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Nosocomial blood-borne infection secondary to intravascular devices

D E Fry1, R V Fry, A P Borzotta

  • 1Department of Surgery, Case Western Reserve University, Cleveland, Ohio.

American Journal of Surgery
|February 1, 1994
PubMed

Insights

Intravascular device infections are often caused by Staphylococcus aureus and Staphylococcus epidermidis. Prompt catheter removal and antibiotic treatment are crucial for managing these serious blood-borne infections.

Area of Science:

  • Infectious Diseases
  • Medical Microbiology
  • Clinical Medicine

Background:

  • Intravascular devices are essential for patient care but pose a risk for blood-borne infections.
  • Nosocomial infections associated with intravascular devices are a significant clinical concern.

Purpose of the Study:

  • To investigate the incidence, causative organisms, and management of intravascular device-related infections.
  • To identify risk factors contributing to these infections.

Main Methods:

  • Retrospective analysis of 159 episodes of intravascular device-related infections in 143 patients.
  • Infections confirmed by matching blood cultures and catheter tip cultures.
  • Identification of predominant pathogens and infection sites.

Main Results:

  • Staphylococcus aureus (n=78) and Staphylococcus epidermidis (n=33) were the most common pathogens.
  • Peripheral venous lines (n=72) and central catheters (n=49) were the most frequent sites.
  • Excessive catheter dwell time was linked to infections in peripheral intravenous and arterial lines.

Conclusions:

  • Nosocomial staphylococcal bacteremia should be presumed secondary to intravascular devices.
  • Effective management includes catheter removal, potential vein excision, and targeted antibiotic therapy.

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