Hostname: page-component-745bb68f8f-b95js Total loading time: 0 Render date: 2025-01-22T10:49:51.876Z Has data issue: false hasContentIssue false
  • English
  • Français

Surveillance for Infections Associated With Vascular Catheters

Published online by Cambridge University Press:  02 January 2015

Robert J. Sherertz
Robert J. Sherertz*
Affiliation:
Division of Infectious Diseases, Bowman Gray School of Medicine, Winston-Salem, North Carolina
Get access Rights & Permissions [Opens in a new window]

Abstract

Intravascular devices are the source of most primary bloodstream infections. Unfortunately, there are few studies that demonstrate how surveillance for catheter-related infection should be done. This article attempts to provide infection control personnel with information necessary to develop such surveillance.

Type
Practical Healthcare Epidemiology
Information
Infection Control & Hospital Epidemiology , Volume 17 , Issue 11 , November 1996 , pp. 746 - 752
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1996

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

REFERENCES

1. Emori, TG, Gaynes, RP. An overview of nosocomial infections, including the role of the microbiology laboratory. Clin Microbiol Rev 1993;6:428–442.Google Scholar
2. Maki, DG. Infections due to infusion therapy. In: Bennett, JV, Brachman, PS, eds. Hospital Infections. Boston, MA: Little, Brown, and Co; 1992:849–898.Google Scholar
3. Jarvis, WR, Edwards, JR, Culver, DH, et al. Nosocomial infection rates in adult and pediatric intensive care units in the United States. Am J Med 1991;91(suppl 3B):185S–191S.Google Scholar
4. Maki, DG, Weise, CE, Sarafin, HW. A semi-quantitative culture method for identifying intravenous-catheter-related infection. N Engl J Med 1977;296:1305–1309.Google Scholar
5. Maki, DG, Cobb, L, Garman, JK, Shapiro, JM, Ringer, M, Helgerson, RB. An attachable silver-impregnated cuff for prevention of infection with central venous catheters: a prospective randomized multicenter trial. Am J Med 1988;85:307–314.CrossRefGoogle ScholarPubMed
6. Sherertz, RJ, Raad, II, Belani, A, et al. Three-year experience with sonicated vascular catheter cultures in a clinical microbiology laboratory. J Clin Microbiol 1990;28:76–82.Google Scholar
7. Sitges-Serra, A, Linares, J. Limitations of semiquantitative method for catheter culture. J Clin Microbiol 1988;26:1074–1075.CrossRefGoogle ScholarPubMed
8. Widmer, AF. IV-related infections. In: Wenzel, RP, ed. Prevention and Control of Nosocomial Infections. Baltimore, MD: Williams & Wilkins; 1993:556–579.Google Scholar
9. Cleri, DJ, Corrado, ML, Seligman, SJ. Quantitative culture of intravascular catheters and other intravascular inserts. J Infect Dis 1980;141:781–786.Google Scholar
10. Bjornson, HS, Colley, R, Bower, RH, Duty, VP, Schwartz-Fulton, JT, Fischer, JE. Association between microorganism growth at the catheter insertion site and colonization of the catheter in patients receiving total parenteral nutrition. Surgery 1982;92:721–727.Google ScholarPubMed
11. Brun-Buisson, C, Abrouk, F, Legrand, P, Huet, Y, Larabi, S, Rapin, M. Diagnosis of central venous catheter-related sepsis. Critical level of quantitative tip cultures. Arch Intern Med 1987;147:873–877.CrossRefGoogle ScholarPubMed
12. Heard, SO, Davis, RF, Sherertz, RJ, et al. Influence of sterile protective sleeves on the sterility of pulmonary artery catheters. Crit Care Med 1987;15:499–502.Google Scholar
13. Linares, J, Sitges-Serra, A, Garau, J, Perez, JL, Rogelio, M. Pathogenesis of catheter sepsis: a prospective study with quantitative and semiquantitative cultures of catheter hub and segments. J Clin Microbiol 1985;21:357–360.CrossRefGoogle ScholarPubMed
14. Raad, II, Sabbagh, MF, Rand, KH, Sherertz, RJ. Quantitative tip culture methods and the diagnosis of central venous catheter-related infections. Diagn Microbiol Infect Dis 1992;15:13–20.CrossRefGoogle ScholarPubMed
15. Pittet, D, Lew, PD, Auckenthaler, R, Waldvogel, FA. Bacterial spread as a pathogenic factor in catheter-related infections. Presented at the 30th Interscience Conference on Antimicrobial Agents and Chemotherapy; 10 1990; Atlanta GA. Abstract 26.Google Scholar
16. Sherertz, R, Heard, S, Raad, I, Gentry, L. Culturing catheter tips is an insensitive method for diagnosing triple lumen vascular catheter infection. Presented at the 32nd Interscience Conference on Antimicrobial Agents and Chemotherapy; 10 1992; Anaheim, CA. Abstract 818.Google Scholar
17. Widmer, AF, Nettleman, M, Flint, K, Wenzel, RP. The clinical impact of culturing central venous catheters. A prospective study. Arch Intern Med 1992;152:1299–1302.Google Scholar
18. Wing, EJ, Norden, CW, Shadduck, RK, Winkelstein, A. Use of quantitative bacteriologic techniques to diagnose catheter-related sepsis. Arch Intern Med 1979;139:482–483.Google Scholar
19. Raucher, HS, Hyatt, AC, Barzilai, A, et al. Quantitative blood cultures in the evaluation of septicemia in children with Broviac catheters. Pediatrics 1984;104:29–33.Google ScholarPubMed
