spp. infections in humans reporting data on epidemiology, microbiology, antimicrobial susceptibility, antimicrobial treatment, and mortality. A narrative review was performed based on a search of Pubmed and Scopus databases in the literature. In total, 73 studies provided data on 102 patients with Kocuria spp. infections. The mean age of patients was 47 years, and 68.3% were male. The most common types of infection were bacteremia (36.3%), skin and soft tissue infection (18.6%), endophthalmitis (15.7%), infective endocarditis (13.7%), and peritonitis (11.8%), most commonly peritoneal–dialysis-associated. The most frequently isolated species was K. kristinae (46.1%), and antimicrobial resistance was lower for vancomycin (7%) and tetracyclines (6.7%). Vancomycin (47%), cephalosporins (39.6%), and quinolones (36.6%) were the most commonly used antimicrobials. The empirical antimicrobial treatment of Kocuria spp. infections should include vancomycin as long as antimicrobial susceptibility results are pending. The infection outcome mainly depends on the type of infection and is higher for infective endocarditis. Endophthalmitis is associated with increased rates of low visual acuity after treatment.

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Section: Resultsmentioning

confidence: 99%

“…Only a limited number of articles regarding Kocuria infections have been found in the current literature; thus, the definition of exact epidemiological data on these infections remains challenging [ 42 ]. In this review, most patients were male, and the mean age was 47 years.…”

Section: Discussionmentioning

confidence: 99%

Kocuria Species Infections in Humans—A Narrative Review

Ziogou,

Giannakodimos,

Giannakodimos

et al. 2023

Microorganisms

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“…A peripherally inserted central catheter (PICC) with its tip preferably in the vena cava allows for middle to long-term intravenous therapy, blood sampling, and reductions in repeated intravenous catheterizations [1,2]. Though PICC insertion is a relatively convenient and effective technique, it can cause life-threatening complications such as catheterrelated bloodstream infection [3,4] and pericardial tamponade [5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%

A nurse-inserted peripherally inserted central catheter program in general pediatrics: a single-center experience

et al. 2023

BMC Pediatr

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Background A peripherally inserted central catheter (PICC) with its tip preferably in the vena cava is essential in caring for patients with chronic conditions in general pediatrics. However, PICC-related complications are concerning and warrant further investigations. Objectives To share the experience of a nurse-inserted peripherally inserted central catheters (PICC) program initiated in a general pediatric department. Methods A retrospective descriptive cohort study based on a prospectively collected database was conducted. All PICCs inserted in the departments of gastroenterology and pulmonology in a tertiary pediatric center from Dec. 2015 to Dec. 2019 were included in the study. Complications and risk factors were analyzed by comparing cases with and without complications. We also reported arm movements in correcting mal-positioned newly-inserted PICCs. Results There were 169 cases with a median (IQR) age of 42(6, 108) months who received PICC insertion during a 4-year period. Inflammatory bowel disease was the leading diagnosis accounting for 25.4% (43/169) of all cases. The overall complication rate was 16.4 per 1000 catheter days with malposition and occlusion as the two most common complications. Multivariate models performed by logistic regression demonstrated that young age [p = 0.004, OR (95%CI) = 0.987(0.978, 0.996)] and small PICC diameter (1.9Fr, p = 0.003, OR (95%CI) = 3.936(1.578, 9.818)] were risk factors for PICC complications. Correction of malpositioned catheters was attempted and all succeeded in 9 eligible cases by using arm movements. Conclusion The nurse-inserted PICC program in general pediatrics is feasible with a low rate of complications. PICC tip malposition and occlusion were two major PICC-related complications when low age and small catheter lumina were major risk factors. Furtherly, arm manipulation potentially is an easy and effective approach for correcting malpositioned newly-inserted PICC catheters.

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“…Kocuria comprises 20 species and is taxonomically classified as Actinobacteria. Generally, kocurial species are harmless bacteria that can be found in human [2], sediments [3], soil [4], water, [5] and food [6] or associated with plants [7]. Significant ecological and environmental roles of Kocuria spp.…”

Section: Introductionmentioning

confidence: 99%

Scanning electron microscopy and antibiotic sensitivity of the actinobacterium, Kocuria sediminis DDK6

2017

J App Biol Biotech

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In the present work, the cellular arrangements and shape of Kocuria sediminis DDK6 which was isolated from a diesel-oil contaminated soil, were investigated using scanning electron microscope (SEM). Additionally, the intrinsic antibiotic resistance of theDDK6 to 10 different antibiotics was also assessed using disc diffusion antibiotic sensitivity testing. The results obtained from SEM indicated that cells of the strain DDK6 were arranged in pairs, tetrads, packets and grape-like clusters. Typical spherical-shaped cells with a diameter between 0.7 -0.9 um, were observed. The cell surface appeared relatively smooth in texture. Additionally, circumferential rings with different spatial planes were observed in cells with various arrangements, indicating different planes of divisions. Results of intrinsic antibiotic resistance revealed that DDK6 strain was sensitive to all antibiotic tested at the applied concentration, except for the nitrofurantoin (F 300 µg). The diameter of the inhibition zone ranged between 0.85-1.3 cm highlighting variations in susceptibility levels to the antibiotic tested. In conclusion, DDK6 could adjust the position of the cell division site to cope with the habitat in which it lives, and resistance to the nitrofurantoin could be used as a rapid identification of Kocuria spp, in addition, to many other phenotypic traits.

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Peripherally inserted central catheter-related bloodstream infection caused by Kocuria marina in an elderly man

Cited by 7 publications

References 9 publications

Kocuria Species Infections in Humans—A Narrative Review

Kocuria Species Infections in Humans—A Narrative Review

A nurse-inserted peripherally inserted central catheter program in general pediatrics: a single-center experience

Scanning electron microscopy and antibiotic sensitivity of the actinobacterium, Kocuria sediminis DDK6

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