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Medientyp:
E-Artikel
Titel:
Intravascular Catheter Colonization and Related Bloodstream Infection in Critically III Neonates
Beteiligte:
Cronin, Wendy A.;
Germanson, Teresa P.;
Donowitz, Leigh G.
Erschienen:
Cambridge University Press (CUP), 1990
Erschienen in:
Infection Control & Hospital Epidemiology, 11 (1990) 6, Seite 301-308
Sprache:
Englisch
DOI:
10.1086/646175
ISSN:
0899-823X;
1559-6834
Entstehung:
Anmerkungen:
Beschreibung:
AbstractIntravascular catheter tip colonization was prospectively evaluated in critically ill neonates to determine its relationship to the type of device used, duration of catheterization, insertion site and nosocomial bloodstream infection. Sixty-one percent (376 of 621) of all intravascular catheter tips were retrieved from 91 infants. Thirteen percent (41 of 310) of peripheral intravenous, 14% (6 of 42) of umbilical, 21% (3 of 11) of central venous, 36% (4 of 11) of peripheral arterial and 100% (2 of 2) of femoral catheters were colonized. Duration of catheterization was significantly longer for colonized lines (p < .001). Eight of 26 (30.8%) peripheral intravenous catheters remaining in place for more than three days were colonized, compared with 33 of 284 (11.6%) at three days or less (p = 0.012). Coagulase-negative staphylococcus was the organism most frequently isolated from catheter tips and bloodstream infections. Catheter colonization rates in this population were higher than those found in adults. Heavily manipulated devices and those in place for longer periods of time were the most frequently colonized.