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Pathogenesis of catheter sepsis: a prospective study with quantitative and semiquantitative cultures of catheter hub and segments
Open accessAbstract
Our purpose was to study prospectively the causes, routes of infection, and frequency of catheter-related sepsis in patients on total parenteral nutrition. From January 1981 to January 1984, cultures of 135 subclavian catheters from 135 adult patients were done by quantitative and semiquantitative methods. Twenty patients (14.8%) had catheter-related sepsis. Fourteen episodes (70%) stemmed from an colonized hub. Skin infection (Staphylococcus aureus, 2 cases), total parenteral nutrition mixture contamination (Enterobacter cloacae, 2 cases), and hematogenous seeding of the catheter tip (Yersinia enterocolitica, 1 case, and Streptococcus faecalis, 1 case) accounted for the remaining six septic episodes. The catheter hub is, in our experience, the most common site of origin of organisms causing catheter tip infection and bacteremia.
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Citations
Cited by
Tong, S. Y. C., Davis, J. S., Eichenberger, E., Holland, T. L., & Fowler, V. G. (2015) · Clinical Microbiology Reviews · doi:10.1128/cmr.00134-14 · Cited by 5,192
Update on clinical significance of coagulase-negative staphylococci
Kloos, W. E., & Bannerman, T. L. (1994) · Clinical Microbiology Reviews · doi:10.1128/cmr.7.1.117 · Cited by 835
Cover, T. L., & Aber, R. C. (1989) · New England Journal of Medicine · doi:10.1056/nejm198907063210104 · Cited by 499
A Controlled Trial of Scheduled Replacement of Central Venous and Pulmonary-Artery Catheters
Cobb, D. K., High, K. P., Sawyer, R. G., Sable, C. A., Adams, R. B., Lindley, D. A., Pruett, T. L., Schwenzer, K. J., & Farr, B. M. (1992) · New England Journal of Medicine · doi:10.1056/nejm199210083271505 · Cited by 438
SAFDAR, N., KLUGER, D. M., & MAKI, D. G. (2002) · Medicine · doi:10.1097/00005792-200211000-00007 · Cited by 261
Metadata
- Authors
- Liñares, J., Sitges-Serra, A., Garau, J., Pérez, J. L., & Martín, R.
- Venue
- Journal of Clinical Microbiology
- Publisher
- American Society for Microbiology
- Published
- 1985-03
- Volume
- 21
- Issue
- 3
- Pages
- 357-360
- ISSN
- 0095-1137 (ISSN-L)
- 1098-660X
- OpenAlex
- W1506162877
- Cited by
- 474
- References
- 0
- FWCI
- 46.21
- Type
- journal article
- Language
- en
- Open access
- bronze
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- Liñares, J., Sitges-Serra, A., Garau, J., Pérez, J. L., & Martín, R. (1985). Pathogenesis of catheter sepsis: a prospective study with quantitative and semiquantitative cultures of catheter hub and segments. Journal of Clinical Microbiology. https://doi.org/10.1128/jcm.21.3.357-360.1985
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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