Factors associated with recurrence of catheter-related bloodstream infections in home parenteral nutrition patients

被引：12

作者：

Beraud, G. ^{[1
,2
]}

Seguy, D. ^{[3
]}

Alfandari, S. ^{[4
]}

Lenne, X. ^{[5
]}

Leburgue, F. ^{[6
]}

Faure, K. ^{[6
]}

Guery, B. ^{[6
]}

机构：

[1] Ctr Hosp Univ Poitiers, Serv Med Interne & Malad Infect, F-86021 Poitiers, France

[2] CHU Poitiers, Serv Med Interne & Malad Infect, F-86000 Poitiers, France

[3] Univ Lille Nord France, Serv Nutr, EA2694, F-59000 Lille, France

[4] Hop Dron, Serv Malad Infect, Tourcoing, France

[5] CHRU Lille, Dept Informat Med, F-59000 Lille, France

[6] CHRU Lille, Serv Malad Infect, F-59000 Lille, France

来源：

EUROPEAN JOURNAL OF CLINICAL MICROBIOLOGY & INFECTIOUS DISEASES | 2012年 / 31卷 / 11期

关键词：

MANAGEMENT; BACTEREMIA; SEPSIS; RISK;

D O I：

10.1007/s10096-012-1643-5

中图分类号：

R51 [传染病];

学科分类号：

100401 ;

摘要：

Blood cultures from outpatients receiving home parenteral nutrition (HPN) via long-term central venous access (CVA) were retrospectively analyzed from January 2003 to May 2009. When infection of the CVA was not due to Staphylococcus aureus, Pseudomonas aeruginosa, or Candida, catheter salvage was attempted for a maximum of three consecutive infections on the same CVA. Factors influencing the time-to-next-infection were studied, whether the catheter was changed after the last infection or not. Neither the McCabe score, age, history of cancer, diabetes mellitus nor immunosuppression, curative antibiotic lock, type of bacteria, type or duration of treatment had an influence on the time-to-next-infection. The time-to-next-infection was significantly associated with the status of CVA (saved or changed) and its type (tunneled catheter with or without a cuff, or implanted port catheter).

引用

页码：2929 / 2933

页数：5

共 12 条

[1] Central venous catheter complications in 447 patients on home parenteral nutrition: an analysis of over 100.000 catheter days [J].