Abstract
There are no data about the influence of tracheostomy in the incidence of catheter-related bloodstream infection (CRBSI) on the catheterization of the jugular vein by posterior access and there are no recommendations relating to this circumstance in the guidelines of the Centers for Disease Control and Prevention (CDC) and of Healthcare Epidemiology of America/Infectious Diseases Society of America (SHEA/IDSA) for the prevention of CRBSI. The novel finding of this observational study was that there was a higher incidence of CRBSI in the catheterization of jugular vein by posterior access in patients with tracheostomy than without it (13.24 vs 0 episodes of CRBSI per 1,000 catheter-day; odds ratio = 23.92; 95% CI = 1.86-infinite; p = 0.008). Thus, the presence of tracheostomy is a risk factor of CRBSI on the catheterization of jugular vein by posterior access.
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References
Michel L, McMichan JC, Bachy JL (1979) Tracheostomy and indwelling central venous line: a hazardous combination? Intensive Care Med 5:83–86
Dusan C, Bouchard P, Goudot B et al (1981) Bacteriologic study of indwelling central venous catheters. Factors influencing the risk of microbial colonization and sepsis. Anesth Analg Paris 38:347–350
Garnacho-Montero J, Aldabó-Pallás T, Palomar-Martínez M et al (2008) Risk factors and prognosis of catheter-related bloodstream infection in critically ill patients: a multicenter study. Intensive Care Med 34:2185–2193
Lorente L, Jiménez A, Martín MM et al (2009) Influence of tracheostomy on the incidence of central venous catheter-related bacteremia. Eur J Clin Microbiol Infect Dis 28:1141–1145
Suetens C, Morales I, Savey A et al (2007) European surveillance of ICU-acquired infections (HELICS-ICU): methods and main results. J Hosp Infect 65(Suppl 2):171–3
National Nosocomial Infections Surveillance System (2004) National Nosocomial Infections Surveillance (NNIS) System Report, data summary from January 1992 through June 2004, issued October 2004. Am J Infect Control 32:470–485
Edwards JR, Peterson KD, Mu Y et al (2009) National Healthcare Safety Network (NHSN) report: data summary for 2006 through 2008, issued December 2009. Am J Infect Control 37:783–805
Rosenthal VD, Maki DG, Jamulitrat S, INICC Members et al (2010) International Nosocomial Infection Control Consortium (INICC) report, data summary for 2003-2008, issued June 2009. Am J Infect Control 38:95–104
O’Grady NP, Alexander M, Dellinger EP et al (2002) Guidelines for the prevention of intravascular catheter-related infections. Centers for Disease Control and Prevention. MMWR Recomm Rep 51:1–29
Marschall J, Mermel LA, Classen D, Arias KM, Podgorny K, Anderson DJ et al (2008) Practice Recommendation of Society for Healthcare Epidemiology of America/Infectious Diseases Society of America (SHEA/IDSA). Strategies to prevent central line-associated bloodstream infections in acute care hospitals. Infect Control Hosp Epidemiol 29(Suppl 1):S22–30
Maki DG, Weise CE, Sarafin HW (1977) A semiquantitative culture method for identifying intravenous catheter-related infection. N Engl J Med 296:1305–1309
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Lorente, L., Jiménez, A., Roca, I. et al. Influence of tracheostomy on the incidence of catheter-related bloodstream infection in the catheterization of jugular vein by posterior access. Eur J Clin Microbiol Infect Dis 30, 1049–1051 (2011). https://doi.org/10.1007/s10096-011-1190-5
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DOI: https://doi.org/10.1007/s10096-011-1190-5