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Inicio Enfermedades Infecciosas y Microbiología Clínica Update on vascular catheter-related infections
Información de la revista
Vol. 25. Núm. S1.
Programa de control externo de calidad SEIMC. Año 2006
Páginas 37-46 (enero 2007)
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Vol. 25. Núm. S1.
Programa de control externo de calidad SEIMC. Año 2006
Páginas 37-46 (enero 2007)
“Update on infectious diseases”
Acceso a texto completo
Update on vascular catheter-related infections
Actualización de las infecciones relacionadas con catéteres
Visitas
1397
Cristobal Leóna, Emilio Bouzab,
Autor para correspondencia
ebouza@microb.net

Correspondence: Dr. E. Bouza. Servicio de Microbiología Clínica y E. Infecciosas. Hospital General Gregorio Marañón. Dr. Esquerdo, 46. 28007 Madrid. Spain.
, Carmen Fariñasc, Jesús Fortúnd, Elías García Sáncheze, Josefina Liñaresf, Pedro Llinaresg, Emilio Masedah, Jesús Rodríguez-Bañoi, Óscar Rodríguezj, M. Rovirak
a Servicio de Cuidados Críticos y Urgencias. Hospital Universitario de Valme. Sevilla. Spain
b Servicio de Microbiología Clínica y Enfermedades Infecciosas. Hospital General Gregorio Marañón. Madrid. Spain
c Servicio de Enfermedades Infecciosas. Hospital de Valdecilla. Santander. Cantabria. Spain
d Servicio de Enfermedades Infecciosas. Hospital Ramón y Cajal. Madrid. Spain
e Servicio de Microbiología. Hospital Clínico. Salamanca. Spain
f Servicio de Microbiología Clínica. Hospital de Bellvitge. L’Hospitalet de Llobregat. Barcelona. Spain
g Servicio de Enfermedades Infecciosas. Hospital Juan Canalejo. La Coruña. Spain
h Servicio de Anestesiología y Reanimación. Hospital La Paz. Madrid. Spain
i Servicio de Enfermedades Infecciosas. Hospital V. Macarena. Sevilla. Spain
j Servicio de Medicina Intensiva. Hospital Clínico. Valencia. Spain
k Servicio de Microbiología. Hospital Clínic. Barcelona. Spain
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The present article is an update of the literature on intravascular catheter-related infections.

A multidisciplinary group of Spanish physicians with an interest in catheter-related infections selected the most important papers produced in the field during 2004 and 2005. One of the members of the group discussed the content of each of the selected papers, with a critical review by other members of the panel.

After a review of the state of the art, papers from the fields of epidemiology, new causative microorganisms (bacterial and fungal), laboratory diagnosis, antimicrobial-lock therapy, prevention based on educative measures, and prevention based on new connectors were discussed by the group.

Key words:
Catheter-Related Infections
Bacteremia
Catheter-Related Bloodstream infections
Epidemiology
Laboratory diagnosis
Antibiotic-Lock therapy
Prevention
Education measures

El artículo presente recoge una actualización bibliográfica de las infecciones intravasculares relacionadas con catéteres. Un grupo multidisciplinario de clínicos españoles con experiencia en las infecciones relacionadas con catéteres seleccionó las publicaciones más importantes en este campo aparecidas en la bibliografía en 2004 y 2005. El contenido de cada uno de los artículos seleccionados fue expuesto y discutido por uno de los miembros del grupo, después de lo cual los miembros restantes efectuaron una revisión crítica.

Tras la revisión de la situación actual, el grupo discutió las publicaciones procedentes de los campos de la epidemiología, los nuevos microorganismos causales (bacterias y hongos), el diagnóstico de laboratorio, el tratamiento mediante sellado endoluminal con antibióticos, la prevención fundamentada en medidas educativas y la prevención basada en nuevos dispositivos de conexión.

Palabras clave:
Infecciones relacionadas con catéteres
Bacteriemia
Sepsis relacionada con catéteres
Epidemiología
Diagnóstico de laboratorio
Tratamiento mediante sellado endoluminal con antibióticos
Prevención
Medidas educativas
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References
[1.]
P. Eggimann, H. Sax, D. Pittet.
Catheter-related infections.
Microbes Infect, 6 (2004), pp. 1033-1042
[2.]
