Epidural abscess complicating insertion of epidural catheters

Epidural abscess complicating insertion of epidural catheters

We present three cases of epidural abscess, all in patients in whom an epidural catheter had been inserted for postoperative pain management. In all three cases the infecting organism was Staphylococcus aureus and two patients had diabetes. The diagnosis was made within 3 days of epidural catheter r...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:British journal of anaesthesia : BJA 2002-11, Vol.89 (5), p.778-782
Hauptverfasser: Phillips, J.M.G., Stedeford, J.C., Hartsilver, E., Roberts, C.
Format: Artikel
Sprache:eng
Schlagworte:
anaesthesia
complications, epidural abscess
epidural
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 782
container_issue 5
container_start_page 778
container_title British journal of anaesthesia : BJA
container_volume 89
creator Phillips, J.M.G.
Stedeford, J.C.
Hartsilver, E.
Roberts, C.
description We present three cases of epidural abscess, all in patients in whom an epidural catheter had been inserted for postoperative pain management. In all three cases the infecting organism was Staphylococcus aureus and two patients had diabetes. The diagnosis was made within 3 days of epidural catheter removal in two cases, but in one the abscess did not present until after the patient had been discharged from hospital. We have retrospectively calculated the incidence of epidural abscess in our hospital over the 5-yr period 1993–98 to be 1 in 800 (0.12%). We emphasize the importance of using techniques that minimize the risk of bacterial contamination during both catheter placement and the management of infusion, and seek to raise awareness of this relatively rare but significant condition.
doi_str_mv 10.1093/bja/aef260
format Article
fullrecord <record><control><sourceid>elsevier</sourceid><recordid>TN_cdi_elsevier_sciencedirect_doi_10_1093_bja_aef260</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0007091217370368</els_id><sourcerecordid>S0007091217370368</sourcerecordid><originalsourceid>FETCH-LOGICAL-e195t-70b1b5de8ee1f117131c7ec669116dfb1845ea556769bb7d6f0e4a4631286e2e3</originalsourceid><addsrcrecordid>eNo1kM1KxDAUhYMoWEc3PkFfoM69TZM0CxcyjI4w4EbXIT83mqG2Q1J9fiujq7M4h-_Ax9gtwh2C5mt3sGtLsZVwxirsFDZSKTxnFQCoBjS2l-yqlAMAqlaLit1vjyl8ZTvU1hVPpdR--jwOyds5je91GgvlOU1jPcWa_qdL-UEz5XLNLqIdCt385Yq9PW5fN7tm__L0vHnYN4RazI0Ch04E6okwIirk6BV5KTWiDNFh3wmyQkgltXMqyAjU2U5ybHtJLfEV605cWk6-E2VTfKLRU0iZ_GzClAyC-VVgFgXmpID_AEHDUO0</addsrcrecordid><sourcetype>Publisher</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>Epidural abscess complicating insertion of epidural catheters</title><source>EZB-FREE-00999 freely available EZB journals</source><source>Alma/SFX Local Collection</source><creator>Phillips, J.M.G. ; Stedeford, J.C. ; Hartsilver, E. ; Roberts, C.</creator><creatorcontrib>Phillips, J.M.G. ; Stedeford, J.C. ; Hartsilver, E. ; Roberts, C.</creatorcontrib><description>We present three cases of epidural abscess, all in patients in whom an epidural catheter had been inserted for postoperative pain management. In all three cases the infecting organism was Staphylococcus aureus and two patients had diabetes. The diagnosis was made within 3 days of epidural catheter removal in two cases, but in one the abscess did not present until after the patient had been discharged from hospital. We have retrospectively calculated the incidence of epidural abscess in our hospital over the 5-yr period 1993–98 to be 1 in 800 (0.12%). We emphasize the importance of using techniques that minimize the risk of bacterial contamination during both catheter placement and the management of infusion, and seek to raise awareness of this relatively rare but significant condition.</description><identifier>ISSN: 0007-0912</identifier><identifier>EISSN: 1471-6771</identifier><identifier>DOI: 10.1093/bja/aef260</identifier><language>eng</language><publisher>Elsevier Ltd</publisher><subject>anaesthesia ; complications, epidural abscess ; epidural</subject><ispartof>British journal of anaesthesia : BJA, 2002-11, Vol.89 (5), p.778-782</ispartof><rights>2002 British Journal of Anaesthesia</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids></links><search><creatorcontrib>Phillips, J.M.G.</creatorcontrib><creatorcontrib>Stedeford, J.C.</creatorcontrib><creatorcontrib>Hartsilver, E.</creatorcontrib><creatorcontrib>Roberts, C.