Catheter infection risk related to the distance between insertion site and burned area
A prospective observational study of central venous catheters (CVC) was carried out in order to determine if a CVC inserted near an open burn wound increases catheter infection risk in burned patients. The study was carried out during a 12-month period (1998-1999) at the Benaim Foundation's Bur...
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| Veröffentlicht in: | Journal of burn care & rehabilitation 2002-07, Vol.23 (4), p.266-271 |
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| container_title | Journal of burn care & rehabilitation |
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| creator | RAMOS, Guillermo E BOLGIANI, Alberto N PATINO, Osvaldo PREZZAVENTO, Gustavo E GUASTAVINO, Paula DURLACH, Ricardo FERNANDEZ CANIGIA, Liliana B BENAIM, Fortunato |
| description | A prospective observational study of central venous catheters (CVC) was carried out in order to determine if a CVC inserted near an open burn wound increases catheter infection risk in burned patients. The study was carried out during a 12-month period (1998-1999) at the Benaim Foundation's Burn Unit in Buenos Aires (C.E.P.A.Q.). Eighty-three CVCs were inserted in 20 burned patients during the study period. Twenty-six catheters were inserted near an open wound (NOW) and 57 far from an open wound (FOW). NOW CVCs were considered when 25 cm2 surrounding the catheter's insertion site overlapped the wound. Colonization rates were 84% (22/26 CVCs) in those inserted NOW and 47% (27/57 CVCs) in FOW (P = 0.001). Colonization relative risk of NOW-CVCs was 1.79 (95% confidence interval, 1.3-2.46). Bacteremia rates were 27% (7/26 CVCs) in CVCs inserted NOW and 6% (3/57 CVCs) in FOW (P = 0.004). Bacteremic risk of NOW-CVCs was 5.12 (95% confidence interval, 1.44-18.22). Colonization rates were higher and sooner in NOW-CVCs than in FOW-CVCs. We suggest that insertion of catheters near an open burn wound should be avoided and, if inevitable, should not be left in place for period exceeding 3 days. |
| doi_str_mv | 10.1097/00004630-200207000-00007 |
| format | Article |
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The study was carried out during a 12-month period (1998-1999) at the Benaim Foundation's Burn Unit in Buenos Aires (C.E.P.A.Q.). Eighty-three CVCs were inserted in 20 burned patients during the study period. Twenty-six catheters were inserted near an open wound (NOW) and 57 far from an open wound (FOW). NOW CVCs were considered when 25 cm2 surrounding the catheter's insertion site overlapped the wound. Colonization rates were 84% (22/26 CVCs) in those inserted NOW and 47% (27/57 CVCs) in FOW (P = 0.001). Colonization relative risk of NOW-CVCs was 1.79 (95% confidence interval, 1.3-2.46). Bacteremia rates were 27% (7/26 CVCs) in CVCs inserted NOW and 6% (3/57 CVCs) in FOW (P = 0.004). Bacteremic risk of NOW-CVCs was 5.12 (95% confidence interval, 1.44-18.22). Colonization rates were higher and sooner in NOW-CVCs than in FOW-CVCs. We suggest that insertion of catheters near an open burn wound should be avoided and, if inevitable, should not be left in place for period exceeding 3 days.</description><identifier>ISSN: 0273-8481</identifier><identifier>EISSN: 1534-5939</identifier><identifier>DOI: 10.1097/00004630-200207000-00007</identifier><identifier>PMID: 12142579</identifier><identifier>CODEN: JBCRD2</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Bacteremia - etiology ; Bacterial Infections - etiology ; Biological and medical sciences ; Burns - complications ; Catheterization, Central Venous - adverse effects ; Child ; Emergency and intensive postoperative care (general aspects). Pathophysiology of surgery ; Female ; Humans ; Intensive care medicine ; Male ; Medical sciences ; Middle Aged ; Prospective Studies ; Risk Factors ; Time Factors</subject><ispartof>Journal of burn care & rehabilitation, 2002-07, Vol.23 (4), p.266-271</ispartof><rights>2002 