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Infection of Pulmonary Arterial Catheter and Peripheral Arterial Catheter

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Critical Care Infectious Diseases Textbook

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Abstract

The pulmonary arterial catheter (PAC) and peripheral arterial catheter (AC) are used frequently in the management of critically ill patients, but not without risk. The use of the catheter has been associated with complications such as infection of the catheter insertion site and catheter-related infection with and without subsequent catheter-related bacteremia (CRB) [1].

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References

  1. Hudson-Civetta J, Civetta JM, Martines OV, Hoffman TA. Risk and detection of pulmonary artery catheter-related infection in septic surgical patients. Crit Care Med 15:29, 1987.

    Article  PubMed  CAS  Google Scholar 

  2. Raad I. Intravascular-catheter-related infections. Lancet 351:893, 1998.

    Article  PubMed  CAS  Google Scholar 

  3. Band JD, Maki DG. Infection caused by arterial catheters used for hemodynamic monitoring. Am J Med 67:735, 1979.

    Article  PubMed  CAS  Google Scholar 

  4. Myres ML, Austin TW, Sibbald WJ. Pulmonary artery catheter infections. Ann Surg 201:237, 1985.

    Article  Google Scholar 

  5. Pinilla JC, Ross DF, Martin T, Crump H. Study of the incidence of intravascular catheter infection and associated septicemia in critically ill patients. Crit Care Med 11:21, 1983.

    Article  PubMed  CAS  Google Scholar 

  6. Elliott CG, Zimmerman GA, Clemmer TP. Complications of pulmonary artery catheterization in the care of critically ill patients. Chest 76:647, 1979.

    Article  PubMed  CAS  Google Scholar 

  7. Rello, J, Coll P, Net A, Prats G. Infection of pulmonary artery catheters. Chest 103:132, 1993.

    Article  PubMed  CAS  Google Scholar 

  8. Passerini L, Phang PT, Jackson Fl, et al. Biofilms on right heart flow-directed catheters. Chest 92:440, 1987.

    Article  PubMed  CAS  Google Scholar 

  9. Damen J. The microbiologic risk of invasive haemodynamic monitoring in open-heart patients requiring prolongated ICU treatment. Intensive Care Med 14:156, 1988.

    Article  PubMed  CAS  Google Scholar 

  10. Jarvis WR, Edwaros JR, Culuer DH, et al. Nosocomial infection rates in aduit and pediatsic ICVs in the united states. NNIS system. Am J Med 91:1855–1915, 1991.

    Google Scholar 

  11. Levy JH, Nagle DM, Curling PE, et al. Contamination reduction during central venous catheterization. Crit Care Med 16:165, 1988.

    Article  PubMed  CAS  Google Scholar 

  12. Vallés J, Rello J, Matas L, et al. Pulmonary artery catheter colonization: influence of using an indwelling introducer. Eur J Clin Microbiol Infect Dis 15:71, 1996.

    Article  PubMed  Google Scholar 

  13. Miller JJ, Venus B, Mathru M. Comparison of the sterility of long-term central venous catheterization using single lumen, triple lumen and pulmonary artery catheters. Crit Care Med 12:634, 1984.

    Article  PubMed  CAS  Google Scholar 

  14. Rello J, Jubert P, Esandi M, Vallés J. Specific problems of arterial, Swan-Ganz, and hemodialysis catheters. Nutrition 13(suppl):36S, 1997.

    Article  PubMed  CAS  Google Scholar 

  15. Applefeld JJ, Caruters RE, Reno DJ, Civetta JM. Assessment of the sterility of long-term cardiac catheterization using the thermodilution Swan-Ganz catheter. Chest 74:377, 1978.

    Article  PubMed  CAS  Google Scholar 

  16. Prachar H, Dittel M, Jobst CH, et al. Bacterial contamination of central venous catheter. Intensive Care Med 4:79, 1978.

    Article  PubMed  CAS  Google Scholar 

  17. Puri V, Carlson R, Bamder J, Weil MH. Complications of vascular catheterization in critically ill. Crit Care Med 8:495, 1980.

