PMID: 3882064Feb 1, 1985Paper

Pulmonary artery catheter infections. A prospective study

Annals of Surgery
M L MyersW J Sibbald

Abstract

Despite the widespread use of the Swan-Ganz pulmonary artery catheter, the incidence of catheter tip infection is not well-established. One-hundred and seventy catheter insertions in 113 patients were examined in this prospective study. Using a semiquantitative culture technique, the incidence of positive catheter tip cultures was 5.8%. No significant risk factors for catheter infection were identified, although there was a trend toward more frequent infection in patients not receiving antibiotics (p less than 0.06). Catheter tip infection appeared to result most frequently from a distant focus of infection. Although the overall incidence of positive blood cultures was significantly higher in the positive vs. negative catheter tip groups (37.9% vs. 10.6%, p less than 0.001), blood cultures were generally not a reliable guide to the presence of a catheter tip infection. We conclude that catheter infection can be contained at an acceptable level by following a reasonable protocol for catheter management.

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Citations

Jan 1, 1996·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·J VallésA Artigas
Apr 29, 1998·The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai Zasshi·M KanohY Morishita
Sep 1, 1987·Chest·L PasseriniE G King
Apr 1, 1991·Chest·S NorwoodV Cortes
Apr 30, 2009·Anaesthesia and Intensive Care·T B CorcoranR Murray
Jan 1, 1990·Journal of Clinical Microbiology·R J SherertzL L Fauerbach

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