The value of Gram staining of catheter segments for rapid detection of peripheral venous catheter infections

Aygün, Gökhan; Yasar, Hatice; Yılmaz, Mesut; Karasahin, Kadriye; Dikmen, Yalım; Polat, Erdal; SIDAN, Asuman; Altaş, Kemal

doi:10.1016/j.diagmicrobio.2005.09.006

Cited by 12 publications

(5 citation statements)

References 14 publications

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“…In conclusion, we have presented the only comprehensive data on PIVCR BSIs per 1,000 PIVC days from Latin America currently available. Consequently, the benchmark comparison of our findings was limited to the results of 2 studies from more economically developed countries (a 2006 systematic review of data from the United States, Australia, and Italy and an Australian study published in 2018 17 ) and to 4 studies INICC conducted in countries of limited resources in Asia 6 and the Middle East 8 and in a pool of 42 countries. 7 The PIVCR BSI rates in this study were higher than those of economically developed countries.…”

Section: Discussionmentioning

confidence: 99%

“…4 A study conducted in the United States showed that the PIVCR BSI rate was 0.3%, 5 and a study in Turkey reported that the rate of PIVCR BSI was 0.7%. 6 Recently, the INICC reported that the rate of PIVCR BSI in a pool of 42 limited-resource countries was 2.41 PIVCR BSI per 1,000 PIVC days 7 and was 2.32 in Middle East. 8 Over the last 2 decades, attention has been focused on risk of infection related to central venous access, leading to national campaigns aimed at reducing such events.…”

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confidence: 99%

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An eight-year multicenter study on short-term peripheral intravenous catheter–related bloodstream infection rates in 100 intensive care units of 9 countries in Latin America: Argentina, Brazil, Colombia, Costa Rica, Dominican Republic, Ecuador, Mexico, Panama, and Venezuela. Findings of the International Nosocomial Infection Control Consortium (INICC)

Rosenthal¹,

Chaparro

Servolo-Medeiros

et al. 2021

Infect. Control Hosp. Epidemiol.

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Background: Data on short-term peripheral intravenous catheter–related bloodstream infections per 1,000 peripheral venous catheter days (PIVCR BSIs per 1,000 PVC days) rates from Latin America are not available, so they have not been thoroughly studied. Methods: International Nosocomial Infection Control Consortium (INICC) members conducted a prospective, surveillance study on PIVCR BSIs from January 2010 to March 2018 in 100 intensive care units (ICUs) among 41 hospitals, in 26 cities of 9 countries in Latin America (Argentina, Brazil, Colombia, Costa Rica, Dominican-Republic, Ecuador, Mexico, Panama, and Venezuela). The Centers for Disease Control and Prevention (CDC) National Health Safety Network (NHSN) definitions were applied, and INICC methodology and INICC Surveillance Online System software were used. Results: In total, 10,120 ICU patients were followed for 40,078 bed days and 38,262 PVC days. In addition, 79 PIVCR BSIs were identified, with a rate of 2.06 per 1,000 PVC days (95% confidence interval [CI], 1.635–2.257). The average length of stay (ALOS) of patients without a PIVCR BSI was 3.95 days, and the ALOS was 5.29 days for patients with a PIVCR BSI. The crude extra ALOS was 1.34 days (RR, 1.33; 95% CI, 1.0975–1.6351; P = .040). The mortality rate in patients without PIVCR BSI was 3.67%, and this rate was 6.33% in patients with a PIVCR BSI. The crude extra mortality was 1.70 times higher. The microorganism profile showed 48.5% gram-positive bacteria (coagulase-negative Staphylococci 25.7%) and 48.5% gram-negative bacteria: Acinetobacter spp, Escherichia coli, and Klebsiella spp (8.5% each one), Pseudomonas aeruginosa (5.7%), and Candida spp (2.8%). The resistances of Pseudomonas aeruginosa were 0% to amikacin and 50% to meropenem. The resistance of Acinetobacter baumanii to amikacin was 0%, and the resistance of coagulase-negative Staphylococcus to oxacillin was 75%. Conclusions: Our PIVCR BSI rates were higher than rates from more economically developed countries and were similar to those of countries with limited resources.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

An eight-year multicenter study on short-term peripheral intravenous catheter–related bloodstream infection rates in 100 intensive care units of 9 countries in Latin America: Argentina, Brazil, Colombia, Costa Rica, Dominican Republic, Ecuador, Mexico, Panama, and Venezuela. Findings of the International Nosocomial Infection Control Consortium (INICC)

Rosenthal¹,

Chaparro

Servolo-Medeiros

et al. 2021

Infect. Control Hosp. Epidemiol.

