Hostname: page-component-586b7cd67f-2brh9 Total loading time: 0 Render date: 2024-11-29T02:59:51.443Z Has data issue: false hasContentIssue false

Clinical usefulness of catheter-drawn blood samples and catheter-tip cultures for the diagnosis of catheter-related bloodstream infections in neonates

Published online by Cambridge University Press:  17 April 2020

Janita Ferreira*
Affiliation:
Universidade Federal de Minas Gerais, Hospital das Clínicas, Comissão de Controle de Infecção Hospitalar, Belo Horizonte, Minas Gerais, Brazil
Paulo Augusto Moreira Camargos
Affiliation:
Universidade Federal de Minas Gerais, Faculdade de Medicina, Departamento de Pediatria, Belo Horizonte, Minas Gerais, Brazil
Viviane Rosado
Affiliation:
Universidade Federal de Minas Gerais, Hospital das Clínicas, Comissão de Controle de Infecção Hospitalar, Belo Horizonte, Minas Gerais, Brazil
Leni Márcia Anchieta
Affiliation:
Universidade Federal de Minas Gerais, Faculdade de Medicina, Departamento de Pediatria, Belo Horizonte, Minas Gerais, Brazil
Roberta Maia de Castro Romanelli
Affiliation:
Universidade Federal de Minas Gerais, Faculdade de Medicina, Departamento de Pediatria, Belo Horizonte, Minas Gerais, Brazil
*
Author for correspondence: Janita Ferreira, E-mail: [email protected]

Abstract

Catheter-drawn blood sampling is an efficient method of diagnosing catheter-related bloodstream infection (CRBSI) in neonates; it has greater sensitivity and accuracy than methods using catheter-tip cultures. No association was detected between catheter-drawn blood sampling and the occurrence of adverse events with central venous catheters.

Type
Concise Communication
Copyright
© 2020 by The Society for Healthcare Epidemiology of America. All rights reserved.

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Rosado, V, Camargos, P, Anchieta, L, et al. Risk factors for central venous catheter-related infections in a neonatal population-systematic review. J Pediatr (Rio J) 2018;94:314.CrossRefGoogle Scholar
Russel, A. Neonatal sepsis. Pediatr Child Health 2010;21:265269.CrossRefGoogle Scholar
Mermel, L, Allon, M, Bouza, E, et al. Clinical practice guidelines for the diagnosis and management of intravascular catheter-related infection: 2009. Update by the Infections Diseases Society of America. IDSA Guidelines 2009;49:145.Google ScholarPubMed
ANVISA. Neonatologia: critérios nacionais de infecções relacionadas à assistência à saúde. Brazil: ANVISA; 2017.Google Scholar
Vasudevan, C, McGuire, W. Early removal versus expectant management of central venous catheter in neonates with bloodstream infection. Cochrane Database Syst Rev 2016;4:CD008436. doi: 10.1002/14651858.Google ScholarPubMed
Ferreira, J, Camargos, P, Clemente, W, Romanelli, R. Clinical usefulness of catheter-drawn blood samples and catheter tip cultures for the diagnosis of catheter-related bloodstream infections in neonatology: a systematic review. Am J Infect Control 2018;46:8187.CrossRefGoogle Scholar
Tsai, M, Hsu, J, Lien, R, et al. Catheter management in neonates with bloodstream infection and a percutaneously inserted central venous catheter in situ: removal or not? Am J Infect Control 2012;40:5964.CrossRefGoogle ScholarPubMed
Pedreira, M. Obstrução de cateteres centrais de inserção periférica em neonatos: a prevenção é a melhor intervenção. Rev Pau Pediatr 2015;33:255257.CrossRefGoogle Scholar
Pettit, J. Assessment of infants with peripherally inserted central catheters: Part 1. Detecting the most frequently occurring complications. Adv Neonatal Care 2002;2:304315.CrossRefGoogle ScholarPubMed