INTRAVASCULAR CATHETER EXCHANGE AND DURATION OF CANDIDEMIA

被引:188
作者
REX, JH
BENNETT, JE
SUGAR, AM
PAPPAS, PG
SERODY, J
EDWARDS, JE
WASHBURN, RG
机构
[1] NIAID, CLIN INVEST LAB, BETHESDA, MD 20892 USA
[2] BOSTON UNIV, HOSP MED CTR, BOSTON, MA 02215 USA
[3] UNIV ALABAMA, BIRMINGHAM, AL USA
[4] UNIV N CAROLINA, CHAPEL HILL, NC USA
[5] WAKE FOREST UNIV, BOWMAN GRAY SCH MED, WINSTON SALEM, NC USA
[6] UNIV CALIF LOS ANGELES, HARBOR MED CTR, TORRANCE, CA 90509 USA
关键词
D O I
10.1093/clinids/21.4.994
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
During a comparative trial of amphotericin B vs, fluconazole for treatment of candidemia in nonneutropenic patients, data on the management of intravascular catheters were collected, Complete records were available for 91% of the 206 study patients, For the subset of patients with a catheter in place at the time of their first positive blood culture, removal and replacement of all intravascular catheters without exchange over a guidewire from a preexisting line on or before the first day the study drug was administered were associated with a reduction in the subsequent mean duration (+/- SE) of candidemia, from 5.6 +/- 0.8 days to 2.6 +/- 0.5 days (P < .001).
引用
收藏
页码:994 / 996
页数:3
相关论文
共 8 条
[1]   CANDIDEMIA IN CHILDREN WITH CENTRAL VENOUS CATHETERS - ROLE OF CATHETER REMOVAL AND AMPHOTERICIN-B THERAPY [J].
DATO, VM ;
DAJANI, AS .
PEDIATRIC INFECTIOUS DISEASE JOURNAL, 1990, 9 (05) :309-314
[2]   CANDIDEMIA IN A TERTIARY CARE HOSPITAL - EPIDEMIOLOGY, RISK-FACTORS, AND PREDICTORS OF MORTALITY [J].
FRASER, VJ ;
JONES, M ;
DUNKEL, J ;
STORFER, S ;
MEDOFF, G ;
DUNAGAN, WC .
CLINICAL INFECTIOUS DISEASES, 1992, 15 (03) :414-421
[3]   APACHE-II - A SEVERITY OF DISEASE CLASSIFICATION-SYSTEM [J].
KNAUS, WA ;
DRAPER, EA ;
WAGNER, DP ;
ZIMMERMAN, JE .
CRITICAL CARE MEDICINE, 1985, 13 (10) :818-829
[4]  
KOMSHIAN SV, 1989, REV INFECT DIS, V11, P379
[5]  
KULAK K, 1992, 32ND INT C ANT AG CH
[6]   VASCULAR CATHETER ASSOCIATED FUNGEMIA IN PATIENTS WITH CANCER - ANALYSIS OF 155 EPISODES [J].
LECCIONES, JA ;
LEE, JW ;
NAVARRO, EE ;
WITEBSKY, FG ;
MARSHALL, D ;
STEINBERG, SM ;
PIZZO, PA ;
WALSH, TJ .
CLINICAL INFECTIOUS DISEASES, 1992, 14 (04) :875-883
[7]   A RANDOMIZED TRIAL COMPARING FLUCONAZOLE WITH AMPHOTERICIN-B FOR THE TREATMENT OF CANDIDEMIA IN PATIENTS WITHOUT NEUTROPENIA [J].
REX, JH ;
BENNETT, JE ;
SUGAR, AM ;
PAPPAS, PG ;
VANDERHORST, CM ;
EDWARDS, JE ;
WASHBURN, RG ;
SCHELD, WM ;
KARCHMER, AW ;
DINE, AP ;
LEVENSTEIN, MJ ;
WEBB, CD .
NEW ENGLAND JOURNAL OF MEDICINE, 1994, 331 (20) :1325-1330
[8]   QUANTITATIVE BLOOD CULTURES IN CANDIDEMIA [J].
TELENTI, A ;
STECKELBERG, JM ;
STOCKMAN, L ;
EDSON, RS ;
ROBERTS, GD .
MAYO CLINIC PROCEEDINGS, 1991, 66 (11) :1120-1123