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Infections de cathéters intravasculaires en réanimation

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Infectiologie en réanimation

Part of the book series: Références en réanimation. Collection de la SRLF ((SRLF))

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Résumé

Les cathéters intravasculaires sont de plus en plus fréquemment utilisés en réanimation, comme dans les services hors de la réanimation, pour l’administration de liquides, de transfusions, de médicaments divers, l’alimentation parentérale..Si les infections de ces corps étrangers intravasculaires sont beaucoup mieux maîtrisées qu’auparavant, elles restent la première cause de bactériémies nosocomiales, et sont responsables d’une morbidité élevée, sinon d’une mortalité importante. Ainsi, Wenzel et Edmond [1] avaient estimé en 2006 que prés de 10 millions de jourscathéters étaient utilisés aux Etats-unis, provoquant près de 50 000 bactériémies par an et 17 000 décès; les estimations plus récentes du groupe du CDC font état de 15 millions de jours-cathéters et 85 000 bactériémies, mais d’un nombre de décès plus faible et incertain [2]. En France, le réseau national de surveillance RAISIN-Réa décrit entre 2005 et 2010 un taux d’infection beaucoup plus faible, de l’ordre de 1/1000 jourscathéter [3].

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Authors and Affiliations

  1. Service de réanimation médicale, Hôpital Henri Mondor, 51, avenue de Lattre de Tassigny, 94010, Créteil, France

    C. Brun-Buisson & J.-J. Parienti

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  1. C. Brun-Buisson
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  2. J.-J. Parienti
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Correspondence to C. Brun-Buisson .

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Brun-Buisson, C., Parienti, JJ. (2013). Infections de cathéters intravasculaires en réanimation. In: Infectiologie en réanimation. Références en réanimation. Collection de la SRLF. Springer, Paris. https://doi.org/10.1007/978-2-8178-0389-0_24

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  • DOI: https://doi.org/10.1007/978-2-8178-0389-0_24

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