Molecular investigation of bacterial communities on the inner and outer surfaces of peripheral venous catheters

L Zhang1, M Morrison, G R Nimmo

  • 1Research Centre for Clinical and Community Practice Innovation, Griffith University, Brisbane, Australia. li.zhang@griffith.edu.au

Insights

Peripheral venous catheters (PVCs) harbor complex bacterial communities on both inner and outer surfaces, differing significantly with antibiotic treatment. This challenges previous assumptions about PVC-related infections.

Area of Science:

  • Medical Microbiology
  • Infectious Diseases
  • Biotechnology

Background:

  • Peripheral venous catheters (PVCs) are crucial medical devices, but PVC-related infections elevate patient morbidity and healthcare costs.
  • The bacterial populations on the inner surfaces of PVCs are seldom studied, with a prevailing belief that they mirror external surface bacteria.

Purpose of the Study:

  • To investigate the hypothesis that inner and outer PVC surfaces harbor similar bacterial communities.
  • To analyze the impact of antibiotic therapy on the bacterial composition of PVC surfaces.

Main Methods:

  • 16S rRNA gene sequencing (454 GS FLX Titanium) and traditional culture methods were employed.
  • Inner and outer surfaces of PVCs from 15 patients were analyzed.
  • Bacterial communities were compared between antibiotic-treated and untreated patient groups.

Main Results:

  • Culture methods detected no PVC colonization or patient bacteremia.
  • High-throughput sequencing revealed diverse bacterial communities (14 phyla, 268 genera) on PVCs, even with antibiotic use.
  • Stenotrophomonas maltophilia was the dominant species across all samples.
  • Bacterial communities on PVCs from antibiotic-treated patients showed significant differences compared to untreated patients.

Conclusions:

  • PVC surfaces harbor complex and diverse bacterial communities, contrary to prior assumptions.
  • Antibiotic treatment significantly alters the bacterial landscape on PVCs.
  • These findings necessitate a re-evaluation of the understanding and management of PVC-related infections.