PMID: 10225387May 4, 1999Paper

Central venous catheter-related bacteraemia in burn patients

Scandinavian Journal of Infectious Diseases
M I Lesseva

Abstract

This study aimed to establish the incidence, significance and microbial aetiology of catheter-related bacteraemia (CRB) in burn patients treated in the Sofia Burns Centre, Bulgaria. During the period 1993-97, 1,346 central venous catheters (CVCs) from 1183 burn patients were investigated. Bacterial growth was found in 367 CVCs. Of a total of 675 bacteraemic episodes registered during the study period, 132 were catheter-related (19.5% of all bacteraemic episodes in 6.6% of all patients). Generalized burn infections were responsible for 29.5% of the bacteraemic episodes in 9.9% of the patients. The main pathogens isolated in cases of CRB were Staphylococcus aureus (84/132), coagulase-negative staphylococci (CNS) (20/132) and Acinetobacter spp. (18/132). The incidence of S. aureus was considerably higher than that of CNS and Acinetobacter spp. A total of 11 patients with CRB died. Contaminated CVCs were the second most common cause of bacteraemia in burn patients, after generalized wound infection. S. aureus and Acinetobacter spp. were equally important as causes of systemic infection. We conclude that careful management of CVCs, prevention and subsequent treatment of CRB are of great importance for a favourable outcome in burn pa...Continue Reading

Citations

Apr 15, 2006·Clinical Microbiology Reviews·Deirdre ChurchRobert Lindsay
Jan 19, 2016·Burns : Journal of the International Society for Burn Injuries·O EvansC M Rickard
Jun 22, 2010·The Brazilian Journal of Infectious Diseases : an Official Publication of the Brazilian Society of Infectious Diseases·Cláudio Penido Campos JúniorAndréa Regina Baptista Rossit
Apr 4, 2006·AORN Journal·Jason NelsonChristine Kasper
Dec 24, 2002·The Journal of Hospital Infection·S G SantucciA S Levin
Feb 8, 2005·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Joel N MaslowMax Lataillade
May 25, 2002·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Andrew E SimorMarie Louie
Mar 31, 2004·Revista Da Sociedade Brasileira De Medicina Tropical·Jefferson Lessa de MacedoCleudson Castro
Sep 14, 2017·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Geeta SoodPeter Pronovost
Apr 5, 2014·Indian Journal of Critical Care Medicine : Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine·Yatin MehtaSuresh Ramasubban
Sep 26, 2006·Journal of Burn Care & Research : Official Publication of the American Burn Association·Robert L Sheridan, Joan M Weber
May 6, 2005·Paediatric Drugs·Shamez Ladhani, Mehdi Garbash
Nov 4, 2009·Expert Review of Anti-infective Therapy·Maria E Echevarria-GuaniloLidia A Rossi
Jul 27, 2002·The Journal of Burn Care & Rehabilitation·Guillermo E RamosFortunato Benaim

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