Central Catheter-Related Infections: Comparison of Pulmonary Artery Catheters and Triple Lumen Catheters for the Delivery of Hyperalimentation in a Critical Care Setting

Central Catheter-Related Infections: Comparison of Pulmonary Artery Catheters and Triple Lumen Catheters for the Delivery of Hyperalimentation in a Critical Care Setting

We prospectively studied the risk of catheter-related sepsis (CRS) in 75 critically ill patients who received total parenteral nutrition (TPN) through 158 pulmonary artery catheters (PACs) and 214 triple-lumen catheters (TLCs). We relied on semiquantitative cultures of the catheter tips, peripheral...

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Veröffentlicht in:JPEN. Journal of parenteral and enteral nutrition 1990-11, Vol.14 (6), p.588-592
Hauptverfasser: Horowitz, Harold W., Dworkin, Brad M., Savino, John A., Byrne, Daniel W., Pecora, Nanette A.
Format: Artikel
Sprache:eng
Schlagworte:
Adult
Aged
Aged, 80 and over
Bacterial Infections - etiology
Catheterization, Central Venous
Catheters, Indwelling
Critical Care
Female
Humans
Male
Middle Aged
Parenteral Nutrition, Total
Prospective Studies
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Zusammenfassung:We prospectively studied the risk of catheter-related sepsis (CRS) in 75 critically ill patients who received total parenteral nutrition (TPN) through 158 pulmonary artery catheters (PACs) and 214 triple-lumen catheters (TLCs). We relied on semiquantitative cultures of the catheter tips, peripheral blood cultures in febrile patients and clinical response to catheter removal to diagnose catheter-related sepsis. The infection rate was 2.5% (4/158) of PACs and 6.5% (14/214) of TLCs (p=0.124). Colonization rates were 29.1% for PACs and 32% for TLCs. PACs were left in place a significantly shorter length of time than TLCs, 3.1 vs 5.1 days (p
ISSN:0148-6071
1941-2444
DOI:10.1177/0148607190014006588