S. Cicalini, F. Palmieri, N. Petrosillo.
Clinical review: new technologies for prevention of intravascular catheter-related infections.
Crit Care, 8 (2004), pp. 157-162
[3.]
R.J. Sherertz.
Update on vascular catheter infections.
Curr Opin Infect Dis, 17 (2004), pp. 303-307
[4.]
D.C. McGee, M.K. Gould.
Preventing complications of central venous catheterization.
N Engl J Med, 348 (2003), pp. 1123-1133
[5.]
S. Saint, R.H. Savel, M.A. Matthay.
Enhancing the safety of critically ill patients by reducing urinary and central venous catheter-related infections.
Am J Respir Crit Care Med, 165 (2002), pp. 1475-1479
[6.]
C. Leon, J. Ariza.
Guías para el tratamiento de las infecciones relacionadas con catéteres intravasculares de corta permanencia en adultos: conferencia de consesnso SEIMC-SEMICYUC.
Enferm Infecc Microbiol Clin, 22 (2004), pp. 92-101
[7.]
S. Ruesch, B. Walder, M.R. Tramer.
Complications of central venous catheters: internal jugular versus subclavian access--a systematic review.
Crit Care Med, 30 (2002), pp. 454-460
[8.]
M. De Cicco, M. Matovic, L. Balestreri, G. Panarello, D. Fantin, S. Morassut, et al.
Central venous thrombosis: an early and frequent complication in cancer patients bearing long-term silastic catheter. A prospective study.
Thromb Res, 86 (1997), pp. 101-113
[9.]
D.J. Fraenkel, C. Rickard, J. Lipman.
Can we achieve consensus on central venous catheter-related infections?.
Anaesth Intensive Care, 28 (2000), pp. 475-490
[10.]
I. Raad.
Intravascular-catheter-related infections.
Lancet, 351 (1998), pp. 893-898
[11.]
D. Pittet, D. Tarara, R.P. Wenzel.
Nosocomial bloodstream infection in critically ill patients. Excess length of stay, extra costs, and attributable mortality.
Jama, 271 (1994), pp. 1598-1601
[12.]
L. Soufir, J.F. Timsit, C. Mahe, J. Carlet, B. Regnier, S. Chevret.
Attributable morbidity and mortality of catheter-related septicemia in critically ill patients: a matched, risk-adjusted, cohort study.
Infect Control Hosp Epidemiol, 20 (1999), pp. 396-401
[13.]
B. Digiovine, C. Chenoweth, C. Watts, et al.
The attributable mortality and costs of primary nosocomial bloodstream infections in the intensive care unit.
Am J Respir Crit Care Med, 160 (1999), pp. 976-981
[14.]
J. Rello, A. Ochagavia, E. Sabanes, M. Roque, D. Mariscal, E. Reynaga, et al.
Evaluation of outcome of intravenous catheter-related infections in critically ill patients.
Am J Respir Crit Care Med, 162 (2000), pp. 1027-1030
[15.]
B. Renaud, C. Brun-Buisson.
Outcomes of primary and catheter-related bacteremia. A cohort and case-control study in critically ill patients.
Am J Respir Crit Care Med, 163 (2001), pp. 1584-1590
[16.]
H. Seifert, B. Jansen, B. Farr.
Catheter-related infections.
Marcel Dekker, (2004),
[17.]
N.P. O’Grady, M. Alexander, E.P. Dellinger, J.L. Gerberding, S.O. Heard, D.G. Maki, et al.
Guidelines for the prevention of intravascular catheter-related infections.
Am J Infect Control, 30 (2002), pp. 476-489
[18.]
L. Mermel, B. Farr, R. Sherertz, et al.
Infectious Diseases Society of America; American College of Critical Care Medicine; Society for Healthcare Epidemiology of America. Guidelines for the management of intravascular catheter-related infections.
Infect Control Hosp Epidemiol, 22 (2001), pp. 222-242
[19.]
P. Eggimann, S. Harbarth, M.N. Constantin, S. Touveneau, J.C. Chevrolet, D. Pittet.
Impact of a prevention strategy targeted at vascular-access care on incidence of infections acquired in intensive care.
Lancet, 355 (2000), pp. 1864-1868
[20.]
