PMID: 8417867Jan 1, 1993Paper

Infection of pulmonary artery catheters. Epidemiologic characteristics and multivariate analysis of risk factors

Chest
J RelloG Prats

Abstract

Sixty-nine consecutive pulmonary artery catheters (PACs) were prospectively studied in a medical-surgical intensive care unit. Fifteen (21.7 percent) and two (2.9 percent) of the PACs were associated with colonization and bacteremia, respectively. These data represent an incidence of 4.98 and 0.66 episodes per 100 catheterization-days, respectively. Coagulase-negative staphylococci were the most common isolates. The source of the colonizing microorganism was the skin in 56 percent of cases, hubs in 28 percent, and unknown in 16 percent. From multivariate analysis, only more than 5 days of catheterization was significantly associated with a greater risk of colonization. Antimicrobial use was associated with negative cultures. The most useful method to diagnose colonization was the examination of both tip and intradermal segments. In addition, we suggest associate hub cultures when catheter-related bacteremia is suspected. These data may be useful in improving efficacy in the diagnosis and prevention of PAC-related infection.

References

Jun 9, 1977·The New England Journal of Medicine·D G MakiH W Sarafin
Apr 1, 1978·Intensive Care Medicine·H PracharR Spiel
Jul 1, 1976·Journal of Neurology, Neurosurgery, and Psychiatry·B Jennett
Jan 1, 1991·Scandinavian Journal of Infectious Diseases·J RelloG Prats
Jan 1, 1989·American Journal of Nephrology·J AlmirallJ M Gatell
Sep 1, 1987·Chest·L PasseriniE G King
Feb 1, 1988·Critical Care Medicine·J H LevyV Tobia
Apr 1, 1988·British Journal of Hospital Medicine·A J Coe, D P Coates
May 1, 1987·Critical Care Medicine·S O HeardT J Gallagher
Oct 1, 1986·The Journal of Infectious Diseases·J S CheesbroughR P Burden
Jan 1, 1987·Critical Care Medicine·J A Hudson-CivettaT A Hoffman
Feb 1, 1985·Annals of Surgery·M L MyersW J Sibbald
Jun 1, 1985·American Journal of Surgery·W SamsoondarC Oxley
Aug 27, 1970·The New England Journal of Medicine·H J SwanD Chonette
Jul 1, 1984·Medicine·O W PressR O Hickman
Jun 1, 1980·The Journal of Infectious Diseases·D J CleriS J Seligman
Nov 1, 1982·Critical Care Medicine·S SinghV K Puri
Mar 13, 1981·JAMA : the Journal of the American Medical Association·L MichelN S Brewer

❮ Previous
Next ❯

Citations

Jan 1, 1996·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·J VallésA Artigas
Dec 31, 1998·The American Journal of Medicine·S Saint, M A Matthay
Feb 4, 1998·Critical Care Clinics·G A Bergen, J F Toney
Nov 11, 2005·Critical Care : the Official Journal of the Critical Care Forum·Leonardo LorenteMaría L Mora
Jan 15, 2005·Intensive Care Medicine·Alexandre Toledo MacielJean-Louis Vincent
Sep 1, 1996·European Journal of Anaesthesiology·A Michalopoulos, S Geroulanos
Jun 1, 1996·Infectious Disease Clinics of North America·J N Greene
Oct 5, 2010·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Aaron M Milstone, Arnab Sengupta
Mar 26, 1998·Anaesthesia and Intensive Care·W M WiddowsonJ W Sleigh
Mar 7, 2021·Journal of Anesthesia History·Yun-Yun K ChenJohn A Fox

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Hereditary Sensory Autonomic Neuropathy

Hereditary Sensory Autonomic Neuropathies are a group of inherited neurodegenerative disorders characterized clinically by loss of sensation and autonomic dysfunction. Here is the latest research on these neuropathies.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Landau-Kleffner Syndrome

Landau Kleffner syndrome (LKS), also called infantile acquired aphasia, acquired epileptic aphasia, or aphasia with convulsive disorder, is a rare childhood neurological syndrome characterized by the sudden or gradual development of aphasia (the inability to understand or express language) and an abnormal electroencephalogram. Discover the latest research on LKS here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Regulation of Vocal-Motor Plasticity

Dopaminergic projections to the basal ganglia and nucleus accumbens shape the learning and plasticity of motivated behaviors across species including the regulation of vocal-motor plasticity and performance in songbirds. Discover the latest research on the regulation of vocal-motor plasticity here.