Catheter Related Bloodstream Infection (CR-BSI) in ICU Patients: Making the Decision to Remove or Not to Remove the Central Venous Catheter
作者： Rodrigo Octávio Deliberato , Alexandre R. Marra , Thiago Domingos Corrêa , Marinês Dalla Vale Martino , Luci Correa
DOI: 10.1371/JOURNAL.PONE.0032687
关键词:
摘要: Background Approximately 150 million central venous catheters (CVC) are used each year in the United States. Catheter-related bloodstream infections (CR-BSI) one of most important complications (CVCs). Our objective was to compare in-hospital mortality when catheter is removed or not patients with CR-BSI. Methods We reviewed all episodes CR-BSI that occurred our intensive care unit (ICU) from January 2000 December 2008. The standard method defined as a patient CVC and at least positive blood culture obtained peripheral vein semi quantitative (>15 CFU) segment where same organism isolated. conservative following: (1) differential time period versus positivity more than 2 hours, (2) simultaneous 5∶1 ratio (CVC peripheral). Results 53 (37 diagnosed by 16 method) were during study period. There no statistically significant difference for (57% vs. 75%, p = 0.208) ICU patients. Conclusion In there between methods mortality.
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