I.I. Raad, D.C. Hohn, B.J. Gilbreath, N. Suleiman, L.A. Hill, P.A. Bruso, et al.
Prevention of central venous catheter-related infections by using maximal sterile barrier precautions during insertion.
Infect Control Hosp Epidemiol, 15 (1994), pp. 231-238
[21.]
L.A. Mermel, R.D. McCormick, S.R. Springman, D.G. Maki.
The pathogenesis and epidemiology of catheter-related infection with pulmonary artery Swan-Ganz catheters: a prospective study utilizing molecular subtyping.
Am J Med, 91 (1991), pp. 197S-205S
[22.]
C. Coopersmith, T. Rebmann, J. Zack, et al.
Effect of an education program on decreasing catheter-related bloodstream infections in the surgical intensive care unit.
Crit Care Med, 30 (2002), pp. 59-64
[23.]
B.J. Rijnders, E. Van Wijngaerden, A. Wilmer, W.E. Peetermans.
Use of full sterile barrier precautions during insertion of arterial catheters: a randomized trial.
Clin Infect Dis, 36 (2003), pp. 743-748
[24.]
N. Chaiyakunapruk, D.L. Veenstra, B.A. Lipsky, S. Saint.
Chlorhexidine compared with povidone-iodine solution for vascular catheter-site care: a meta-analysis.
Ann Intern Med, 136 (2002), pp. 792-801
[25.]
J. Merrer, B. De Jonghe, F. Golliot, J.Y. Lefrant, B. Raffy, E. Barre, et al.
Complications of femoral and subclavian venous catheterization in critically ill patients: a randomized controlled trial.
JAMA, 286 (2001), pp. 700-707
[26.]
J.M. Still, E. Law, D. Thiruvaiyaru, K. Belcher, K. Donker.
Central line-related sepsis in acute burn patients.
Am Surg, 64 (1998), pp. 165-170
[27.]
J.P. Stenzel, T.P. Green, B.P. Fuhrman, P.E. Carlson, R.P. Marchessault.
Percutaneous femoral venous catheterizations: a prospective study of complications.
J Pediatr, 114 (1989), pp. 411-415
[28.]
R. Montagnac, C.J.G. Bernard, et al.
Indwelling silicone femoral catheters: Experience of three haemodialysis centres.
Nephrol Dial Transplant, 12 (1997), pp. 772-775
[29.]
H.M. Lazarus, R.J. Creger, A.D. Bloom, R. Shenk.
Percutaneous placement of femoral central venous catheter in patients undergoing transplantation of bone marrow.
Surg Gynecol Obstet, 170 (1990), pp. 403-406
[30.]
I. Raad, R. Darouiche, J. Dupuis, D. Abi-Said, A. Gabrielli, R. Hachem, et al.
Central venous catheters coated with minocycline and rifampin for the prevention of catheter-related colonization and bloodstream infections. A randomized, double-blind trial. The Texas Medical Center Catheter Study Group.
Ann Intern Med, 127 (1997), pp. 267-274
[31.]
S.O. Heard, M. Wagle, E. Vijayakumar, S. McLean, A. Brueggemann, L.M. Napolitano, et al.
Influence of triple-lumen central venous catheters coated with chlorhexidine and silver sulfadiazine on the incidence of catheter-related bacteremia.
Arch Intern Med, 158 (1998), pp. 81-87
[32.]
S. McKinley, A. Mackenzie, S. Finfer, R. Ward, J. Penfold.
Incidence and predictors of central venous catheter related infection in intensive care patients.
Anaesth Intensive Care, 27 (1999), pp. 164-169
[33.]
A.G. Randolph, D.J. Cook, C.A. Gonzales, C. Brun-Buisson.
Tunneling short-term central venous catheters to prevent catheter-related infection: a meta-analysis of randomized, controlled trials.
Crit Care Med, 26 (1998), pp. 1452-1457
[34.]
T.Y. Ma, R. Yoshinaka, A. Banaag, B. Johnson, S. Davis, S.M. Berman.
Total parenteral nutrition via multilumen catheters does not increase the risk of catheter-related sepsis: a randomized, prospective study.
Clin Infect Dis, 27 (1998), pp. 500-503
[35.]
J.C. Farkas, N. Liu, J.P. Bleriot, S. Chevret, F.W. Goldstein, J. Carlet.