</creatorcontrib><title>Epidural abscess complicating insertion of epidural catheters</title><title>British journal of anaesthesia : BJA</title><description>We present three cases of epidural abscess, all in patients in whom an epidural catheter had been inserted for postoperative pain management. In all three cases the infecting organism was Staphylococcus aureus and two patients had diabetes. The diagnosis was made within 3 days of epidural catheter removal in two cases, but in one the abscess did not present until after the patient had been discharged from hospital. We have retrospectively calculated the incidence of epidural abscess in our hospital over the 5-yr period 1993–98 to be 1 in 800 (0.12%). We emphasize the importance of using techniques that minimize the risk of bacterial contamination during both catheter placement and the management of infusion, and seek to raise awareness of this relatively rare but significant condition.</description><subject>anaesthesia</subject><subject>complications, epidural abscess</subject><subject>epidural</subject><issn>0007-0912</issn><issn>1471-6771</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><recordid>eNo1kM1KxDAUhYMoWEc3PkFfoM69TZM0CxcyjI4w4EbXIT83mqG2Q1J9fiujq7M4h-_Ax9gtwh2C5mt3sGtLsZVwxirsFDZSKTxnFQCoBjS2l-yqlAMAqlaLit1vjyl8ZTvU1hVPpdR--jwOyds5je91GgvlOU1jPcWa_qdL-UEz5XLNLqIdCt385Yq9PW5fN7tm__L0vHnYN4RazI0Ch04E6okwIirk6BV5KTWiDNFh3wmyQkgltXMqyAjU2U5ybHtJLfEV605cWk6-E2VTfKLRU0iZ_GzClAyC-VVgFgXmpID_AEHDUO0</recordid><startdate>20021101</startdate><enddate>20021101</enddate><creator>Phillips, J.M.G.</creator><creator>Stedeford, J.C.</creator><creator>Hartsilver, E.</creator><creator>Roberts, C.</creator><general>Elsevier Ltd</general><scope>6I.</scope><scope>AAFTH</scope></search><sort><creationdate>20021101</creationdate><title>Epidural abscess complicating insertion of epidural catheters</title><author>Phillips, J.M.G. ; Stedeford, J.C. ; Hartsilver, E. ; Roberts, C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-e195t-70b1b5de8ee1f117131c7ec669116dfb1845ea556769bb7d6f0e4a4631286e2e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>anaesthesia</topic><topic>complications, epidural abscess</topic><topic>epidural</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Phillips, J.M.G.</creatorcontrib><creatorcontrib>Stedeford, J.C.</creatorcontrib><creatorcontrib>Hartsilver, E.</creatorcontrib><creatorcontrib>Roberts, C.</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><jtitle>British journal of anaesthesia : BJA</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Phillips, J.M.G.</au><au>Stedeford, J.C.</au><au>Hartsilver, E.</au><au>Roberts, C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Epidural abscess complicating insertion of epidural catheters</atitle><jtitle>British journal of anaesthesia : BJA</jtitle><date>2002-11-01</date><risdate>2002</risdate><volume>89</volume><issue>5</issue><spage>778</spage><epage>782</epage><pages>778-782</pages><issn>0007-0912</issn><eissn>1471-6771</eissn><abstract>We present three cases of epidural abscess, all in patients in whom an epidural catheter had been inserted for postoperative pain management. In all three cases the infecting organism was Staphylococcus aureus and two patients had diabetes. The diagnosis was made within 3 days of epidural catheter removal in two cases, but in one the abscess did not present until after the patient had been discharged from hospital. We have retrospectively calculated the incidence of epidural abscess in our hospital over the 5-yr period 1993–98 to be 1 in 800 (0.12%). We emphasize the importance of using techniques that minimize the risk of bacterial contamination during both catheter placement and the management of infusion, and seek to raise awareness of this relatively rare but significant condition.</abstract><pub>Elsevier Ltd</pub><doi>10.1093/bja/aef260</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0007-0912
ispartof British journal of anaesthesia : BJA, 2002-11, Vol.89 (5), p.778-782
issn 0007-0912
1471-6771
language eng
recordid cdi_elsevier_sciencedirect_doi_10_1093_bja_aef260
source EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection
subjects anaesthesia
complications, epidural abscess
epidural
title Epidural abscess complicating insertion of epidural catheters
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-27T18%3A32%3A47IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-elsevier&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Epidural%20abscess%20complicating%20insertion%20of%20epidural%20catheters&rft.jtitle=British%20journal%20of%20anaesthesia%20:%20BJA&rft.au=Phillips,%20J.M.G.&rft.date=2002-11-01&rft.volume=89&rft.issue=5&rft.spage=778&rft.epage=782&rft.pages=778-782&rft.issn=0007-0912&rft.eissn=1471-6771&rft_id=info:doi/10.1093/bja/aef260&rft_dat=%3Celsevier%3ES0007091217370368%3C/elsevier%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_id=info:pmid/&rft_els_id=S0007091217370368&rfr_iscdi=true