Abstract
Although there has been a proliferation of catheter related infection literature there is still little consensus regarding infection statistics and optimal catheter management techniques. This paper analyses the various factors that have contributed to these inconsistencies and thereby attempts to provide a standardised framework for future research and communication on the subject. An attempt has also been made from available data to provide management guidelines that are practicable in the intensive care environment.
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Ricard P, Martin R, Marcoux JA (1985) Protection of indwelling vascular catheters: Incidence of bacterial contamination and catheter-related sepsis. Crit Care Med 13:541
Appelfeld JJ, Caruthers TE, Reno DJ, Civetta JM (1978) Assessment of the sterility of long term cardiac catheterization using the thermodilution Swan-Ganz catheter. Chest 74:377
Pracher H, Dittel M, Jobst CH, Kiss E, Machacek E, Nobis H, Spiel R (1978) Bacterial contamination of pulmonary artery catheters. Intensive Care Med 4:79
Essop AR, Frolich J, Moosa MR, Miller M, Ming RC (1984) Risk factors related to bacterial contamination of indwelling vascular catheters in non-infected hosts. Intensive Care Med 10:193
Maki DG, Weise CE, Sarafin HW (1977) A semiquantitative culture method for identifying intravenous catheter-related infection. N Eng J Med 296:1305
Moyer MA, Edwards LD, Farley L (1983) Comparative culture methods of 101 intravenous catheters. Arch Int Med 143:66
Michel L, Marsh HM, McMichan JC, Southorn PA, Brewer NS (1981) Infection of pulmonary artery catheters in critically ill patients. JAMA 245:1032
Cleri DJ, Corrado ML, Seligman SJ (1980) Quantitative culture of intravenous catheters and other intravascular inserts. J Infect Dis 141:781
Band JD, Maki DG (1979) Infections caused by arterial catheters used for hemodynamic monitoring. Am J Med 67:735
Falchuk KH, Peterson L, McNeil BJ (1985) Microparticulate-induced phlebitis: its prevention by in-line filtration. N Engl J Med 312:78
Maki DG, Goldman DA, Rhame FS (1973) Infection control in intravenous therapy. Ann Intern Med 79:867
Hudson-Civetta JA, Civetta JM, Martinez OV, Hoffman TA (1987) Risk and detection of pulmonary artery catheter-related infection in septic surgical patients. Crit Care Med 15:29
McKee R, Dunsmuir R, Whitby M, Garden OJ (1985) Does antibiotic prophylaxis at the time of catheter insertion reduce the incidence of catheter-related sepsis in intravenous nutrition? J Hosp Infect 6:419
Dryden GE, Briekler J (1979) Stopcock contamination. Anesth Analg 58:141
Wing EJ, Norden CW, Shadduck RK, Winkelstein A (1979) Use of quantitative bacteriologic techniques to diagnose catheter-related sepsis. Arch Int Med 139:482
Singh S, Nelson N, Acosta I, Check FE, Puri VK (1982) Catheter colonization and bacteraemia with pulmonary and arterial catheters. Crit Care Med 10:736
Graeve AH, Carpenter CM, Schiller WR (1981) Management of central venous catheters using a wire introducer. Am J Surg 142:752
Linares J (1987) Techniques of catheter culture. Symposium on central venous catheter sepsis. 9th ESPEN Congress, Barcelona
Hoshal VL, Ause RG, Hoskin PA (1971) Fibrin sleeve formation on indwelling subclavian central venous catheters. Arch Surg 102:353
Maki DG, Jarrett F, Sarafin WH (1977) A semiquantitative culture method for identification of catheter-related infection in the burn patient. J Surg Res 22:513
Armstrong CW, Mayhall CG, Miller KB, Newsome HH, Sugerman JH, Dalton HP, Hall GO, Gennings C (1986) Prospective study of catheter replacement and other risk factors for infection of hyperalimentation catheters. J Infect Dis 154:808
Sketch MH, Cole M, Mohiuddin SM, Booth RW (1972) Use of percutaneously inserted subclavian venous catheters in coronary care units. Chest 62:684
Pinilla JC, Ross DF, Martin T, Crump H (1983) Study of the incidence of intravascular catheter infection and associated septicaemia in critically ill patients. Crit Care Med 11:21
