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Prevalence of and risk factors for intravenous catheter infection in hospitalized cattle, goats, and sheep

BACKGROUND: Intravenous catheter (IVC) use in hospitalized ruminants is a common procedure. Limited information is available describing complications associated with IVCs. HYPOTHESES: Prevalence of IVC infections in hospitalized ruminants is >50%. Intravenous catheters maintained for >5 days a...

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Detalles Bibliográficos
Autores principales: King, Ailbhe, Byrne, Barbara A., Chigerwe, Munashe
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley & Sons, Inc. 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6979082/
https://www.ncbi.nlm.nih.gov/pubmed/31859417
http://dx.doi.org/10.1111/jvim.15684
Descripción
Sumario:BACKGROUND: Intravenous catheter (IVC) use in hospitalized ruminants is a common procedure. Limited information is available describing complications associated with IVCs. HYPOTHESES: Prevalence of IVC infections in hospitalized ruminants is >50%. Intravenous catheters maintained for >5 days are more likely to be infected than those maintained for <5 days. Intravenous catheters placed non‐aseptically have a higher risk for infection than those placed aseptically. ANIMALS: Thirty‐four cattle, 39 goats, and 33 sheep were hospitalized in a university teaching hospital. METHODS: Prospective observational study. The IVCs from cattle, goats, and sheep admitted for medical and surgical procedures were randomly selected and submitted for bacteriological culture and susceptibility testing. RESULTS: Prevalence values (95% confidence interval) of infected catheters were 61.8 (45.5, 78.1), 51.3 (35.3, 66.7), and 42.4% (25.2, 58.8) in cattle, goats, and sheep, respectively. Coagulase‐negative Staphylococcus spp was the most frequently isolated bacterium. Catheter type/placement technique was a significant (P = .03) predictor of IVC infection in goats but not in cattle (P = .65) and sheep (P = .47). Antibiotic use and reason for catheter placement were not significant predictors of IVC infection in all species. Catheters maintained for >4 days had a higher likelihood of being infected than those maintained for <4 days in all species. CONCLUSIONS AND CLINICAL IMPORTANCE: Clinicians should consider replacing catheters maintained for >4 days to reduce IVC infection.