CHANGING PATTERN OF PATHOGENS CAUSING BROVIAC CATHETER-RELATED BACTEREMIAS IN CHILDREN WITH CANCER

被引:31
作者
CASTAGNOLA, E
GARAVENTA, A
VISCOLI, C
CARREGA, G
NANTRON, M
MOLINARI, C
MORONI, C
GIACCHINO, R
机构
[1] G GASLINI CHILDRENS HOSP,DEPT HAEMATOL ONCOL,I-16147 GENOA,ITALY
[2] UNIV GENOA,NATL INST CANC RES,INFECT DIS CLIN IMMUNOL SERV,GENOA,ITALY
[3] UNIV GENOA,G GASLINI CHILDRENS HOSP,DEPT INFECT DIS 1,GENOA,ITALY
关键词
BACTEREMIA; CATHETERS; ANTINEOPLASTIC CHEMOTHERAPY;
D O I
10.1016/0195-6701(95)90194-9
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
The incidence of pathogens causing catheter-related bacteraemias in children undergoing antineoplastic chemotherapy with or without bone marrow transplantation at G. Gaslini Children's Hospital, Genoa, Italy, was analysed by comparing data from a retrospective study (1985-1988) with that obtained from a prospective one (1989-1992). In both periods catheter-related bacteraemias one (1989-1992). In both periods catheter-related bacteraemias were more frequent in non-neutropenic than in neutropenic patients. Among catheter-unrelated bacteraemias the pattern of infecting pathogens remained unchanged between the study periods, with Gram-positive bacteria remaining the predominant pathogens. Conversely, among catheter-related bacteraemias, the incidence of Gram-negative bacilli increased significantly from 3 to 38%, and that of Gram-positive bacteria fell from 63 to 32% (P = 0.001, chi(2) test for heterogeneity).
引用
收藏
页码:129 / 133
页数:5
相关论文
共 10 条
[1]  
CASTAGNOLA E, 1994, IN PRESS CLIN INFECT, V19
[2]   PATHOGENESIS OF INFECTIONS RELATED TO INTRAVASCULAR CATHETERIZATION [J].
GOLDMANN, DA ;
PIER, GB .
CLINICAL MICROBIOLOGY REVIEWS, 1993, 6 (02) :176-192
[3]   INFECTIOUS MORBIDITY ASSOCIATED WITH LONG-TERM USE OF VENOUS ACCESS DEVICES IN PATIENTS WITH CANCER [J].
GROEGER, JS ;
LUCAS, AB ;
THALER, HT ;
FRIEDLANDERKLAR, H ;
BROWN, AE ;
KIEHN, TE ;
ARMSTRONG, D .
ANNALS OF INTERNAL MEDICINE, 1993, 119 (12) :1168-1174
[4]   VASCULAR CATHETER-RELATED INFECTION - ETIOLOGY AND PREVENTION [J].
JANSEN, B .
CURRENT OPINION IN INFECTIOUS DISEASES, 1993, 6 (04) :526-531
[5]  
Mayhall C G, 1992, Curr Clin Top Infect Dis, V12, P83
[6]   OUTBREAK OF PSEUDOMONAS-CEPACIA BACTEREMIA IN ONCOLOGY PATIENTS [J].
PEGUES, DA ;
CARSON, LA ;
ANDERSON, RL ;
NORGARD, MJ ;
ARGENT, TA ;
JARVIS, WR ;
WOERNLE, CH .
CLINICAL INFECTIOUS DISEASES, 1993, 16 (03) :407-411
[7]   INFECTIOUS COMPLICATIONS OF INDWELLING VASCULAR CATHETERS [J].
RAAD, II ;
BODEY, GP .
CLINICAL INFECTIOUS DISEASES, 1992, 15 (02) :197-210
[8]   PSEUDOMONAS INFECTIONS IN CHILDREN WITH HUMAN-IMMUNODEFICIENCY-VIRUS INFECTION [J].
ROILIDES, E ;
BUTLER, KM ;
HUSSON, RN ;
MUELLER, BU ;
LEWIS, LL ;
PIZZO, PA .
PEDIATRIC INFECTIOUS DISEASE JOURNAL, 1992, 11 (07) :547-553
[9]  
VISCOLI C, 1988, PEDIATR INFECT DIS J, V7, P556
[10]  
VISCOLI C, 1991, CLIN HAEMATOL, V4, P511