Anest. intenziv. Med. 2009;20(3):149-152

Catheter-related blood stream infectionsIntensive Care Medicine - Original Paper

Bureš Jan*, Beroušek Jan, Cvachovec Karel
Klinika anesteziologie a resuscitace UK 2. LF a IPVZ, Fakultní nemocnice v Motole, Praha

Objective:
To evaluate the occurrence of catheter related blood stream infections in the critical care department when using antimicrobial coated central venous catheters.

Design:
Cross-sectional study.


Setting:
Critical care unit, Department of Anaesthesiology and Intensive Care Medicine University Hospital.


Material and method:
During the period 1. 4. 2007-31. 12. 2007 we monitored number of inserted catheters, duration of insertion and bacterial colonisation from the catheter tips and hemocultures.

Results:
Overall number of inserted catheters was 270, mean insertion time was 7.5 days, 16 catheters (5.9%) were colonised, match with the hemocultures in 1 case (0.4%). This corresponds to 0.5/1000 catheter-day.

Conclusion:
Compared to results in reference studies, our findings show higher rate of colonisation where as the percent occurrence is lower. Our results correspond to findings published in larger studies.

Keywords: central venous catheters; CRBSI; infection; prevention; chlorhexidine; intensive care

Received: July 15, 2008; Accepted: March 11, 2009; Published: June 1, 2009  Show citation

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Bureš J, Beroušek J, Cvachovec K. Catheter-related blood stream infections. Anest. intenziv. Med. 2009;20(3):149-152.
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References

  1. Veenstra, D. et al. Cost-effectiveness of antiseptic-impregnated central venous catheters for prevention of catheter related blood stream infections. JAMA, 1999, 282, p. 554-560. Go to original source... Go to PubMed...
  2. Maki, D. G., Weise, C. E., Sarafin, H. W. A semiquantitative culture method for identifying intravenous-catheter-related infection. N. Engl. J. Med., 1977, 296, 23, p. 1305-1309. Go to original source... Go to PubMed...
  3. Sheretz, R. J., Raad, I. I., Belani, A. et al. Three-year experience with sonicated vascular catheter cultures in a clinical microbiology laboratory. J. Clin. Mikrobiol., 1990, 28, p. 76-82. Go to original source... Go to PubMed...
  4. Veenstra, D. L., Saint, S., Saha, S. et al. Efficacy of antiseptic impregnated central venous catheters in preventing catheter-related blood stream infections. A meta-analysis. JAMA, 1999, 281, p. 261-267. Go to original source... Go to PubMed...
  5. Timsit, J. F. Diagnosis and prevention of catheter-related infections. Curr. Opin. Care, 2007, 13, p. 563-571. Go to original source... Go to PubMed...
  6. Chaiyakunapruk, N., Veenstra, D. L. et al. Chlorhexidine compared with povidine-iodine solution for vascular catheter-site care: A meta-analysis. Ann. Intern. Med., 2002, 136, p. 792-801. Go to original source... Go to PubMed...
  7. Ho, M. K., Litton, E. Use of chlorhexidine-impregnated dressing to prevent vascular and epidural catheter colonization and infection: a meta-analysis. J. Antimicrob. Chemother., 2006, 58, p. 281-287. Go to original source... Go to PubMed...
  8. Byrnes, M., Coopersmith, C. Prevention of catheter related blood stream infections. Curr. Opin. Crit. Care, 2007, 13, p. 411-415. Go to original source... Go to PubMed...
  9. McGee, D. C., Gould, M. K. Preventing complications of central venous catheterization. NEMJ, 2003, 348, p. 1123-1133. Go to original source... Go to PubMed...
  10. Maki, D. G., Kluger, D. M., Crnich, Ch. The risk of bloodstream infection in adults with different intravascular devices: A systematic review of 200 published prospective studies. Mayo Clin. Proc., 2006, 81, 9, p. 1159-1171. Go to original source... Go to PubMed...
  11. Bach, A., Schmidt, H., Bötteger, B. et al. Retention of antibacterial activity and bacterial colonization of antiseptic-bonded central venous catheters. J. Antimicrob. Chemother., 1997, 37, p. 315-322. Go to original source... Go to PubMed...
  12. Maki, D. G., Stolz, S. M., Wheeler, S., Mermel, L. A. Prevention of central venous catheter-related bloodstream infection by use of an antiseptic impregnated catheter. A randomized, controlled trial. Ann. Int. Med., 1997, 127, p. 257-266. Go to original source... Go to PubMed...
  13. Rupp, M. E., Lisco, S. J., Lipsett, P. A. et al. Effect of a second-generation venous catheter impregnated with chlorhexidine and silver sulfadiazine on central catheter-related infection. A randomized, controlled trial. Ann. Intern. Med., 2005, 143, p. 570-580. Go to original source... Go to PubMed...
  14. Carrasco, M. N., Bueno, A. et al. Evaluation of a triple-lumen central venous heparin-coated catheter versus a catheter coated with chlorhexidine and silver sulfadiazine in critically ill patients. Int. Care Med., 2004, 30, p. 633-638. Go to original source... Go to PubMed...




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