Journals / Medical Network Klinik Bilimler ve Doktor / 2003 / Cilt: 9 - Sayı: 5

Microbiological analysis of intravascular catheter infections observed in an University Hospital During 2001

A.Ü.T.F. İbni Sina Hastanesi'nde 2001 yılında gözlenen santral venöz kateter infeksiyonları

Pages
534–538
DOI
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AI Summary & Key Takeaways

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

Although Staphylococci are the major causal agent, gram negative bacteria and Candida species should be inspected more closely in CRI.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: It is known that catheters have been applied to more than half of the patients who have been hospitalized.
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Key Findings & Data:Catheter-related infections (CRI) causes prolonged hospital stay and increases hospital costs.
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Conclusion & Impact:Although Staphylococci are the major causal agent, gram negative bacteria and Candida species should be inspected more closely in CRI.
🔬Design:Research Article
📍Scope:2001 Verileri
⚙️Variables:İleriye dönük çalışma · Bakteriyel enfeksiyonlar · Kateterizasyon

Abstract

Objective: It is known that catheters have been applied to more than half of the patients who have been hospitalized. Catheter-related infections (CRI) causes prolonged hospital stay and increases hospital costs. Material and Method: This prospective study was planned in order to evaluate the frequency of utilization, rates of infectious complications and causative microorganisms among patients whom were applied CVC during 2001. Result: In this period, totally 207 patients with CVC were followed. Out of 207 patients observed, 42 (20.3%) individuals were diagnosed CRI. CRI rates were 11% for subclavian, 31% for jugular, 13% for Hickman-Broviac and 25% for femoral catheters. Conclusion: Staphylococci were isolated in a high rate of 63% of all the infections. Although Staphylococci are the major causal agent, gram negative bacteria and Candida species should be inspected more closely in CRI.

Özet

Amaç: Hastaneye yatırılan hastaların yarısından fazlasına kateter uyulanmaktadır. Kateterle ilişkili olarak gelişen infeksiyonlar, hastanede yatış süresini ve hastane harcamalarını artırmaktadır. Gereç ve Yöntem: Bu prospektif çalışmada, çeşitli kliniklerde 2001 yılındaki santral venöz kateter uygulamaları, infeksiyöz komplikasyonlar ve etken mikroorganizmalar araştırılmıştır. Bulgular: Çalışmanın yapıldığı dönemde, santral venöz kateter uygulanan 207 hasta incelenmiştir. Bu 207 hastanın 42 (%20.3)'sinde kateterle ilişkili infeksiyon tanısı konmuştur. Hastane genelinde takılan subklaviyan kateterlerin %11, juguler kateterlerin %31, Hickman-Broviak kateterlerin %13, femoral kateterlerin %25'inde kateter infeksiyonu ortaya çıkmıştır. Sonuç: Stafilokoklar %63 oranı ile en sık izole edilen mikroorganizma olmuştur. Stafilokoklar en sık karşılaşılan etken olmakla birlikte, gram negatif basiller ve Candida türleri de kateterle ilişkili infeksiyonlarda yakından izlenmelidir.

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Cite This Article

TEKELİ, E., PALABIYIKOĞLU, İ., AYDINTUĞ, S., ÇOKÇA, F., AKAN, Ö., ÜNAL, N., DOĞRU, Ü., AYSEV, D., EREK, S., ERBEKTAŞ, İ., ŞAHİN, N., DOĞANAY, S., KÖSE, T., AKGÖZ, E., KAYMAKÇI, S. (2003). Microbiological analysis of intravascular catheter infections observed in an University Hospital During 2001. Medical Network Klinik Bilimler ve Doktor, Cilt: 9 - Sayı: 5, 534–538. https://ajindex.com/articles/278590

References (11)

  1. Clarke De, Raffin TA. Infectious complications of indwelling long-term central venous catheters. Chest 1990; 97:966-72.
  2. Raad II, Bodey PP. Infectious complications of indwelling vasculer catheters. Clin Infect Dis 1992; 15:197-210. Korten V. intravasküler kateter infeksiyonları. Topçu AW, Söyletir G, Doğanay M (eds). infeksiyon Hastalıkları Kitabında, Nobel Tıp Kitabevi, istanbul, 1996:592. Henderson DK. Infections due to percutaneous intravascular devices. In: Mandell GL, Bennet JE, Dolin R (eds). Principles and Practice of Infectious Diseases, Fifth ed. Churchill Livingstone Inc. 2000:3005-20. Pearson ML. Hospital Infection Control Practices Advisory Committee. Guideline for prevention of intravascular device-re­ lated infections. Infect Control Hosp Epidemiol 1996; 17:438-73.
  3. Maki DG, Weise CE, Sarafin HW. A semiquantitative culture method for identifying intravenous catheter infection. N. Engl J Med 1997; 296:1305-9.
  4. Mermel LA, Farr BM, Sherertz RJ, et al. Guidelines for the management of intravascular catheter-related infections. Clin. Infect Dis 2001; 32:1249-72.
  5. Koneman EW, Allen SD, Janda WM, Schreckenberger PC, Winn WC. Diagnostic Microbiology. Philedelphia: Lippincott-Raven Publishers, 1997. Öztürk R. Damariçi kateter infeksiyonları. Günaydın M, Esen Ş, Saniç A, H. Leblebicioğlu (eds). Sterilizasyon, Dezenfeksiyon ve Hastane İnfeksiyonları Kitabında, Kaya Basım, Samsun, 2002:225. Sönmez E. Damariçi kateter sepsisi. Hast ineks Derg 1998; 2:193-9.
  6. Jarvis Wr, Edwards JR, Culver DH, et al. Nosocomial infection rates in adult and pediatric intensive care units in U.S.A. Am J Med (Suppl 13 B) 1991:185-91.
  7. Groeger JS, Lucas AB, Thaler HT, et al. Infectious morbidity associated with long-term use of venous access devices in patients with cancer. Ann Intern Med 1993:168-74. Greene JN. Catheter-related complications of cancer therapy. Infect Dis Clin North Am 1996; 10:255-95.
  8. Hampton AA, Sherertz RJ. Vascular-access infections in hospitalized patients. Surg Clin North Am 1988; 68:57-71.
  9. Colignan P, Soni N, Pearson I, Sorell T, Woods P. Sepsis associated with central vein catheters in critically ill patients. Intensive Care Med 1988; 14:227-31.
  10. Decker MD, Edwards KM. Central venous catheter infections. PediatrClin North Am 1988; 35:579-612. Erdem i. İntravasküler kateter infeksiyonları: Mikrobiyoloji, Tanı, Tedavi ve Önlemler.Flora 1999; 4:75-81.
  11. Tunçbilek S, Arslan H, Özdemir N, Nazlıer S. Hemodiyaliz hastalarında subklaviyan kateter infeksiyonu. infeks D