Bloodstream infection after positive catheter cultures: What are the risks in the intensive care unit when catheters are routinely cultured on removal?

Critical Care Medicine

Volumn 39, Issue 6, 2011, Pages 1301-1305

  Mrozek, Natacha ^a   Lautrette, Alexandre ^a,b   Aumeran, Claire ^b,c   Laurichesse, Henri ^b,d   Forestier, Christiane ^b   Traoré, Ousmane ^b,c   Souweine, Bertrand ^a,b  

^a Service de Néphrologie Réanimation Médicale   (France)

^b UNIVERSITÉ CLERMONT AUVERGNE   (France)

^c CH Pontarlier   (France)

^d Service de Maladies Infectieuses   (France)

Author keywords

antibiotics; catheter associated bacteremia; intensive care unit; quantitative catheter tip culture

Indexed keywords

ACINETOBACTER; ADULT; ANTIBIOTIC THERAPY; ARTERY CATHETER; ARTICLE; ASSISTED VENTILATION; BACTERIUM CULTURE; BLOODSTREAM INFECTION; CANDIDA ALBICANS; CATHETER REMOVAL; CENTRAL VENOUS CATHETER; COAGULASE NEGATIVE STAPHYLOCOCCUS; COLONY FORMING UNIT; CRITICALLY ILL PATIENT; DIALYSIS CATHETER; ENTEROBACTER; ENTEROCOCCUS FAECALIS; ESCHERICHIA COLI; FEMALE; HUMAN; INFECTION RISK; INTENSIVE CARE UNIT; KLEBSIELLA PNEUMONIAE; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MORGANELLA MORGANII; MORTALITY; PREDICTION; PRIORITY JOURNAL; PROTEUS MIRABILIS; PROVIDENCIA RETTGERI; PSEUDOMONAS AERUGINOSA; RENAL REPLACEMENT THERAPY; RETROSPECTIVE STUDY; SERRATIA MARCESCENS; STAPHYLOCOCCUS; STAPHYLOCOCCUS AUREUS; STAPHYLOCOCCUS EPIDERMIDIS; STAPHYLOCOCCUS HOMINIS;

EID: 79957630537     PISSN: 00903493     EISSN: 15300293     Source Type: Journal    
DOI: 10.1097/CCM.0b013e3182120190     Document Type: Article

References (13)

1. Maki DG, Weise CE, Sarafin HW: A semiquantitative culture method for identifying intravenous-catheter-related infection. N Engl J Med 1977; 296:1305-1309. (Pubitemid 8103695)
2. Widmer AF, Nettleman M, Flint K, et al: The clinical impact of culturing central venous catheters. A prospective study. Arch Intern Med 1992; 152:1299-1302.
3. Brun-Buisson C, Abrouk F, Legrand P, et al: Diagnosis of central venous catheterrelated sepsis. Critical level of quantitative tip cultures. Arch Intern Med 1987; 147: 873-877. (Pubitemid 17082477)
4. Kelly M, Wciorka LR, McConico S, et al: Sonicated vascular catheter tip cultures. Quantitative association with catheterrelated sepsis and the non-utility of an adjuvant cytocentrifuge Gram stain. Am J Clin Pathol 1996; 105:210-215. (Pubitemid 26047483)
5. Rijnders BJ, Van Wijngaerden E, Peetermans WE, et al: Catheter-tip colonization as a surrogate end point in clinical studies on catheter- related bloodstream infection: how strong is the evidence? Clin Infect Dis 2002; 35:1053-1058. (Pubitemid 35239464)
6. Mermel LA, Allon M, Bouza E, et al: Clinical practice guidelines for the diagnosis and management of intravascular catheterrelated infection: 2009 update by the Infectious Diseases Society of America. Clin Infect Dis 2009; 49:1-45.
7. Mermel LA, Farr BM, Sherertz RJ, et al: Guidelines for the management of intravascular catheter-related infections. Infectious Diseases Society of America; American College of Critical Care Medicine; Society for Healthcare Epidemiology of America. Clin Infect Dis 2001; 32:1249-1272. (Pubitemid 32405897)
8. Ruhe JJ, Menon A: Clinical significance of isolated Staphylococcus aureus central venous catheter tip cultures. Clin Microbiol Infect 2006; 12:933-936. (Pubitemid 44151299)
9. Ekkelenkamp MB, van der Bruggen T, van de Vijver DA, et al: Bacteremic complications of intravascular catheters colonized with Staphylococcus aureus. Clin Infect Dis 2008; 46:114-118. (Pubitemid 351263571)
10. Pérez-Parra A, Muñ oz P, Guinea J, et al: Is Candida colonization of central vascular catheters in non-candidemic, non-neutropenic patients an indication for antifungals? Intensive Care Med 2009; 35:707-712.
11. Le Gall JR, Lemeshow S, Saulnier F: A new Simplified Acute Physiology Score (SAPS II) based on a European/North American multicenter study. JAMA 1993; 270: 2957-2963. (Pubitemid 24000804)
12. Traoré O, Liotier J, Souweine B: Prospective study of arterial and central venous catheter colonization and of arterial- and central venous catheter-related bacteremia in intensive care units. Crit Care Med 2005; 33: 1276-1280. (Pubitemid 40827378)
13. Souweine B, Liotier J, Heng AE, et al: Catheter colonization in acute renal failure patients: Comparison of central venous and dialysis catheters. Am J Kidney Dis 2006; 47: 879-887