Advertisement

Critical Care

, 8:P224 | Cite as

Catheter-related infection of arterial catheters in critical care

  • L Lorente
  • R Galván
  • M Martín
  • J Villegas
  • M Mora
Poster presentation
  • 632 Downloads

Keywords

Arterial Catheter Incidence Density Arterial Site Catheter Site Radial Access 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Objective

To describe the incidence of catheter-related local infection (CRLI) and catheter-related bloodstream infection (CRBSI) of arterial catheters (AC) in critically ill patients.

Methods

A prospective study of patients admitted in a 24-bed medical–surgical intensive care unit of a 650-bed university hospital, from 1 May 2000 to 31 October 2001, and who had some AC. A multiple proportion comparison of CRLI and CRBSI incidence density between the different catheter accesses was performed using the Fisher–Freeman–Halton exact test. P < 0.05 was considered significant.

Results

During this period of time 988 patients (60.12% male) were admitted in the ICU. The mean age was 55.63 ± 18.49 years, APACHE II score was 13.65 ± 5.83, and mortality was 14.37%. Patient distribution was: 49.69% cardiac surgery, 8.60% cardiologic, 12.14% neurologic, 11.84% traumathology, 7.29% respiratory, 6.58% digestive, 2.93% intoxication. The number of patients with AC, the number of AC and the days on risk for each AC were: global, 817, 1231 and 7171; radial, 753, 1057 and 5763; femoral, 111, 125 and 1091; pedia, 27, 30 and 226; humeral, 16, 19 and 91. The number of CRLI and CRBSI per 1000 days of catheterization were: general, 0.97 and 0.41; radial, 0.86 and 0.34; femoral, 1.83 and 0.91; pedia, 0; humeral, 0. Femoral arterial access had higher incidence density of CRLI (1.83/1000 catheter-days, P = 0.001) and CRBSI (0.91/1000 catheter-days, P = 0.001) than radial access. The three CRBSI were due to the following microorganisms: two Staphylococcus cogulasa negativo, one Staphylococcus aureus.

Conclusions

CDC guidelines for the prevention of catheter-related infection make no recommendation about the arterial catheter site. Our data suggest that any arterial site is preferable to the femoral arterial access.

Copyright information

© BioMed Central Ltd. 2004

Authors and Affiliations

  • L Lorente
    • 1
  • R Galván
    • 1
  • M Martín
    • 1
  • J Villegas
    • 1
  • M Mora
    • 1
  1. 1.Hospital Universitario de CanariasSanta Cruz de TenerifeSpain

Personalised recommendations