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

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...

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Bibliographic Details
Published in:The Journal of hospital infection 2004-08, Vol.57 (4), p.325-331
Main Authors: Coyle, V.M, McMullan, R, Morris, T.C.M, Rooney, P.J, Hedderwick, S
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Bacterial diseases
Bacterial sepsis
Biological and medical sciences
Catheterization, Central Venous - adverse effects
Catheters, Indwelling - adverse effects
Central venous catheter
Cross Infection - epidemiology
Cross Infection - etiology
Cross Infection - prevention & control
Female
Haematological diseases
Hematologic Diseases - complications
Hematologic Diseases - therapy
Hospital Mortality
Hospitals, University
Hospitals, Urban
Human bacterial diseases
Humans
Incidence
Infection and bacteraemia
Infection Control - methods
Infection Control - standards
Infectious diseases
Length of Stay - statistics & numerical data
Male
Medical sciences
Middle Aged
Northern Ireland - epidemiology
Outcome Assessment (Health Care)
Recurrence
Retrospective Studies
Risk Factors
Sepsis - epidemiology
Sepsis - etiology
Sepsis - prevention & control
Treatment Failure
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Summary: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
ISSN:0195-6701
1532-2939
DOI:10.1016/j.jhin.2004.04.007