Related Experiment Videos
Bloodstream infections after invasive nonsurgical cardiologic procedures
P Muñoz1, J R Blanco, M Rodríguez-Creixéms
1Servicio de Microbiología, Hospital General Universitario "Gregorio Marañón," Doctor Esquerdo 47, Madrid 28006, Spain. pmunoz@micro.hggm.es
Archives of Internal Medicine
|September 26, 2001
Summary
Bloodstream infections (BSIs) are a rare but serious complication of invasive cardiologic procedures (ICPs). Elderly patients with congestive heart failure face a higher risk of post-procedure bacteremia.
Area of Science:
- Cardiology
- Infectious Diseases
- Public Health
Background:
- Invasive cardiologic procedures (ICPs) are common but can lead to bloodstream infections (BSIs).
- Understanding the incidence and risk factors for BSIs post-ICP is crucial for patient safety.
Purpose of the Study:
- To determine the incidence, risk factors, and characteristics of bloodstream infections (BSIs) following invasive cardiologic procedures (ICPs).
Main Methods:
- A retrospective case-control study was conducted.
- Multivariate analysis was used to identify independent risk factors.
Main Results:
- The overall incidence of bacteremia after ICPs was 0.11% (25 cases out of 22,006 procedures).
- Independent risk factors for BSI included congestive heart failure (OR, 21) and age over 60 (OR, 1.9).
- Gram-negative bacteria were the most common cause (68%), and BSIs significantly increased hospital stay and mortality.
Conclusions:
- Bloodstream infection is a potential complication of ICPs that requires consideration.
- Elderly patients with recent congestive heart failure are a high-risk subgroup for post-ICP bacteremia.
- Empirical antimicrobial therapy targeting both gram-positive and gram-negative organisms should be considered in patients with suspected post-ICP infection.