20. Flynn, PM, Shenep, JL, Barrett, FF. Differential quantitation with a commercial blood culture tube for diagnosis of catheter- related infection. J Clin Microbiol 1988;26:1045–1046.Google Scholar
21. Weightman, NC, Simpson, EM, Speller, DCE, Mott, MG, Oakhill, A. Bacteraemia related to indwelling central venous catheters: prevention, diagnosis and treatment. Eur J Clin Microbiol Infect Dis 1988;7:125–129.Google Scholar
22. Ruderman, JW, Morgan, MA, Klein, AH. Quantitative blood cultures in the diagnosis of sepsis in infants with umbilical and Broviac catheters. J Pediatr 1988;112:748–751.Google Scholar
23. Fan, ST, Teoh-Chan, CH, Lau, KF. Evaluation of central venous catheter sepsis by differential quantitative blood culture. Eur J Clin Microbiol Infect Dis 1989;8:142–144.CrossRefGoogle ScholarPubMed
24. Paya, CV, Guerra, L, Marsh, HM, Farnell, MB, Washington, J, Thompson, RL. Limited usefulness of quantitative culture of blood drawn through the device for diagnosis of intravascular-device-related bacteremia. J Clin Microbiol 1989;27:1431–1433.CrossRefGoogle ScholarPubMed
25. Capdevila, JA, Planes, AM, Palomar, M, et al. Value of differential quantitative blood cultures in the diagnosis of catheter-related sepsis. Eur J Clin Microbiol Infect Dis 1992;11:403–407.CrossRefGoogle ScholarPubMed
26. Cooper, GL, Hopkins, CC. Rapid diagnosis of intravascular catheter-associated infection by direct Gram staining of catheter segments. N Engl J Med 1985;312:1142–1147.Google Scholar
27. Zufferey, J, Rime, B, Francioli, P, Bille, J. Simple method for rapid diagnosis of catheter-associated infection by direct acridine orange staining of catheter tips. J Clin Microbiol 1988;26:175–177.CrossRefGoogle ScholarPubMed
28. Larson, E, Horan, T, Kotilainen, HR, Landry, S, Terry, B. Study of the definitions of nosocomial infections. Am J Infect Control 1991;19:259–267.Google Scholar
29. Garner, JS, Jarvis, WR, Emori, TG, Horan, TC, Hughes, JM. CDC definitions for nosocomial infections, 1988. Am J Infect Control 1988;16:128–140.Google Scholar
30. Maki, DG, Ringer, M. Risk factors for infusion-related phlebitis with small peripheral catheters. Ann Intern Med 1991;114:845–854.Google Scholar
31. Hamory, BH. Nosocomial bloodstream and intravascular device-related infections. In: Wenzel, RP, ed. Prevention and Control of Nosocomial Infectiom. Baltimore, MD: Williams & Wilkins; 1987:283–319.Google Scholar
32. Centers for Disease Control. Postsurgical infections associated with an extrinsically contaminated intravenous anesthetic agent—California, Illinois, Maine, and Michigan, 1990. MMMWR 1990;39:426.Google Scholar
33. Sherertz, RJ, Gledhill, KS, Hampton, KD, et al. Outbreak of Candida bloodstream infections associated with retrograde medication administration in a neonatal intensive care unit. J Pediatr 1992;120:455–461.Google Scholar
34. Raviglione, MC, Battan, R, Pablos-Mendez, A, Aceves-Casillas, P, Mullen, MP, Taranta, A. Infections associated with Hickman catheters in patients with acquired immunodeficiency syndrome. Am J Med 1989;86:780–786.Google Scholar
35. Raad, I, Davis, S, Khan, A, Tarrand, J, Elting, L, Bodey, GP. Impact of central venous catheter removal on the recurrence of catheter-related coagulase negative staphylococcal bacteremia. Infect Control Hosp Epidemiol 1992;13:215–221.CrossRefGoogle ScholarPubMed
36. Pegues, D, Axelrod, P, McClarren, C, et al. Comparison of infections in Hickman and implanted port catheters in adult solid tumor patients. J Surg Oncol 1992;49:156–162.Google Scholar
37. Puntis, JWL, Holden, CE, Smallman, S, Finkel, Y, George, RH, Booth, IW. Staff training: a key factor in reducing intravascular catheter sepsis. Arch Dis Child 1990;65:335–337.Google Scholar
38. Selva, J, Toledo, A, Maroney, A, Forlenza, S. The value of participation in the CDC-National Nosocomial Infection Surveillance in a large teaching hospital. Presented at 16th Annual Educational Conference of Association of Practitioners in Infection Control; May 1989; Reno, NV. Am J Infect Control 1989;17:117.Google Scholar
39. Weightman, NC, Simpson, EM, Speller, DCE, Mott, MG, Oakhill, A. Bacteraemia related to indwelling central venous catheters: prevention, diagnosis and treatment. Eur J Clin Microbiol 1988;7:125–129.CrossRefGoogle ScholarPubMed
40. Sherertz, RJ, Falk, RJ, Huffman, KA, Thomann, CA, Mattern, WD. Infections associated with subclavian Uldall catheters. Arch Intern Med 1983;143:52–56.CrossRefGoogle ScholarPubMed
41. Hospital Infection Control Practices Advisory Committee. Centers for Disease Control and Prevention. Draft guideline for prevention of intravascular device-related infections; part 1, ‘Intravascular device-related infection: an overview,’ part 2, ‘Recommendations for prevention of intravascular device-related infections: notice of comment period.’ Am J Infect Control 1996;24:262–293.CrossRefGoogle Scholar