Single- versus triple-lumen central catheter-related sepsis: a prospective randomized study in a critically ill population.
Am J Med, 93 (1992), pp. 277-282
[36.]
N. Clark-Christoff, V.A. Watters, W. Sparks, P. Snyder, J.P. Grant.
Use of triple-lumen subclavian catheters for administration of total parenteral nutrition.
JPEN J Parenter Enteral Nutr, 16 (1992), pp. 403-407
[37.]
M. Zurcher, M.R. Tramer, B. Walder.
Colonization and bloodstream infection with single- versus multi-lumen central venous catheters: a quantitative systematic review.
Anesth Analg, 99 (2004), pp. 177-182
[38.]
D.G. Maki, S.M. Stolz, S. Wheeler, L.A. Mermel.
Prevention of central venous catheter-related bloodstream infection by use of an antiseptic-impregnated catheter. A randomized, controlled trial.
Ann Intern Med, 127 (1997), pp. 257-266
[39.]
G.D. Kamal, M.A. Pfaller, L.E. Rempe, P.J. Jebson.
Reduced intravascular catheter infection by antibiotic bonding. A prospective, randomized, controlled trial.
Jama, 265 (1991), pp. 2364-2368
[40.]
D.L. Veenstra, S. Saint, S. Saha, T. Lumley, S.D. Sullivan.
Efficacy of antiseptic-impregnated central venous catheters in preventing catheter-related bloodstream infection: a meta-analysis.
Jama, 281 (1999), pp. 261-267
[41.]
C. Logghe, C. Van Ossel, W. D’Hoore, H. Ezzedine, G. Wauters, J.J. Haxhe.
Evaluation of chlorhexidine and silver-sulfadiazine impregnated central venous catheters for the prevention of bloodstream infection in leukaemic patients: a randomized controlled trial.
J Hosp Infect, 37 (1997), pp. 145-156
[42.]
R.O. Darouiche, I.I. Raad, S.O. Heard, J.I. Thornby, O.C. Wenker, A. Gabrielli, et al.
A comparison of two antimicrobial-impregnated central venous catheters. Catheter Study Group.
N Engl J Med, 340 (1999), pp. 1-8
[43.]
C.J. Crnich, D.G. Maki.
The promise of novel technology for the prevention of intravascular device-related bloodstream infection. II. Long-term devices.
Clin Infect Dis, 34 (2002), pp. 1362-1368
[44.]
C. Leon, S. Ruiz-Santana, J. Rello, M.V. De la Torre, J. Valles, F. Alvarez-Lerma, et al.
Benefits of minocycline and rifampin-impregnated central venous catheters. A prospective, randomized, double-blind, controlled, multicenter trial.
Intensive Care Med, 30 (2004), pp. 1891-1899
[45.]
C. Brun-Buisson, F. Doyon, J.P. Sollet, J.F. Cochard, Y. Cohen, G. Nitenberg.
Prevention of intravascular catheter-related infection with newer chlorhexidine- silver sulfadiazine-coated catheters: a randomized controlled trial.
Intensive Care Med, 30 (2004), pp. 837-843
[46.]
B. Walder, D. Pittet, M.R. Tramer.
Prevention of bloodstream infections with central venous catheters treated with anti-infective agents depends on catheter type and insertion time: evidence from a meta-analysis.
Infect Control Hosp Epidemiol, 23 (2002), pp. 748-756
[47.]
B. Walde, D. Pittet, M. Tramer.
Benefit of antiseptic and antimicrobial coating of central venous catheters: a systematic review.
Infect Control Hosp Epidemiol, 23 (2002), pp. 748-756
[48.]
E.L. Munson, S.O. Heard, G.V. Doern.
In vitro exposure of bacteria to antimicrobial impregnated-central venous catheters does not directly lead to the emergence of antimicrobial resistance.
Chest, 126 (2004), pp. 1628-1635
[49.]
M. Ranucci, G. Isgro, P.P. Giomarelli, M. Pavesi, A. Luzzani, I. Cattabriga, et al.
Impact of oligon central venous catheters on catheter colonization and catheter-related bloodstream infection.
[50.]
L. Corral, M. Nolla-Salas, J. Ibanez-Nolla, M.A. Leon, R.M. Diaz, M. Cruz Martin, et al.
A prospective, randomized study in critically ill patients using the Oligon Vantex catheter.