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“…A yield of > 15 CFU/ ml from a catheter, by means of semiquantitative culture, or a yield of > 10 3 CFU/ml from a catheter, by quantitative culture, is considered indicative of catheter-related infection [19,42].…”

Section: Definition Of Colonization and Infection Of Peripheral Venoumentioning

confidence: 99%

“…• Catheter-Related Infection (CRI): the growth of > 15 CFU/ ml of the same species in semiquantitative culture of catheter tips removed as a result of phlebitis, pain or the suspicion of infection due to unexplained fever, or by defervescence within 24 hours of removal catheter [17,19,42,43]. A yield of > 15 CFU/ ml from a catheter, by means of semiquantitative culture, or a yield of > 10 3 CFU/ml from a catheter, by quantitative culture, is considered indicative of catheter-related infection [19,42].…”

Section: Definition Of Colonization and Infection Of Peripheral Venoumentioning

confidence: 99%

COSMOS Study Microbiological Results: Bacterial Colonization and Infection of Long-Term Peripheral Catheters

Strauss¹

2014

Clin Microbial

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BackgroundAs the use of intravenous devices (IVD) has risen so have the number of serious complications, mainly infectious, associated with its use. In fact, IVD are currently the most important independent cause of nosocomial infection in the health care sector [1,2]. Catheter-related infections (CRI) are the leading cause of primary septicemia with a high prevalence leading to increased hospital stays and costs. Furthermore they carry a 3% mortality [3]. Catheter-related infection in peripheral cathetersSpanish data from the program of surveillance of infections in AbstractBackground: Peripheral venous catheters (PVC) have a lower risk of the infection than central venous catheters (CVC), however, their high frequency of use makes PVC a major problem.

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“…Gram staining has been reevaluated recently as a quick, easy, and inexpensive way to detect the target microorganisms in infections [4,5]. However, because of the lower number of microorganisms in the blood in comparison with infection site, they are difficult to detect with Gram staining.…”

Section: Introductionmentioning

confidence: 99%

Potential Clinical Usefulness of the Polymerase Chain Reaction Test to Detect Pathogens Causing Sepsis

Matsushima¹,

Tasaki²,

Shimazu³

et al. 2012

J Medical Microbiol Diagnosis

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Objective: A real-time polymerase chain reaction (PCR) test is expected for early and precise detection of pathogens in blood. In this study, we compared the ability of the PCR test and blood culture to detect pathogens in the blood of patients with sepsis. Methods:Patients who were diagnosed as or suspected of having sepsis were included in this prospective observational study. A whole blood sample for PCR test was obtained serially simultaneously with the blood culture sample, and the results were compared. Results:We obtained 93 samples from 26 patients; 69 samples were obtained during the septic condition, and 24 samples were from the non-septic condition. Origins of sepsis were pneumonia in 9 patients, necrotizing fasciitis in 5 patients, and other causes in 12 patients. In the septic condition, rates of positive results were 29.0% for the PCR test and 23.2% for blood culture. Sample contamination occurred in 1 PCR test sample and 5 blood culture samples. In positive PCR samples, 16 of 20 samples were obtained during sepsis after beginning administration of broadspectrum antibiotics, whereas 5 of 12 samples, except for contaminated samples, were positive in blood culture. Conclusion:In sepsis, the PCR test detected more bacteria than did blood culture even after administration of empirical antibiotics, which might contribute to precise diagnosis of the bacteremic cause of sepsis.

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The value of Gram staining of catheter segments for rapid detection of peripheral venous catheter infections

Cited by 12 publications

References 14 publications

COSMOS Study Microbiological Results: Bacterial Colonization and Infection of Long-Term Peripheral Catheters

Potential Clinical Usefulness of the Polymerase Chain Reaction Test to Detect Pathogens Causing Sepsis

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