COLONIZATION AND BACTEREMIA RELATED TO DURATION OF TRIPLE-LUMEN INTRAVASCULAR CATHETER PLACEMENT

被引：35

作者：

ULLMAN, RF ^{[1
]}

GUREVICH, I ^{[1
]}

SCHOCH, PE ^{[1
]}

CUNHA, BA ^{[1
]}

机构：

[1] WINTHROP UNIV HOSP,DIV INFECT DIS,INFECT CONTROL SECT,MINEOLA,NY 11501

来源：

AMERICAN JOURNAL OF INFECTION CONTROL | 1990年 / 18卷 / 03期

关键词：

D O I：

10.1016/0196-6553(90)90185-U

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

The increased use of triple-lumen catheters has brought with it an increase in sepsis. We undertook a study to determine whether this increase was related to the length of time a catheter was in place. Culture of the fluid in each of the three lumens of all triple-lumen catheters in the medical intensive care units was done daily for a 6-month period. In 14 of 31 catheters, 28 of 93 lumens showed bacterial or fungal growth. A temporal relationship between the time a catheter was placed and the onset of catheter colonization and patient sepsis was established (p < 0.01). Catheter colonization preceded sepsis in three of four patients who became bacteremic with the same organisms that were cultured from the lumens and the catheter tips. As a result of this study, centrally placed intravascular lines are now changed every 7 days in our institution with a noticeable decrease in line-related sepsis. © 1990.

引用

页码：201 / 207

页数：7

共 16 条

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