J Hosp Infect, 55 (2003), pp. 212-219
[51.]
W. Liu, S. Tebbs, P. Byrne, T. Elliott.
The effects of electric current on bacteria colonizing intravenous catheters.
J Infect, 27 (1993), pp. 261-269
[52.]
I. Raad, R. Hachem, A. Zermeno, M. Dumo, G.P. Bodey.
In vitro antimicrobial efficacy of silver iontophoretic catheter.
Biomaterials, 17 (1996), pp. 1055-1059
[53.]
I. Raad, W. Costerton, U. Sabharwal, M. Sacilowski, E. Anaissie, G.P. Bodey.
Ultrastructural analysis of indwelling vascular catheters: a quantitative relationship between luminal colonization and duration of placement.
J Infect Dis, 168 (1993), pp. 400-407
[54.]
M. Segura, F. Alvarez-Lerma, J.M. Tellado, J. Jiménez-Ferreres, L. Oms, J. Rello, et al.
A clinical trial on the prevention of catheter-related sepsis using a new hub model.
Ann Surg, 223 (1996), pp. 363-369
[55.]
D.P. Halpin, P. O’Byrne, G. McEntee, T.P. Hennessy, R.B. Stephens.
Effect of a betadine connection shield on central venous catheter sepsis.
Nutrition, 7 (1991), pp. 33-34
[56.]
C. Leon, F. Alvarez-Lerma, S. Ruiz-Santana, V. Gonzalez, M.V. De la Torre, R. Sierra, et al.
Antiseptic chamber-containing hub reduces central venous catheter-related infection: a prospective, randomized study.
Crit Care Med, 31 (2003), pp. 1318-1324
[57.]
J. Luna, G. Masdeu, M. Perez, R. Claramonte, I. Forcadell, F. Barrachina, et al.
Clinical trial evaluating a new hub device designed to prevent catheter-related sepsis.
Eur J Clin Microbiol Infect Dis, 19 (2000), pp. 655-662
[58.]
A.L. Casey, T. Worthington, P.A. Lambert, D. Quinn, M.H. Faroqui, T.S. Elliott.
A randomized, prospective clinical trial to assess the potential infection risk associated with the PosiFlow needleless connector.
J Hosp Infect, 54 (2003), pp. 288-293
[59.]
E. Bouza, P. Munoz, J. Lopez-Rodriguez, M. Jesus Perez, C. Rincon, P. Martin Rabadan, et al.
A needleless closed system device (CLAVE) protects from intravascular catheter tip and hub colonization: a prospective randomized study.
J Hosp Infect, 54 (2003), pp. 279-287
[60.]
J. Yebenes, L. Vidaur, M. Serra-Prat, et al.
Prevention of catheter-related bloodstream infection in critically ill patients using a disinfectable, needlefree connector: a randomized controlled trial.
Am J Infect Control, 32 (2004), pp. 291-295
[61.]
R.J. Sherertz, E.W. Ely, D.M. Westbrook, K.S. Gledhill, S.A. Streed, B. Kiger, et al.
Education of physicians-in-training can decrease the risk for vascular catheter infection.
Ann Intern Med, 132 (2000), pp. 641-648
[62.]
Eggimann P, Hugonnet S, Harbarth S, Chraiti M, Touveneau S, Chevrolet J et al. Reduction of bloodstream infections 2 years following a global prevention strategy targeted at vascular access in ICU. In: American Society for Microbiology, editor. Abstracts of the 41st Interscience Conference on Antimicrobial Agents and Chemotherapy; 2001; Chicago, IL; 2001. p. 2050.
[63.]
C.M. Coopersmith, T.L. Rebmann, J.E. Zack, M.R. Ward, R.M. Corcoran, M.E. Schallom, et al.
Effect of an education program on decreasing catheter-related bloodstream infections in the surgical intensive care unit.
Crit Care Med, 30 (2002), pp. 59-64
[64.]
D.K. Warren, J.E. Zack, M.J. Cox, M.M. Cohen, V.J. Fraser.
An educational intervention to prevent catheter-associated bloodstream infections in a non-teaching, community medical center.
Crit Care Med, 31 (2003), pp. 1959-1963
[65.]