    Article  PubMed  CAS  Google Scholar 

  18. Michel L, Marsh M, McMichan JC, Southorn P, Brewer N. Infection of pulmonary artery catheters in critically ill patients. JAMA 245:1032, 1982.

    Article  Google Scholar 

  19. Singh S, Nelson N, Acosta I, Check E, Puri V Catheter colonization and bacteriemia with pulmonary and arterial catheters. Crit Care Med 10:736, 1982.

    Article  PubMed  CAS  Google Scholar 

  20. Kaye W, Wheateon M, Potter-Bynoe G. Radial and pulmonary artery catheter-related sepsis (abstract). Crit Care Med 11:249, 1983.

    Article  Google Scholar 

  21. Nelson N, Singh S, Check F, Puri V Colonization and catheter-related sepsis with pulmonary and arterial sepsis (abstract). Crit Care Med 11:144, 1981.

    Article  Google Scholar 

  22. Samsoondar W, Freeman J, Coultish I, Oxley C. Colonization of intravascular catheter in the intensive care unit. Am J Surg 145:730, 1985.

    Article  Google Scholar 

  23. Senagore A, Waller J, Bonnel B, Bursch L, Scholten D. Pulmonary artery catheterization: a prospective study of internal jugular and subclavian approach. Crit Care Med 15:35, 1987.

    Article  PubMed  CAS  Google Scholar 

  24. Hilton E, Haslett T, Borenstein M, et al. Central catheter infections: single versus triple-lumen catheters. Am J Med 84:662, 1988.

    Article  Google Scholar 

  25. Mermel LA, Maki DG. Infectious complications of Swan-Ganz pulmonary artery catheters. Pathogenesis, epidemiology, prevention and management. Am J Respir Crit Care Med 149:1020, 1994.

    Article  PubMed  CAS  Google Scholar 

  26. Maki DG, Stolz SS, Wheeler S, Mermel LA. A prospective randomized trial of gauze and two polyurethane dressings for site care of pulmonary artery catheters: implications for catheter management. Crit Care Med 15:1729, 1994.

    Google Scholar 

  27. Widmer AF. Intravenous-related infections. In Wenzel RP (ed). Prevention and Control of Nosocomial Infections. Williams and Wilkins 1997:771.

    Google Scholar 

  28. Maki DG, Goldmann DA, Rhame FS. Infection control in intravenous therapy. Ann Intern Med 79:867, 1973.

    Article  PubMed  CAS  Google Scholar 

  29. Liñares J, Sitges-Serra A, Garau J, Pérez JL, Martín R. Pathogenesis of catheter sepsis: a prospective study with quantitative and semiquantitative cultures of catheter hub and segment. J Clin Microbiol 21:357, 1985.

    PubMed  Google Scholar 

  30. Segura M, Alia C, Valverde J, et al. Assessment of a new hub design and the semiquantitative catheter culture method using an in vivo experimental model of catheter sepsis. J Clin Microbiol 28:2551, 1990.

    PubMed  CAS  Google Scholar 

  31. Segura M, Alvarez-Lerma F, Tellado JM, et al. Clinical trail of the effect of a new catheter hub on the prevention of central venous catheter-related sepsis. Interscrience Conference on Antimicrobial Agents and Chemotherapy. San Francisco 1995:258 (Abstract).

    Google Scholar 

  32. Yeung C, May J, Hughes R. Infection rate for single lumen versus triple lumen subclavian catheter. Infect Control Hosp Epidemiol 9:154, 1988.

    Article  PubMed  CAS  Google Scholar 

  33. Hendreson DK. Intravascular device-associated infection: current concepts and controversies. Infect Surg 7:365, 1988.

    Google Scholar 

  34. Norwood S, Ruby A, Civetta J, Cortes V. Catheter-related infections and associated septicemia. Chest 99:968, 1991.

    Article  PubMed  Google Scholar 

  35. Simmons BP, Hooton TM, Wong ES, Allen JR. Guidelines for prevention of intravascular infections. 1982. Springfield, Va: National Technical information service.

