Catheter-related bloodstream infection in adult haematology patients: Catheter removal practice and outcome

V.M. Coyle, T.C.M. Morris, R. McMullan, P.J. Rooney, S. Hedderwick

Research output: Contribution to journalArticlepeer-review

28 Citations (Scopus)

Abstract

The aim of the present study was to describe the practice of central venous catheter (CVC) removal and outcomes of catheter-related bloodstream infection (CR-BSI) in adult haematology patients. Patients were identified retrospectively according to diagnosis coding of inpatient episodes and evaluated when, on examination of medical records, there had been evidence of sepsis with strong clinical suspicion that the source was the CVC. Demographic and bacteriological data, as well as therapeutic measures and clinical outcomes, were recorded. One hundred and three patient episodes were evaluated. The most frequent type of CVC was the Hickman catheter and the most frequently isolated pathogen was coagulase-negative staphylococci. Twenty-five percent of episodes were managed with catheter removal. Treatment failure, defined as recurrence of infection within 90 days or mortality attributed to sepsis within 30 days, occurred significantly more frequently in the group managed without catheter removal (52.5% versus 4%, P
Original languageEnglish
Pages (from-to)325-331
Number of pages7
JournalJournal of Hospital Infection
Volume57
Issue number4
DOIs
Publication statusPublished - 01 Aug 2004

ASJC Scopus subject areas

  • Applied Microbiology and Biotechnology
  • Microbiology
  • Parasitology
  • Virology
  • Immunology and Allergy
  • Infectious Diseases

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