Sheretz RJ, Falk RJ, Huffman KA, Thomann CA, Mattern WD (1983) Infections associated with subclavian Uldall catheters. Arch Intern Med 143:52
Pezzarossi HE, Ponce de Leon S, Calva JJ, Lazo de la Vega SA, Ruiz-Palacios GM (1986) High incidence of subclavian dialysis catheter-related bacteremias. Infect Control 7:596
Maki DG, Band JD (1981) A comparative study of polyantibiotic and iodophor ointments in prevention of vascular catheter-related infection. Am J Med 70:739
Katz S, McGinley K, Leyden JJ (1986) Semipermeable occlussive dressings. Arch Dermatol 122:58
Buxton AE, Highsmith AK, Garner JS, West CM, Stamm WE, Dixon RE, McGowan JE (1979) Contamination of intravenous infusion fluid: effects of changing administration sets. Ann Intern Med 90:764
Band JD, Maki DG (1979) Safety of changing intravenous delivery systems at longer than 24 hour intervals. Ann Intern Med 91:173
Samsoondar W, Freeman JB (1985) Colonization of intravascular monitoring devices. Crit Care Med 13:753
Heard SO, Davis RF, Sherertz RJ, Mikhail MS, Gallagher RC, Layon AJ, Gallagher TJ (1987) Influence of sterile protective sleeves on the sterility of pulmonary artery catheters. Crit Care Med 15:499
Weinstein RA, Emori TG, Anderson RL, Stamm WE (1976) Pressure transducers as a source of bacteremia after open heart surgery. Chest 69:338
Ryan JA, Abel RM, Abbot WM et al. (1974) Catheter complications in total parenteral nutrition. N Engl J Med 290:757
Sanders RA, Sheldon GF (1976) Septic complications of total parenteral nutrition. Am J Surg 132:214
Reinhardt GF, Gelbart SM, Greenlee HB (1978) Catheter infection factors affecting total parenteral nutrition. Am Surg 44:401
Gertner J, Herman B, Pescio M, Wolff MA (1979) Risk of infection in prolonged central venous catheterization. Surg Gynecol Obstet 149:567
Keohane PP, Jones BJ, Attrill H et al. (1983) Effect of catheter tunneling and a nutrition nurse on catheter sepsis during parenteral nutrition. Lancet II:1388
Bailey MJ (1979) Reduction of catheter-associated sepsis in parenteral nutrition using low-dose heparin. Br Med J 1:1671
Kudsk KA, Powell C, Mirtallo JM, Fabri PJ, Ruberg RL (1985) Heparin does not reduce catheter sepsis during total parenteral nutrition. JPEN 9:348
Ralston AJ, Harlow GR, Jones DM, Davis P (1971) Infections of Scribner and Brescia arteriovenous shunts. Br Med J 3:408
Ozeran RS, Gral T, Sokol A, Gordon HE (1972) Long-term experience with arteriovenous shunts for hemodialysis. Am Surg 38:259
Kozeny GA, Venezio FR, Bansal VK, Vertuno LL, Hano JE (1984) Incidence of subclavian dialysis catheter-related infections. Arch Intern Med 144:1787
Dobkin JF, Miller MH, Steigbigel NH (1978) Septicaemia in patients on chronic hemodialysis. Ann Intern Med 88:28
Nsouli KA, Lazarus JM, Schoenbaum SC, et al. (1979) Bacteremic infections in hemodialysis. Arch Intern Med 139:1255
Sise MJ, Hollingsworth P, Brimm JE, Peters RM, Virgilio RW, Shackford SR (1981) Complications of the flow-directed pulmonary artery catheter. Crit Care Med 9:315
Wilmore DW, Dudrick SJ (1969) Safe long-term venous catheterization. Arch Surg 98:256
Pettigrew RA, Lang SDR, Haydock DA, Parry BR, Bremner DA, Hill GL (1985) Catheter-related sepsis in patients on intravenous nutrition: a prospective study of quantitative catheter cultures and guidewire changes for suspected sepsis. Br J Surg 72:52
Senagore A, Waller JD, Bonnell BW, Bursch LR, Scholten DJ (1987) Pulmonary artery catheterization: a prospective study of internal jugular and subclavian approaches. Crit Care Med 15:35
Wang EEL, Prober CG, Ford-Jones L, Gold R (1984) Management of central intravenous catheter infections. Pediatr Infect Dis 3:110
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Plit, M.L., Lipman, J., Eidelman, J. et al. Catheter related infection. A plea for consensus with review and guidelines. Intensive Care Med 14, 503–509 (1988). https://doi.org/10.1007/BF00263521
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DOI: https://doi.org/10.1007/BF00263521