    Google Scholar 

  36. Maki DG, Weise CE, Sarafin HW. A semiquantitative method for identifying intravenous-catheter-related infection. N Engl J Med 296:1305, 1977.

    Article  PubMed  CAS  Google Scholar 

  37. Sise MJ, Hollinhsworth P, Brimm JE. Complications of the flow-directed pulmonary artery catheter: a prospective analysis in 219 patients. Crit Care Med 9:315, 1981.

    Article  PubMed  CAS  Google Scholar 

  38. Civetta JM, Hudson-Civetta JA, Dion L. Duration of illness effects catheter-related infection and bacteriemia (abstract). In Program and abstracts of the 27th interscience conference on antimicrobial agents and chemotherapy. Atlanta, October 11–12 1998.

    Google Scholar 

  39. Eyer S, Brummitt C, Crossley K, Siegel R, Cerra F. Catheter related-sepsis: prospective, randomized study of three methods of long-term catheter maintenance. Crit Care Med 18:1073, 1990.

    Article  PubMed  CAS  Google Scholar 

  40. Cobb D, High K, Sawyer RG, Sable CA, Adams RB, Lindley DA, et al. A controlled trial of scheduled replacement of central venous and pulmonary-artery catheters. NEJM 327:1062, 1992.

    Article  PubMed  CAS  Google Scholar 

  41. Mermel L, Stolz S, Maki DG. Epidemiology of infection with PA/Swan-Ganz catheter: a prospective study using molecular epidemiology. Am J Med 91(31B):197S, 1991.

    Article  PubMed  CAS  Google Scholar 

  42. Raad II, Bodey GP. Infectious complications of indwelling vascular catheters. Clin Infect Dis 15:197, 1992.

    Article  PubMed  CAS  Google Scholar 

  43. Blot F, Brun-Buisson C. Current approaches to the diagnosis and prevention of catheter-related infections. Curr Opin Crit Care 5:341, 1999.

    Article  Google Scholar 

  44. Siegman-Igra Y, Anglim AM, Shapiro DE, Adal KA, Strain BA, Farr BM. Diagnosis of vascular catheter-related bloodstream infection: a metaanalysis. J Clin Microbiol 35:928, 1997.

    PubMed  CAS  Google Scholar 

  45. Burn-Buisson C, Abroug F, Legrand P, Huet Y, Larabi S, Rapin M. Diagnosis of central venous catheter-related sepsis: critical level of quantitative tip cultures. Arch Inten Med 147:873, 1987.

    Article  Google Scholar 

  46. Wing EJ, Norden CW, Shadduck RK, Winkel-stein A. Use of quantitative bacteriologic techniques to diagnose catheter-related sepsis. Arch Intern Med 139:482, 1979.

    Article  PubMed  CAS  Google Scholar 

  47. Moyer MA, Edwards LD, Farley L. Comparative culture methods on 101 intravenous catheters: routine, semi-quantitative and blood cultures. Arch Intern Med 143:66, 1983.

    Article  PubMed  CAS  Google Scholar 

  48. Andremont A, Paulet R, Nitenberg G, Hill C. Value of semi-quantitative cultures of blood drawn through catheter hubs for estimating the risk of catheter tip colonization in cancer patients. J Clin Microbiol 26:2297, 1988.

    PubMed  CAS  Google Scholar 

  49. Fan ST, Teoh-Chan CH, Lau KF. Evaluation of central venous catheter sepsis by differential quantitative blood culture. Eur J Clin Microbiol InfecDis 8:142, 1989.

    Article  CAS  Google Scholar 

  50. Douard MC, Arlet G, Leverger G, Paulien R, Waintrop C, Eurin E, et al. Quantitative blood culture for diagnosis and management of catheter-related sepsis in pediatric hematology and oncology patients. Intensive Care Med 17:30, 1991.

    Article  PubMed  CAS  Google Scholar 

  51. Rello J, Coll P, Net A, Prats G. Evaluation of different catheter parts for identification of pulmonary artery catheter colonization. Scand J Infect Dis 23:655, 1991.

    Article  PubMed  CAS  Google Scholar 

  52. Vallés J, Rello J, Matas L, et al. Pulmonary artery catheter colonization: influence of using an indwelling introducer. Eur J Clin Microbiol Infect Dis 15:71, 1996.