D. Warren, J. Zack, J. Mayfield, et al.
The effect of an education program on the incidence of central venous catheter-associated bloodstream infection in a medical ICU.
Chest, 126 (2005), pp. 1612-1618
[66.]
R.D. Lobo, A.S. Levin, L.M. Gomes, R. Cursino, M. Park, V.B. Figueiredo, et al.
Impact of an educational program and policy changes on decreasing catheter-associated bloodstream infections in a medical intensive care unit in Brazil.
Am J Infect Control, 33 (2005), pp. 83-87
[67.]
N.P. O’Grady, M. Alexander, E.P. Dellinger, J.L. Gerberding, S.O. Heard, D.G. Maki, et al.
Guidelines for the prevention of intravascular catheter-related infections. Centers for Disease Control and Prevention.
MMWR Recomm Rep, 51 (2002), pp. 1-29
[68.]
N. Safdar, J.P. Fine, D.G. Maki.
Meta-analysis: methods for diagnosing intravascular device-related bloodstream infection.
Ann Intern Med, 142 (2005), pp. 451-466
[69.]
I. Raad, H.A. Hanna, B. Alakech, I. Chatzinikolaou, M.M. Johnson, J. Tarrand.
Differential time to positivity: a useful method for diagnosing catheter-related bloodstream infections.
Ann Intern Med, 140 (2004), pp. 18-25
[70.]
M.B. Bestul, H.L. Vandenbussche.
Antibiotic lock technique: review of the literature.
Pharmacotherapy, 25 (2005), pp. 211-227
[71.]
K.J. Henrickson, R.A. Axtell, S.M. Hoover, S.M. Kuhn, J. Pritchett, S.C. Kehl, et al.
Prevention of central venous catheter-related infections and thrombotic events in immunocompromised children by the use of vancomycin/ciprofloxacin/heparin flush solution: A randomized, multicenter, double-blind trial.
J Clin Oncol, 18 (2000), pp. 1269-1278
[72.]
I. Raad, A. Buzaid, J. Rhyne, R. Hachem, R. Darouiche, H. Safar, et al.
Minocycline and ethylenediaminetetraacetate for the prevention of recurrent vascular catheter infections.
Clin Infect Dis, 25 (1997), pp. 149-151
[73.]
I. Chatzinikolaou, T. Zipf, H. Hanna, J. Umphrey, W. Roberts, R. Sherertz, et al.
Minocycline-ethylenediamine tetracetate lock solution for the prevention of implantable port infections in children with cancer.
Clin Infect Dis, 36 (2003), pp. 116-119
[74.]
S.L. Percival, P. Kite, K. Eastwood, R. Murga, J. Carr, M.J. Arduino, et al.
Tetrasodium EDTA as a novel central venous catheter lock solution against biofilm.
Infect Control Hosp Epidemiol, 26 (2005), pp. 515-519
[75.]
B.J. Rijnders, E. Van Wijngaerden, S.J. Vandecasteele, M. Stas, W.E. Peetermans.
Treatment of long-term intravascular catheter-related bacteraemia with antibiotic lock: randomized, placebo-controlled trial.
J Antimicrob Chemother, 55 (2005), pp. 90-94
[76.]
J. Curtin, M. Cormican, G. Fleming, J. Keelehan, E. Colleran.
Linezolid compared with eperezolid, vancomycin, and gentamicin in an in vitro model of antimicrobial lock therapy for Staphylococcus epidermidis central venous catheter-related biofilm infections.
Antimicrob Agents Chemother, 47 (2003), pp. 3145-3148
[77.]
I. Raad, R. Hachem, R.K. Tcholakian, R. Sherertz.
Efficacy of minocycline and EDTA lock solution in preventing catheter-related bacteremia, septic phlebitis, and endocarditis in rabbits.
Antimicrob Agents Chemother, 46 (2002), pp. 327-332
[78.]
C. Dannenberg, U. Bierbach, A. Rothe, J. Beer, D. Korholz.
Ethanol-lock technique in the treatment of bloodstream infections in pediatric oncology patients with broviac catheter.
J Pediatr Hematol Oncol, 25 (2003), pp. 616-621
[79.]
M. Koldehoff, J.L. Zakrzewski.
Taurolidine is effective in the treatment of central venous catheter-related bloodstream infections in cancer patients.
