Morbidity associated with central venous catheter-use in a cohort of 212 hospitalized subjects with HIV infection

被引:20
作者
Tacconelli, E
Tumbarello, M
Donati, KD
Bertagnolio, S
Pittiruti, M
Leone, F
Morace, G
Cauda, R
机构
[1] Catholic Univ, Dept Infect Dis, Rome, Italy
[2] Catholic Univ, Dept Surg, Rome, Italy
[3] Catholic Univ, Dept Microbiol, Rome, Italy
关键词
HIV; central venous catheter; sepsis;
D O I
10.1053/jhin.1999.0687
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Technical complications and nosocomial bloodstream infections associated with short-term central venous catheterization remain a heavy burden in terms of morbidity mortality and cost in HIV-positive subjects. Between 1994 and 1997, 327 central venous catheters (CVCs) inserted in 212 patients for a total of 5005 catheter days were investigated. Forty-two technical complications (13%) occurred in 40 patients. Logistic regression analysis revealed that a high APACHE III score was associated with development of CVC-related complications (P = 0.01). One hundred and eight of 327 CVCs (33%) were suspected as being infected. However only 61 episodes (61/327, 19%) were finally diagnosed as CVC-related sepsis. Three variables affecting the rate of CVC-related sepsis were identified: 1) administration of TPS (P = 0.01); 2) low number of circulating CD4+ cells (P = 0.04); 3) high APACHE III score (P = 0.04). Doctors responsible for AIDS patients should carefully consider the relative risks and benefits of CVC insertion in an individual patient. (C) 2000 The Hospital Infection Society.
引用
收藏
页码:186 / 192
页数:7
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