Clinical signs of infection during continuous postoperative epidural analgesia in children: The value of catheter tip culture

Paediatric Anaesthesia

Volumn 14, Issue 12, 2004, Pages 996-1000

  Seth, N ^a   Macqueen, S ^b   Howard, R F ^b  

^a GUY'S AND ST THOMAS' NHS FOUNDATION TRUST   (United Kingdom)

^b GREAT ORMOND STREET HOSPITAL   (United Kingdom)

Author keywords

Continuous infusion; Epidural catheters; Infection

Indexed keywords

ADOLESCENT; ARTICLE; BACTERIUM CULTURE; CHILD; CLINICAL PROTOCOL; CULTURE TECHNIQUE; EPIDURAL ANESTHESIA; EPIDURAL CATHETER; EPIDURAL SPACE; FEMALE; HUMAN; INFANT; INFECTION; INFLAMMATION; MAJOR CLINICAL STUDY; MALE; POSTOPERATIVE PERIOD; PRIORITY JOURNAL; SKIN;

ADOLESCENT; ANALGESIA, EPIDURAL; BACTERIA; BACTERIAL INFECTIONS; CATHETERIZATION; CHILD; CHILD, PRESCHOOL; FEMALE; HUMANS; INFANT; INFANT, NEWBORN; MALE; PAIN, POSTOPERATIVE; POSTOPERATIVE PERIOD;

EID: 11144265738     PISSN: 11555645     EISSN: None     Source Type: Journal    
DOI: 10.1111/j.1460-9592.2004.01553.x     Document Type: Article

References (21)

1. Ecoffey C, Dubousset AM, Samii K. Lumbar and thoracic epidural anesthesia for urologic and upper abdominal surgery in infants and children. Anesthesiology 1986; 65: 87-90.
2. Murat I, Delleur MM, Levy J et al. Continuous epidural anaesthesia for major abdominal surgery in children. Eur J Anaesthesiol 1987; 4: 327-335.
3. Desparmet J, Meistelman C, Barre J et al. Continuous epidural infusion of bupivacaine for postoperative pain relief in children. Anesthesiology 1987; 67: 108-110.
4. Strafford MA, Wilder RT, Berde CB. The risk of infection from epidural analgesia in children: a review of 1620 cases. Anesth Analg 1995; 80: 234-238.
5. Kost-Byrely S, Tobin JR, Greenberg RS et al. Bacterial colonization and infection rate of continuous epidural catheters in children. Anesth Analg 1998; 86: 712-716.
6. McNeely JK, Trentadue NC, Rusy LM et al. Culture of bacteria from lumbar and caudal epidural catheters used for postoperative analgesia in children. Reg Anesth 1997; 22: 428-431.
7. Maki DG, Weise CE, Sarafin HW. A semiquantative culture method for identifying intravenous catheter related infection. N Engl J Med 1997; 296: 1305-1309.
8. Anderson BN, Damgaard B, Nielsen FB et al. Bacteriological aspects of treatment with epidural morphine. Ugeskr Laeger 1984; 146: 2700-2702.
9. Nickels JH, Poulos JG, Chaouki K. Risks of infection from short term epidural catheter use. Reg Anesth 1989; 14: 88-89.
10. Shapiro JM, Bond EL, Garman JK. Use of chlorhexidine dressing to reduce microbial colonization of epidural catheters. Anesthesiology 1990; 73: 625-631.
11. Simpson RE, Macintyre PE, Shaw D et al. Epidural catheter tip cultures: results of a 4-year audit and implications for clinical practice. Reg Anesth Pain Med 2000; 25: 360-367.
12. Kostopanagiotou G, Kyroudi S, Panidis D et al. Epidural catheter colonization is not associated with infection. Surg Infect 2002; 3: 359-365.
13. Hamory BH, Parisi JT. textitStaphylococcus epidermidis: a significant nosocomial pathogen. Am J Infect Control 1987; 15: 59-74.
14. Nickels JH. Risks of infection from short-term epidural catheter use. Reg Anesth 1989; 14: 88-89.
15. Holt HM, Andersen SS, Andersen O et al. Infections following epidural catheterization. J Hosp Infect 1995; 30: 253-260.
16. Putterman C. Central venous catheter related sepsis: a clinical review. Resuscitation 1990; 20: 1-16.
17. Meunier JF, Norwood P, Dartayet B et al. Skin abscess with lumbar epidural catheterization in infants: is it dangerous? Report of two cases. Anesth Analg 1997; 84: 1248-1249.
18. Baker AS, Ojemann RG, Swartz MN et al. Spinal epidural abscess. N Engl J Med 1975; 293: 463-468.
19. trong WE. Epidural abscess associated with epidural catheterization: a rare event? Report of two cases with markedly delayed presentation. Anesthesiology 1991; 74: 943-946.
20. Ericsson M, Algers G, Schliamser SE. Spinal epidural abscesses in adults: review and report of iatrogenic cases. Scand J Infect Dis 1990; 22: 249-257.
21. Emmanuel ER. Post-sacral extradural catheter abscess in a child. Br J Anaesth 1994; 73: 548-549.