Int J Antimicrob Agents, 24 (2004), pp. 491-495
[80.]
B.J. Rijnders, S.J. Vandecasteele, E. Van Wijngaerden, P. De Munter, W.E. Peetermans.
Use of semiautomatic treatment advice to improve compliance with Infectious Diseases Society of America guidelines for treatment of intravascular catheter-related infection: a before-after study.
Clin Infect Dis, 37 (2003), pp. 980-983
[81.]
B.J. Rijnders, W.E. Peetermans, C. Verwaest, A. Wilmer, E. Van Wijngaerden, et al.
Watchful waiting versus immediate catheter removal in ICU patients with suspected catheter-related infection: a randomized trial.
Intensive Care Med, 30 (2004), pp. 1073-1080
[82.]
K.S. Deshpande, C. Hatem, H.L. Ulrich, B.P. Currie, T.K. Aldrich, C.W. Bryan-Brown, et al.
The incidence of infectious complications of central venous catheters at the subclavian, internal jugular, and femoral sites in an intensive care unit population.
Crit Care Med, 33 (2005), pp. 13-20
[83.]
D.W. Cartwright.
Central venous lines in neonates: a study of 2186 catheters.
Arch Dis Child Fetal Neonatal Ed, 89 (2004), pp. F504-F508
[84.]
H. Hanna, C. Afif, B. Alakech, M. Boktour, J. Tarrand, R. Hachem, et al.
Central venous catheter-related bacteremia due to gram-negative bacilli: significance of catheter removal in preventing relapse.
Infect Control Hosp Epidemiol, 25 (2004), pp. 646-649
[85.]
S.A. Lee, I.I. Raad, J.A. Adachi, X.Y. Han.
Catheter-related bloodstream infection caused by Mycobacterium brumae.
J Clin Microbiol, 42 (2004), pp. 5429-5431
[86.]
D.L. Kiska, C.Y. Turenne, A.S. Dubansky, J.B. Domachowske.
First case report of catheter-related bacteremia due to Mycobacterium lacticota.
J Clin Microbiol, 42 (2004), pp. 2855-2857
[87.]
P. Munoz Garcia, E. Bouza, M. Cuenca-Estrella, J.M. Eiros-Bouza, M.J. Perez, M. Sanchez-Somolinos, et al.
Saccharomyces cerevisiae Fungemia: An Emerging Infectious Disease.
Clin Infect Dis, 40 (2005), pp. 1625-1634
[88.]
E. Bouza, N. Alvarado, L. Alcala, M. Sanchez-Conde, M.J. Perez, P. Munoz, et al.
A prospective, randomized, and comparative study of 3 different methods for the diagnosis of intravascular catheter colonization.
Clin Infect Dis, 40 (2005), pp. 1096-1100
[89.]
Grill F, Fortun J, Blazquez J et al. Treatment of long-term intravascular catheter-related bacteremia with antibiotic lock-technique. Abstract K-2221. In: Microbiology ASf, editor. 45th ICAAC; 2005; Washington, USA; 2005.
[90.]
D.K. Warren, J.E. Zack, J.L. Mayfield, A. Chen, D. Prentice, V.J. Fraser, et al.
The effect of an education program on the incidence of central venous catheter-associated bloodstream infection in a medical ICU.
Chest, 126 (2004), pp. 1612-1618
[91.]
F. Higuera, V.D. Rosenthal, P. Duarte, J. Ruiz, G. Franco, N. Safdar.
The effect of process control on the incidence of central venous catheter-associated bloodstream infections and mortality in intensive care units in Mexico.
Crit Care Med, 33 (2005), pp. 2022-2027
[92.]
S.A. Gnass, L. Barboza, D. Bilicich, P. Angeloro, W. Treiyer, S. Grenovero, et al.
Prevention of central venous catheter-related bloodstream infections using non-technologic strategies.
Infect Control Hosp Epidemiol, 25 (2004), pp. 675-677
[93.]
J.C. Yebenes, L. Vidaur, M. Serra-Prat, J.M. Sirvent, J. Batlle, M. Motje, et al.
Prevention of catheter-related bloodstream infection in critically ill patients using a disinfectable, needle-free connector: a randomized controlled trial.
Am J Infect Control, 32 (2004), pp. 291-295
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