Assessment of central venous catheter colonization using surveillance culture of withdrawn connectors and insertion site skin

Critical Care

Volumn 20, Issue 1, 2016, Pages

  Pérez Granda, María Jesús ^a,b,c   Guembe, María ^b,c   Cruces, Raquel ^b,c   Barrio, José María ^a,b   Bouza, Emilio ^a,b,c,d  

^a INSTITUTO DE SALUD CARLOS III   (Spain)

^b HOSPITAL GENERAL UNIVERSITARIO GREGORIO MARAÑÓN   (Spain)

^c HOSPITAL GENERAL UNIVERSITARIO GREGORIO MARAÑÓN   (Spain)

^d SCHOOL OF MEDICINE   (Spain)

Author keywords

Catheter related bloodstream infection; Central venous catheters; Closed needleless connectors; Colonization; Skin cultures; Surveillance

Indexed keywords

ADULT; ARTICLE; CANDIDA ALBICANS; CATHETER INFECTION; CENTRAL VENOUS CATHETER; CLINICAL ARTICLE; COAGULASE NEGATIVE STAPHYLOCOCCUS; COLONY FORMING UNIT; CONTROLLED STUDY; FEMALE; HEART SURGERY; HUMAN; HUMAN TISSUE; INTENSIVE CARE UNIT; KLEBSIELLA PNEUMONIAE; MALE; MICROBIAL COLONIZATION; MORAXELLA; MORAXELLA OSLOENSIS; NEEDLELESS CONNECTOR; PREDICTIVE VALUE; PRIORITY JOURNAL; PROTEUS MIRABILIS; SKIN CULTURE; STAPHYLOCOCCUS AUREUS; STAPHYLOCOCCUS EPIDERMIDIS; STAPHYLOCOCCUS HAEMOLYTICUS; STAPHYLOCOCCUS HOMINIS; STAPHYLOCOCCUS SAPROPHYTICUS; VASCULAR EQUIPMENT; ADVERSE EFFECTS; AGED; INFECTION CONTROL; MEDICAL DEVICE CONTAMINATION; MICROBIOLOGY; MIDDLE AGED; PROSPECTIVE STUDY; SKIN; STANDARDS;

ADULT; AGED; CATHETER-RELATED INFECTIONS; CENTRAL VENOUS CATHETERS; EQUIPMENT CONTAMINATION; FEMALE; HUMANS; INFECTION CONTROL; INTENSIVE CARE UNITS; MALE; MIDDLE AGED; PROSPECTIVE STUDIES; SKIN;

EID: 84956736744     PISSN: 13648535     EISSN: 1466609X     Source Type: Journal    
DOI: 10.1186/s13054-016-1201-0     Document Type: Article

References (17)

1. Maki DG, Kluger DM, Crnich CJ. The risk of bloodstream infection in adults with different intravascular devices: a systematic review of 200 published prospective studies. Mayo Clin Proc. 2006;81:1159-71.
2. Palomar M, Alvarez-Lerma F, Riera A, Diaz MT, Torres F, Agra Y, et al. Impact of a national multimodal intervention to prevent catheter-related bloodstream infection in the ICU: the Spanish experience. Crit Care Med. 2013;41:2364-72.
3. Bouza E, Alvarado N, Alcala L, Perez MJ, Rincon C, Munoz P. A randomized and prospective study of 3 procedures for the diagnosis of catheter-related bloodstream infection without catheter withdrawal. Clin Infect Dis. 2007;44:820-6.
4. Cercenado E, Ena J, Rodriguez-Creixems M, Romero I, Bouza E. A conservative procedure for the diagnosis of catheter-related infections. Arch Intern Med. 1990;150:1417-20.
5. Mermel LA, Allon M, Bouza E, Craven DE, Flynn P, O'Grady NP, et al. Clinical practice guidelines for the diagnosis and management of intravascular catheter-related infection: 2009 Update by the Infectious Diseases Society of America. Clin Infect Dis. 2009;49:1-45.
6. Bouza E, Rojas L, Guembe M, Marin M, Anaya F, Luno J, et al. Predictive value of superficial cultures to anticipate tunneled hemodialysis catheter-related bloodstream infection. Diagn Microbiol Infect Dis. 2014;78:316-9.
7. Guembe M, Martin-Rabadan P, Echenagusia A, Camunez F, Rodriguez-Rosales G, Simo G, et al. Value of superficial cultures for prediction of catheter-related bloodstream infection in long-term catheters: a prospective study. J Clin Microbiol. 2013;51:3025-30.
8. Bouza E, Munoz P, Burillo A, Lopez-Rodriguez J, Fernandez-Perez C, Perez MJ, et al. The challenge of anticipating catheter tip colonization in major heart surgery patients in the intensive care unit: are surface cultures useful? Crit Care Med. 2005;33:1953-60.
9. Raad II. The pathogenesis and prevention of central venous catheter-related infections. Middle East J Anaesthesiol. 1994;12:381-403.
10. Sitges-Serra A, Pi-Suner T, Garces JM, Segura M. Pathogenesis and prevention of catheter-related septicemia. Am J Infect Control. 1995;23:310-6.
11. Bouza E, Munoz P, Lopez-Rodriguez J, Jesus Perez M, Rincon C, Martin Rabadan P, et al. A needleless closed system device (CLAVE) protects from intravascular catheter tip and hub colonization: a prospective randomized study. J Hosp Infect. 2003;54:279-87.
12. Maki DG, Weise CE, Sarafin HW. A semiquantitative culture method for identifying intravenous-catheter-related infection. N Engl J Med. 1977;296:1305-9.
13. O'Hara CM. Manual and automated systems for detection and identification of microorganisms. In: Murray PR, Jorgesen JH, Pfaller MA, Yolken RH, editors. Manual of Clinical Microbiology. Washington, DC.: American Society for Microbiology; 2003. p. 185-207.
14. Perez-Granda MJ, Barrio JM, Munoz P, Hortal J, Rincon C, Rabadan PM, et al. Ethanol lock therapy (E-Lock) in the prevention of catheter-related bloodstream infections (CR-BSI) after major heart surgery (MHS): a randomized clinical trial. PLoS One. 2014;9:e91838.
15. Pittet D, Hulliger S, Auckenthaler R. Intravascular device-related infections in critically ill patients. J Chemother. 1995;7:55-66.
16. Bouza E, Alvarado N, Alcala L, Sanchez-Conde M, Perez MJ, Munoz P, et al. A prospective, randomized, and comparative study of 3 different methods for the diagnosis of intravascular catheter colonization. Clin Infect Dis. 2005;40:1096-100.
17. Guembe M, Perez-Granda MJ, Cruces R, Martin-Rabadan P, Bouza E. Cultures of Needleless Connectors Are Useful for Ruling Out Central Venous Catheter Colonization. J Clin Microbiol. 2015;53:2068-71.