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Related Experiment Videos

Intravascular catheter colonization in critically ill children

T A Schlager1, M Hidde, P Rodger

  • 1University of Virginia HSC, Department of Pediatrics, Charlottesville 22908, USA.

Infection Control and Hospital Epidemiology
|May 1, 1997
PubMed
Summary

Intensive care unit intravascular catheters showed a 30% colonization rate, primarily with coagulase-negative staphylococci. However, catheter-related bacteremia remained low at 2%.

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Area of Science:

  • Pediatric Intensive Care
  • Infectious Diseases
  • Medical Device Infections

Background:

  • Intravascular catheters are essential in intensive care units but pose infection risks.
  • Catheter colonization is a known precursor to catheter-related bloodstream infections.

Purpose of the Study:

  • To determine the rate of intravascular catheter colonization in a pediatric intensive care unit.
  • To assess the incidence of catheter-related bacteremia in this population.

Main Methods:

  • Prospective study design.
  • Cultures obtained from all removed intravascular catheters.
  • Microbiological analysis to identify colonizing organisms.

Main Results:

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  • 366 catheters from 217 children were analyzed.
  • 110 catheters (30%) demonstrated microbial colonization.
  • Coagulase-negative staphylococci were the most frequent colonizing bacteria.
  • Only 9 cases (2%) of catheter-related bacteremia were identified.
  • Conclusions:

    • A significant proportion of pediatric intensive care unit catheters become colonized.
    • The rate of catheter-related bacteremia is relatively low despite high colonization rates.
    • Further research may explore preventative strategies for catheter colonization.