Vascular catheter colonization: Surveillance based on culture of needleless connectors

Critical Care

Volumn 20, Issue 1, 2016, Pages

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

^a HOSPITAL GENERAL UNIVERSITARIO GREGORIO MARAÑÓN   (Spain)

^b HOSPITAL GENERAL UNIVERSITARIO GREGORIO MARAÑÓN   (Spain)

^c SCHOOL OF MEDICINE   (Spain)

^d INSTITUTO DE SALUD CARLOS III   (Spain)

Author keywords

Catheter colonization; Catheter related bloodstream infection; Flushing; Hub culture; Needleless connectors; Superficial culture

Indexed keywords

ADULT; ARTICLE; BACTERIAL COLONIZATION; BACTERIUM CULTURE; CANDIDA ALBICANS; CATHETER INFECTION; CATHETER REMOVAL; CENTRAL VENOUS CATHETER; CLINICAL ARTICLE; COAGULASE NEGATIVE STAPHYLOCOCCUS; DIAGNOSTIC TEST ACCURACY STUDY; DIAGNOSTIC VALUE; FEMALE; HEART SURGERY; HUMAN; INTENSIVE CARE UNIT; INTRAVASCULAR CATHETER; KLEBSIELLA PNEUMONIAE; MALE; MEDICAL ASSESSMENT; MEDICAL DEVICE COMPLICATION; MIDDLE AGED; MORAXELLA; NEEDLELESS CONNECTOR; PREDICTION; PREDICTIVE VALUE; PRIORITY JOURNAL; QUANTITATIVE ANALYSIS; SENSITIVITY AND SPECIFICITY; SKIN CULTURE; STAPHYLOCOCCUS AUREUS; STAPHYLOCOCCUS EPIDERMIDIS; STAPHYLOCOCCUS HOMINIS; STAPHYLOCOCCUS SAPROPHYTICUS; VALIDITY; VASCULAR EQUIPMENT; AGED; CATHETER-RELATED INFECTIONS; FLUSHING; MEDICAL DEVICE CONTAMINATION; MORTALITY; NURSING; SEPSIS; STATISTICS AND NUMERICAL DATA;

AGED; CATHETER-RELATED INFECTIONS; EQUIPMENT CONTAMINATION; FEMALE; FLUSHING; HUMANS; INTENSIVE CARE UNITS; MALE; MIDDLE AGED; SEPSIS;

EID: 85008657216     PISSN: 13648535     EISSN: 1466609X     Source Type: Journal    
DOI: 10.1186/S13054-016-1334-1     Document Type: Article

References (12)

1. 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):1-45.
2. Bouza E, Alvarado N, Alcala L, Perez MJ, Rincon C, Munoz P. A randomized and prospective study of 3 procedures for the diagnosis of catheterrelated bloodstream infection without catheter withdrawal. Clin Infect Dis. 2007;44(6):820-6.
3. 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(9):1953-60.
4. Bouza E, Rojas L, Guembe M, Marin M, Anaya F, Luno J, et al. Predictive value of superficial cultures to anticipate tunneled hemodialysis catheterrelated bloodstream infection. Diagn Microbiol Infect Dis. 2014;78(3):316-9.
5. 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(7):1417-20.
6. 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(9):3025-30.
7. 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(4):279-87.
8. Raad II. The pathogenesis and prevention of central venous catheter-related infections. Middle East J Anesthesiol. 1994;12(4):381-403.
9. Sitges-Serra A, Pi-Suner T, Garces JM, Segura M. Pathogenesis and prevention of catheter-related septicemia. Am J Infect Control. 1995;23(5):310-6.
10. Pérez-Granda MJ GM, Cruces R, Barrio JM, Bouza E. Assessment of central venous catheters colonization using surveillance culture of withdrawn connectors and insertion site skin. Crit Care. 2016. Published online 02 February 2016.
11. Maki DG, Weise CE, Sarafin HW. A semiquantitative culture method for identifying intravenous-catheter-related infection. N Engl J Med. 1977;296(23):1305-9.
12. Mohr-O'Hara CWM MMJ. Manual and automated systems for detection and identification of microorganisms. In: Murray PR, Jorgesen JH, Pfaller MA, Yolken RH (eds) Manual of Clinical Microbiology. Washington, DC: American Society for Microbiology; 2003. p. 185-207.