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Clinical analysis of central venous catheter-related infections in patients in the emergency ICU

BACKGROUND: Catheter-related infection (CRI) of the central vein is a common cause of nosocomial infection. This study was undertaken to investigate the pathogen culturing and risk factors of CRI in emergency intensive care unit (EICU) in order to provide the beneficial reference. METHODS: From Janu...

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Autores principales: Chen, Min, Zhu, Ri-jin, Chen, Feng, Wang, Xiao-pin, Ke, Jun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Second Affiliated Hospital of Zhejiang University School of Medicine 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4129842/
https://www.ncbi.nlm.nih.gov/pubmed/25215118
http://dx.doi.org/10.5847/wjem.j.issn.1920-8642.2013.03.007
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author Chen, Min
Zhu, Ri-jin
Chen, Feng
Wang, Xiao-pin
Ke, Jun
author_facet Chen, Min
Zhu, Ri-jin
Chen, Feng
Wang, Xiao-pin
Ke, Jun
author_sort Chen, Min
collection PubMed
description BACKGROUND: Catheter-related infection (CRI) of the central vein is a common cause of nosocomial infection. This study was undertaken to investigate the pathogen culturing and risk factors of CRI in emergency intensive care unit (EICU) in order to provide the beneficial reference. METHODS: From January 2008 to December 2010, a total of 1 363 patients were subjected to catheterization. In these patients, the peak CRI rate of the patients was determined by bacterial cultivation and blood bacterial cultivation. RESULTS: CRI happened in 147 of the 1 363 patients using the central venous catheter. The peak rate of CRI was 10.79%, with an incidence of 3.05 episodes per 1 000 catheter days. Of the 147 patients, 46.94% had gram-negative bacilli, 40.14% had gram-positive cocci, and 12.92% had fungi. Unconditional logistic regression analysis suggests that multiple catheterization, femoral vein catheterization, the application of multicavity catheter, and the duration of catheterization were the independent risk factors for CRI. CONCLUSION: The risk factors for catheter-related infections should be controlled to prevent the occurrence of nosocomial infection.
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spelling pubmed-41298422014-09-11 Clinical analysis of central venous catheter-related infections in patients in the emergency ICU Chen, Min Zhu, Ri-jin Chen, Feng Wang, Xiao-pin Ke, Jun World J Emerg Med Original Article BACKGROUND: Catheter-related infection (CRI) of the central vein is a common cause of nosocomial infection. This study was undertaken to investigate the pathogen culturing and risk factors of CRI in emergency intensive care unit (EICU) in order to provide the beneficial reference. METHODS: From January 2008 to December 2010, a total of 1 363 patients were subjected to catheterization. In these patients, the peak CRI rate of the patients was determined by bacterial cultivation and blood bacterial cultivation. RESULTS: CRI happened in 147 of the 1 363 patients using the central venous catheter. The peak rate of CRI was 10.79%, with an incidence of 3.05 episodes per 1 000 catheter days. Of the 147 patients, 46.94% had gram-negative bacilli, 40.14% had gram-positive cocci, and 12.92% had fungi. Unconditional logistic regression analysis suggests that multiple catheterization, femoral vein catheterization, the application of multicavity catheter, and the duration of catheterization were the independent risk factors for CRI. CONCLUSION: The risk factors for catheter-related infections should be controlled to prevent the occurrence of nosocomial infection. Second Affiliated Hospital of Zhejiang University School of Medicine 2013 /pmc/articles/PMC4129842/ /pubmed/25215118 http://dx.doi.org/10.5847/wjem.j.issn.1920-8642.2013.03.007 Text en Copyright: © World Journal of Emergency Medicine http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Chen, Min
Zhu, Ri-jin
Chen, Feng
Wang, Xiao-pin
Ke, Jun
Clinical analysis of central venous catheter-related infections in patients in the emergency ICU
title Clinical analysis of central venous catheter-related infections in patients in the emergency ICU
title_full Clinical analysis of central venous catheter-related infections in patients in the emergency ICU
title_fullStr Clinical analysis of central venous catheter-related infections in patients in the emergency ICU
title_full_unstemmed Clinical analysis of central venous catheter-related infections in patients in the emergency ICU
title_short Clinical analysis of central venous catheter-related infections in patients in the emergency ICU
title_sort clinical analysis of central venous catheter-related infections in patients in the emergency icu
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4129842/
https://www.ncbi.nlm.nih.gov/pubmed/25215118
http://dx.doi.org/10.5847/wjem.j.issn.1920-8642.2013.03.007
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