    Article  PubMed  Google Scholar 

  53. Rello J. Prevención de las infecciones por catéter: ha llegado la hora del cambio? Enferm Infecc Microbil Clin 16:53, 1998.

    CAS  Google Scholar 

  54. Raad II, Honh DC, Gilbreath BJ, et al. Prevention of central venous catheter-related infections by using maximal sterile barrier precautions during insertion. Infect Control Hosp Epidemiol 15:231, 1994.

    Article  PubMed  CAS  Google Scholar 

  55. Ducharme F, Gauthier M, Lacroix J, Lafleur L. Incidence of infection related to arterial catheterization in children: a prospective study. Crit Care Med 16:272, 1988.

    Article  PubMed  CAS  Google Scholar 

  56. Norwood S, Cormier B, McMahon N, Moss A, Moore V. Prospective study of catheter-related infection during prologned arterial catheterization. Crit Care Med 16:836, 1988.

    Article  PubMed  CAS  Google Scholar 

  57. Leroy O, Billiau V, Beuscart C, et al. Nosocomial infections associated with long-term radial artery cannulation. Intnsive Care Med 15:241, 1989.

    Article  CAS  Google Scholar 

  58. Furfaro S, Gauthier M, Lacroix J, et al. Arterial catheter-related infections in children. Am J Dis Child 145:1037, 1991.

    PubMed  CAS  Google Scholar 

  59. Raad I, Umphrey J, Khan A, Truett LJ, Bodey G. The duration of placement as a predictor of peripheral and pulmonary arterial catheter infection. J Hosp Infect 23:17, 1993.

    Article  PubMed  CAS  Google Scholar 

  60. León MA, León C, Mateu A, Olaechea P, Insausti JM, Martínez Pellús A, et al. Infecciones relacionadas con catéteres intravasculares en el paciente crítico. Estudio multicéntrico. Med Intensiva 17:531, 1993.

    Google Scholar 

  61. Shinozaki T, Deane RS, Mazuzan JE, et al. Bacterial contamination of arterial lines. JAMA 249:223, 1983.

    Article  PubMed  CAS  Google Scholar 

  62. Centers for Disease Control Working Group. Guidelines for prevention of intravenous therapy-related infection. Infect Control 3:62, 1981.

    Google Scholar 

  63. Thomas F, Burke JP, Parker J, Orme JF, Gardner RM, Clemmer TP, et al. The risk of infection related to radial vs femoral sites for arterial catheterization. Crit Care Med 11:807, 1983.

    Article  PubMed  CAS  Google Scholar 

  64. Frezza EE, Mezghebe H. Indications and complications of arterial catheter use in surgical or medical intensive care units: analysis of 4932 patients. Am Surg 64:127, 1998.

    PubMed  CAS  Google Scholar 

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Authors
  1. Alejandro Rodríguez
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  2. Sandra Arcieri
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  3. Jordi Rello
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Editor information

Editors and Affiliations

  1. Hospital Universitari Joan XXIII, Tarragona, Spain

    Jordi Rello M.D., Ph.D.

  2. University Rovira & Virgili, Tarragona, Spain

    Jordi Rello M.D., Ph.D.

  3. Corporacio Sanitaria Parc Tauli, Sabadell, Barcelona, Spain

    Jordi Valles M.D., Ph.D.

  4. Washington University School of Medicine, St. Louis, Missouri, USA

    Marin H. Kollef M.D.

  5. Barnes-Jewish Hospital, St. Louis, Missouri, USA

    Marin H. Kollef M.D.

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Rodríguez, A., Arcieri, S., Rello, J. (2001). Infection of Pulmonary Arterial Catheter and Peripheral Arterial Catheter. In: Rello, J., Valles, J., Kollef, M.H. (eds) Critical Care Infectious Diseases Textbook. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-1679-8_33

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  • DOI: https://doi.org/10.1007/978-1-4615-1679-8_33

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4613-5674-5

  • Online ISBN: 978-1-4615-1679-8

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