Timing of central venous catheter exchange and frequency of bacteremia in burn patients

Booker King, Carl I. Schulman, Antonio Pepe, Peter Pappas, Robin Varas, Nicholas Namias

Research output: Contribution to journalArticle

20 Scopus citations

Abstract

We evaluated the impact of increasing the interval between routine central venous catheter exchanges from every 3 days to every 4 days on the rate of catheter infections and catheter-related bacteremia. Computer records of catheter tip and blood culture results in burn patients were reviewed. The change to every 4 day catheter exchange occurred in November 2000 and data were collected until June 2001. One hundred and ninety-six guidewire exchanges were performed in the every 3 day (q3day) group, and 164 guidewire exchanges were performed in the every 4 day (q4day) group. The rate of catheter infections (>15 colony forming units) was 11% in the q3day group and 28% in the q4day group. Catheter-related blood stream infection occurred in 4% of patients in q3day group and 12% of patients in q4day group. A prospective review of this change in practice revealed that there was a significantly greater risk of infections in the q4day group. The increase in infected central venous catheter segments was associated with an increase in blood stream infections.

Original languageEnglish (US)
Pages (from-to)859-860
Number of pages2
JournalJournal of Burn Care and Research
Volume28
Issue number6
DOIs
StatePublished - Nov 1 2007

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ASJC Scopus subject areas

  • Surgery
  • Emergency Medicine
  • Rehabilitation

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