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Journals / Online Türk Sağlık Bilimleri Dergisi / 2026 / Cilt: 6 Sayı: 2

Evaluation of Pathogens Isolated from Central Venous Catheters Used for Cardiovascular Interventions

Kardiyovasküler Girişimler için Kullanılan Santral Venöz Kateterlerden İzole Edilen Patojenlerin Değerlendirilmesi

Ufuk Turan Kürşat Korkmaz(BOLU ABANT İZZET BAYSAL ÜNİVERSİTESİ, TIP FAKÜLTESİ)0000-0002-6107-2943
Barış Gülhan(ERZİNCAN ÜNİVERSİTESİ, TIP FAKÜLTESİ)0000-0002-2605-1282
Pages
262–271
Publication Date
2021-06-05
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Further comprehensive, multicenter studies are needed on this issue.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: To evaluate the isolated pathogens in patients who underwent central venous catheterization due to cardiovascular procedures.
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Key Findings & Data:Between April 2017 and July 2019, patients who exhibited infection symptoms like discharge, fever, pain, lymphadenopathy and itching after the catheterization were included in this retrospective study.
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Conclusion & Impact:Further comprehensive, multicenter studies are needed on this issue.
🔬Design:Araştırma Makalesi
📍Scope:2017 Verileri
⚙️Variables:kateterizasyon · patojenler · kateterle ilişkili kan dolaşımı infeksiyonları

Abstract

Objective: To evaluate the isolated pathogens in patients who underwent central venous catheterization due to cardiovascular procedures. Materials and Methods: Patients were monitored daily for the development of catheter related infections. Between April 2017 and July 2019, patients who exhibited infection symptoms like discharge, fever, pain, lymphadenopathy and itching after the catheterization were included in this retrospective study. Patients’ catheter types, catheter insertion sites, total catheterization durations, culture results, sensitivities and resistances of pathogens against antimicrobial drugs were recorded and analyzed. Results: Eighty-six patients who underwent central venous catheterization due to various indications were included. Mean age of patients was 52.70±17.82 years. Bacterial growth was found in 62.79% of patients. The most common catheter insertion sites were right subclavian vein, right jugular vein and right femoral vein. The most commonly isolated microorganism was S. aureus by 25.58% followed by E.coli (6.98%), S. haemolyticus (5.81%) and K.pneumonia (5.81%). S. aureus was detected to be sensitive to vancomycin and linezolid. Conclusion: Factors affecting incidence of these infections include catheter insertion site, catheterization duration, catheter selection and skills of the practitioners. Data in literature about the pathogens isolated in catheter-related infections and their sensitivity and resistance to antimicrobial agents are mostly old. Further comprehensive, multicenter studies are needed on this issue.

Özet

Amaç: Bu çalışmanın amacı kardiyovasküler girişimler nedeniyle santral venöz kateterizasyon uygulanan hastalarda izole edilen patojenleri değerlendirmektir. Materyal ve Metot: Hastalar, kateter ilişkili infeksiyonların gelişimi için günlük olarak izlendi. Nisan 2017 ile Temmuz 2019 tarihleri arasında, kateterizasyondan sonra akıntı, ateş, ağrı, lenfadenopati ve kaşıntı gibi infeksiyon semptomları gösteren hastalar geriye dönük çalışmaya dahil edildi. Hastaların kateter tipleri, kateter yerleştirme bölgeleri, toplam kateterizasyon süreleri, kültür sonuçları, patojenlerin antimikrobiyal ilaçlara karşı duyarlılıkları ve dirençleri kaydedildi ve analiz edildi. Bulgular: Çeşitli endikasyonlar nedeniyle santral venöz kateterizasyon uygulanan 86 hasta çalışmaya alındı. Hastaların ortalama yaşı 52,70±17,82 yıl idi. Hastaların %62,79'unda bakteri üremesi mevcuttu. En sık kateter yerleştirme yerleri sağ subklavyen ven, sağ juguler ven ve sağ femoral venlerdi. En sık izole edilen mikroorganizma %25,58 ile S.aureus idi ve onu E. coli (%6,98), S. haemolyticus (%5,81) ve K. pneumonia (%5,81) izlemekte idi. S. aureus'un vankomisin ve linezolide duyarlı olduğu tespit edildi. Sonuç: Bu infeksiyonların insidansını etkileyen faktörler arasında kateter yerleştirme bölgesi, kateterizasyon süresi, kateter seçimi ve uygulayıcıların becerileri bulunur. Literatürdeki kateterle ilişkili infeksiyonlarda izole edilen patojenler ve bunların antimikrobiyal ajanlara duyarlılığı ve direnci hakkındaki veriler çoğunlukla eskidir. Bu konuda daha kapsamlı, çok merkezli çalışmalara ihtiyaç vardır.

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Cite This Article

Korkmaz, U. T. K., Gülhan, B. (2021). Evaluation of Pathogens Isolated from Central Venous Catheters Used for Cardiovascular Interventions. Online Türk Sağlık Bilimleri Dergisi, Cilt: 6 Sayı: 2, 262–271. https://doi.org/10.26453/otjhs.885148

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