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c436t-a0baf6893ce42355013e06282da6cb067fe32ae4c5fd4fe67952c551c713b3683</citedby><cites>FETCH-LOGICAL-c436t-a0baf6893ce42355013e06282da6cb067fe32ae4c5fd4fe67952c551c713b3683</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=13803913$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12142579$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>RAMOS, Guillermo E</creatorcontrib><creatorcontrib>BOLGIANI, Alberto N</creatorcontrib><creatorcontrib>PATINO, Osvaldo</creatorcontrib><creatorcontrib>PREZZAVENTO, Gustavo E</creatorcontrib><creatorcontrib>GUASTAVINO, Paula</creatorcontrib><creatorcontrib>DURLACH, Ricardo</creatorcontrib><creatorcontrib>FERNANDEZ CANIGIA, Liliana B</creatorcontrib><creatorcontrib>BENAIM, Fortunato</creatorcontrib><title>Catheter infection risk related to the distance between insertion site and burned area</title><title>Journal of burn care & rehabilitation</title><addtitle>J Burn Care Rehabil</addtitle><description>A prospective observational study of central venous catheters (CVC) was carried out in order to determine if a CVC inserted near an open burn wound increases catheter infection risk in burned patients. The study was carried out during a 12-month period (1998-1999) at the Benaim Foundation's Burn Unit in Buenos Aires (C.E.P.A.Q.). Eighty-three CVCs were inserted in 20 burned patients during the study period. Twenty-six catheters were inserted near an open wound (NOW) and 57 far from an open wound (FOW). NOW CVCs were considered when 25 cm2 surrounding the catheter's insertion site overlapped the wound. Colonization rates were 84% (22/26 CVCs) in those inserted NOW and 47% (27/57 CVCs) in FOW (P = 0.001). Colonization relative risk of NOW-CVCs was 1.79 (95% confidence interval, 1.3-2.46). Bacteremia rates were 27% (7/26 CVCs) in CVCs inserted NOW and 6% (3/57 CVCs) in FOW (P = 0.004). Bacteremic risk of NOW-CVCs was 5.12 (95% confidence interval, 1.44-18.22). Colonization rates were higher and sooner in NOW-CVCs than in FOW-CVCs. We suggest that insertion of catheters near an open burn wound should be avoided and, if inevitable, should not be left in place for period exceeding 3 days.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Bacteremia - etiology</subject><subject>Bacterial Infections - etiology</subject><subject>Biological and medical sciences</subject><subject>Burns - complications</subject><subject>Catheterization, Central Venous - adverse effects</subject><subject>Child</subject><subject>Emergency and intensive postoperative care (general aspects). Pathophysiology of surgery</subject><subject>Female</subject><subject>Humans</subject><subject>Intensive care medicine</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Prospective Studies</subject><subject>Risk Factors</subject><subject>Time Factors</subject><issn>0273-8481</issn><issn>1534-5939</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkE1Lw0AQhhdRbK3-BdmL3qKz39mjFL-g4EW9hs1mgtE0qbsbxH9v2kadyzDD887AQwhlcMXAmmsYS2oBGQfgYMYp267MAZkzJWSmrLCHZA7ciCyXOZuRkxjfAZg1Wh2TGeNMcmXsnLwuXXrDhIE2XY0-NX1HQxM_aMDWJaxo6ukI0KqJyXUeaYnpC7Eb8Yhhh8cmIXVdRcshdGPCBXSn5Kh2bcSzqS_Iy93t8_IhWz3dPy5vVpmXQqfMQelqnVvhUXKhFDCBoHnOK6d9CdrUKLhD6VVdyRq1sYp7pZg3TJRC52JBLvd3N6H_HDCmYt1Ej23rOuyHWBhmpYYdmO9BH_oYA9bFJjRrF74LBsXWafHrtPhzuluZMXo-_RjKNVb_wUniCFxMgIvetXUYRTXxnxM5CMuE-AHwNX6V</recordid><startdate>20020701</startdate><enddate>20020701</enddate><creator>RAMOS, Guillermo E</creator><creator>BOLGIANI, Alberto N</creator><creator>PATINO, Osvaldo</creator><creator>PREZZAVENTO, Gustavo E</creator><creator>GUASTAVINO, Paula</creator><creator>DURLACH, Ricardo</creator><creator>FERNANDEZ CANIGIA, Liliana B</creator><creator>BENAIM, Fortunato</creator><general>Lippincott Williams & Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20020701</creationdate><title>Catheter infection risk related to the distance between insertion site and burned area</title><author>RAMOS, Guillermo E ; BOLGIANI, Alberto N ; PATINO, Osvaldo ; PREZZAVENTO, Gustavo E ; GUASTAVINO, Paula ; DURLACH, Ricardo ; FERNANDEZ CANIGIA, Liliana B ; BENAIM, Fortunato</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c436t-a0baf6893ce42355013e06282da6cb067fe32ae4c5fd4fe67952c551c713b3683</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Bacteremia - etiology</topic><topic>Bacterial Infections - etiology</topic><topic>Biological and medical sciences</topic><topic>Burns - complications</topic><topic>Catheterization, Central Venous - adverse effects</topic><topic>Child</topic><topic>Emergency and intensive postoperative care (general aspects). Pathophysiology of surgery</topic><topic>Female</topic><topic>Humans</topic><topic>Intensive care medicine</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Prospective Studies</topic><topic>Risk Factors</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>RAMOS, Guillermo E</creatorcontrib><creatorcontrib>BOLGIANI, Alberto N</creatorcontrib><creatorcontrib>PATINO, Osvaldo</creatorcontrib><creatorcontrib>PREZZAVENTO, Gustavo E</creatorcontrib><creatorcontrib>GUASTAVINO, Paula</creatorcontrib><creatorcontrib>DURLACH, Ricardo</creatorcontrib><creatorcontrib>FERNANDEZ CANIGIA, Liliana B</creatorcontrib><creatorcontrib>BENAIM, Fortunato</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of burn care & rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>RAMOS, Guillermo E</au><au>BOLGIANI, Alberto N</au><au>PATINO, Osvaldo</au><au>PREZZAVENTO, Gustavo E</au><au>GUASTAVINO, Paula</au><au>DURLACH, Ricardo</au><au>FERNANDEZ CANIGIA, Liliana B</au><au>BENAIM, Fortunato</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Catheter infection risk related to the distance between insertion site and burned area</atitle><jtitle>Journal of burn care & rehabilitation</jtitle><addtitle>J Burn Care Rehabil</addtitle><date>2002-07-01</date><risdate>2002</risdate><volume>23</volume><issue>4</issue><spage>266</spage><epage>271</epage><pages>266-271</pages><issn>0273-8481</issn><eissn>1534-5939</eissn><coden>JBCRD2</coden><abstract>A prospective observational study of central venous catheters (CVC) was carried out in order to determine if a CVC inserted near an open burn wound increases catheter infection risk in burned patients. The study was carried out during a 12-month period (1998-1999) at the Benaim Foundation's Burn Unit in Buenos Aires (C.E.P.A.Q.). Eighty-three CVCs were inserted in 20 burned patients during the study period. Twenty-six catheters were inserted near an open wound (NOW) and 57 far from an open wound (FOW). NOW CVCs were considered when 25 cm2 surrounding the catheter's insertion site overlapped the wound. Colonization rates were 84% (22/26 CVCs) in those inserted NOW and 47% (27/57 CVCs) in FOW (P = 0.001). Colonization relative risk of NOW-CVCs was 1.79 (95% confidence interval, 1.3-2.46). Bacteremia rates were 27% (7/26 CVCs) in CVCs inserted NOW and 6% (3/57 CVCs) in FOW (P = 0.004). Bacteremic risk of NOW-CVCs was 5.12 (95% confidence interval, 1.44-18.22). Colonization rates were higher and sooner in NOW-CVCs than in FOW-CVCs. We suggest that insertion of catheters near an open burn wound should be avoided and, if inevitable, should not be left in place for period exceeding 3 days.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins</pub><pmid>12142579</pmid><doi>10.1097/00004630-200207000-00007</doi><tpages>6</tpages></addata></record> |
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| ispartof | Journal of burn care & rehabilitation, 2002-07, Vol.23 (4), p.266-271 |
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| source | Oxford University Press Journals All Titles (1996-Current); MEDLINE; Journals@Ovid Complete |
| subjects | Adolescent Adult Aged Aged, 80 and over Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Bacteremia - etiology Bacterial Infections - etiology Biological and medical sciences Burns - complications Catheterization, Central Venous - adverse effects Child Emergency and intensive postoperative care (general aspects). Pathophysiology of surgery Female Humans Intensive care medicine Male Medical sciences Middle Aged Prospective Studies Risk Factors Time Factors |
| title | Catheter infection risk related to the distance between insertion site and burned area |
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