Catheter related bloodstream infection (CR-BSI) in ICU patients: making the decision to remove or not to remove the central venous catheter.

<h4>Background</h4>Approximately 150 million central venous catheters (CVC) are used each year in the United States. Catheter-related bloodstream infections (CR-BSI) are one of the most important complications of the central venous catheters (CVCs). Our objective was to compare the in-ho...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Rodrigo Octávio Deliberato, Alexandre R Marra, Thiago Domingos Corrêa, Marinês Dalla Vale Martino, Luci Correa, Oscar Fernando Pavão Dos Santos, Michael B Edmond
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2012
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/25bc8898f4a0481599d7597c22c5d427
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:25bc8898f4a0481599d7597c22c5d427
record_format	dspace
spelling	oai:doaj.org-article:25bc8898f4a0481599d7597c22c5d4272021-11-18T07:26:04ZCatheter related bloodstream infection (CR-BSI) in ICU patients: making the decision to remove or not to remove the central venous catheter.1932-620310.1371/journal.pone.0032687https://doaj.org/article/25bc8898f4a0481599d7597c22c5d4272012-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/22403696/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Approximately 150 million central venous catheters (CVC) are used each year in the United States. Catheter-related bloodstream infections (CR-BSI) are one of the most important complications of the central venous catheters (CVCs). Our objective was to compare the in-hospital mortality when the catheter is removed or not removed in patients with CR-BSI.<h4>Methods</h4>We reviewed all episodes of CR-BSI that occurred in our intensive care unit (ICU) from January 2000 to December 2008. The standard method was defined as a patient with a CVC and at least one positive blood culture obtained from a peripheral vein and a positive semi quantitative (>15 CFU) culture of a catheter segment from where the same organism was isolated. The conservative method was defined as a patient with a CVC and at least one positive blood culture obtained from a peripheral vein and one of the following: (1) differential time period of CVC culture versus peripheral culture positivity of more than 2 hours, or (2) simultaneous quantitative blood culture with ≥ 5:1 ratio (CVC versus peripheral).<h4>Results</h4>53 CR-BSI (37 diagnosed by the standard method and 16 by the conservative method) were diagnosed during the study period. There was a no statistically significant difference in the in-hospital mortality for the standard versus the conservative method (57% vs. 75%, p = 0.208) in ICU patients.<h4>Conclusion</h4>In our study there was a no statistically significant difference between the standard and conservative methods in-hospital mortality.Rodrigo Octávio DeliberatoAlexandre R MarraThiago Domingos CorrêaMarinês Dalla Vale MartinoLuci CorreaOscar Fernando Pavão Dos SantosMichael B EdmondPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 7, Iss 3, p e32687 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Rodrigo Octávio Deliberato Alexandre R Marra Thiago Domingos Corrêa Marinês Dalla Vale Martino Luci Correa Oscar Fernando Pavão Dos Santos Michael B Edmond Catheter related bloodstream infection (CR-BSI) in ICU patients: making the decision to remove or not to remove the central venous catheter.
description	<h4>Background</h4>Approximately 150 million central venous catheters (CVC) are used each year in the United States. Catheter-related bloodstream infections (CR-BSI) are one of the most important complications of the central venous catheters (CVCs). Our objective was to compare the in-hospital mortality when the catheter is removed or not removed in patients with CR-BSI.<h4>Methods</h4>We reviewed all episodes of CR-BSI that occurred in our intensive care unit (ICU) from January 2000 to December 2008. The standard method was defined as a patient with a CVC and at least one positive blood culture obtained from a peripheral vein and a positive semi quantitative (>15 CFU) culture of a catheter segment from where the same organism was isolated. The conservative method was defined as a patient with a CVC and at least one positive blood culture obtained from a peripheral vein and one of the following: (1) differential time period of CVC culture versus peripheral culture positivity of more than 2 hours, or (2) simultaneous quantitative blood culture with ≥ 5:1 ratio (CVC versus peripheral).<h4>Results</h4>53 CR-BSI (37 diagnosed by the standard method and 16 by the conservative method) were diagnosed during the study period. There was a no statistically significant difference in the in-hospital mortality for the standard versus the conservative method (57% vs. 75%, p = 0.208) in ICU patients.<h4>Conclusion</h4>In our study there was a no statistically significant difference between the standard and conservative methods in-hospital mortality.
format	article
author	Rodrigo Octávio Deliberato Alexandre R Marra Thiago Domingos Corrêa Marinês Dalla Vale Martino Luci Correa Oscar Fernando Pavão Dos Santos Michael B Edmond
author_facet	Rodrigo Octávio Deliberato Alexandre R Marra Thiago Domingos Corrêa Marinês Dalla Vale Martino Luci Correa Oscar Fernando Pavão Dos Santos Michael B Edmond
author_sort	Rodrigo Octávio Deliberato
title	Catheter related bloodstream infection (CR-BSI) in ICU patients: making the decision to remove or not to remove the central venous catheter.
title_short	Catheter related bloodstream infection (CR-BSI) in ICU patients: making the decision to remove or not to remove the central venous catheter.
title_full	Catheter related bloodstream infection (CR-BSI) in ICU patients: making the decision to remove or not to remove the central venous catheter.
title_fullStr	Catheter related bloodstream infection (CR-BSI) in ICU patients: making the decision to remove or not to remove the central venous catheter.
title_full_unstemmed	Catheter related bloodstream infection (CR-BSI) in ICU patients: making the decision to remove or not to remove the central venous catheter.
title_sort	catheter related bloodstream infection (cr-bsi) in icu patients: making the decision to remove or not to remove the central venous catheter.
publisher	Public Library of Science (PLoS)
publishDate	2012
url	https://doaj.org/article/25bc8898f4a0481599d7597c22c5d427
work_keys_str_mv	AT rodrigooctaviodeliberato catheterrelatedbloodstreaminfectioncrbsiinicupatientsmakingthedecisiontoremoveornottoremovethecentralvenouscatheter AT alexandrermarra catheterrelatedbloodstreaminfectioncrbsiinicupatientsmakingthedecisiontoremoveornottoremovethecentralvenouscatheter AT thiagodomingoscorrea catheterrelatedbloodstreaminfectioncrbsiinicupatientsmakingthedecisiontoremoveornottoremovethecentralvenouscatheter AT marinesdallavalemartino catheterrelatedbloodstreaminfectioncrbsiinicupatientsmakingthedecisiontoremoveornottoremovethecentralvenouscatheter AT lucicorrea catheterrelatedbloodstreaminfectioncrbsiinicupatientsmakingthedecisiontoremoveornottoremovethecentralvenouscatheter AT oscarfernandopavaodossantos catheterrelatedbloodstreaminfectioncrbsiinicupatientsmakingthedecisiontoremoveornottoremovethecentralvenouscatheter AT michaelbedmond catheterrelatedbloodstreaminfectioncrbsiinicupatientsmakingthedecisiontoremoveornottoremovethecentralvenouscatheter
_version_	1718423462772473856

Catheter related bloodstream infection (CR-BSI) in ICU patients: making the decision to remove or not to remove the central venous catheter.

Ejemplares similares