PROLONGED BACTEREMIA WITH CATHETER-RELATED CENTRAL VENOUS THROMBOSIS

被引:14
作者
RUPAR, DG
HERZOG, KD
FISHER, MC
LONG, SS
机构
[1] ST CHRISTOPHERS HOSP CHILDREN,INFECT DIS SECT,PHILADELPHIA,PA 19133
[2] TEMPLE UNIV,HLTH SCI CTR,SCH MED,DEPT PEDIAT,PHILADELPHIA,PA 19140
来源
AMERICAN JOURNAL OF DISEASES OF CHILDREN | 1990年 / 144卷 / 08期
关键词
D O I
10.1001/archpedi.1990.02150320043023
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
• Infection of a central venous thrombus is a serious but rarely recognized complication of the use of central venous catheters in children. We report the cases of seven children with persistent bacteremia or fungemia in which central venous thrombosis was demonstrated by ultrasonography after removal of the catheter. All patients had signs and symptoms of infection, but only one had clinical evidence of central venous stasis. Bacteremia persisted from 6 to 35 days. Infection did not resolve in any patient prior to catheter removal, and five patients had positive blood cultures for 5 or more days after removal of the catheter. Six patients, including all who survived, were treated parenterally with antibiotics for more than 28 days. Two patients died; neither death was directly attributable to infection. Central venous thrombosis should be suspected in patients with persistent catheter-related bacteremia. Optimal treatment of this problem is not yet known. © 1990, American Medical Association. All rights reserved.
引用
收藏
页码:879 / 882
页数:4
相关论文
共 22 条
[1]   THROMBOSIS AFTER CENTRAL VENOUS CANNULATION [J].
AHMED, N ;
PAYNE, RF .
MEDICAL JOURNAL OF AUSTRALIA, 1976, 1 (08) :217-220
[2]   DIAGNOSIS OF THROMBOSIS BY CATHETER PHLEBOGRAPHY AFTER PROLONGED CENTRAL VENOUS CATHETERIZATION [J].
BRISMAR, B ;
HARDSTEDT, C ;
JACOBSON, S .
ANNALS OF SURGERY, 1981, 194 (06) :779-783
[3]   INFECTIONS ASSOCIATED WITH INDWELLING DEVICES - CONCEPTS OF PATHOGENESIS - INFECTIONS ASSOCIATED WITH INTRAVASCULAR DEVICES [J].
DICKINSON, GM ;
BISNO, AL .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 1989, 33 (05) :597-601
[4]   INSITU MANAGEMENT OF CONFIRMED CENTRAL VENOUS CATHETER-RELATED BACTEREMIA [J].
FLYNN, PM ;
SHENEP, JL ;
STOKES, DC ;
BARRETT, FF .
PEDIATRIC INFECTIOUS DISEASE JOURNAL, 1987, 6 (08) :729-734
[5]  
HARTMAN GE, 1987, PEDIATR INFECT DIS J, V6, P1042
[6]   FREQUENCY OF BROVIAC CATHETER INFECTIONS IN PEDIATRIC ONCOLOGY PATIENTS [J].
JOHNSON, PR ;
DECKER, MD ;
EDWARDS, KM ;
SCHAFFNER, W ;
WRIGHT, PF .
JOURNAL OF INFECTIOUS DISEASES, 1986, 154 (04) :570-578
[7]   BROVIAC CATHETER SEPSIS - THE NATURAL-HISTORY OF AN IATROGENIC INFECTION [J].
KING, DR ;
KOMER, M ;
HOFFMAN, J ;
GINNPEASE, ME ;
STANLEY, ME ;
POWELL, D ;
HARMEL, RP .
JOURNAL OF PEDIATRIC SURGERY, 1985, 20 (06) :728-733
[8]  
MARSH D, 1988, PEDIATRICS, V81, P284
[9]  
NOEL GJ, 1988, PEDIATRICS, V82, P234
[10]   ANTIMICROBIAL THERAPY OF BROVIAC CATHETER INFECTIONS IN PEDIATRIC HEMATOLOGY ONCOLOGY PATIENTS [J].
OLSON, TA ;
FISCHER, GW ;
LUPO, MC ;
GARCIA, VF ;
MAYBEE, DA ;
KEISER, J ;
HARTMAN, KR .
JOURNAL OF PEDIATRIC SURGERY, 1987, 22 (09) :839-842