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 Citations (Scopus)

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
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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Central Venous Catheters
Bacteremia
Catheters
Infection
Catheter-Related Infections
Stem Cells

ASJC Scopus subject areas

  • Emergency Medicine
  • Rehabilitation
  • Surgery

Cite this

Timing of central venous catheter exchange and frequency of bacteremia in burn patients. / King, Booker; Schulman, Carl I; Pepe, Antonio; Pappas, Peter; Varas, Robin; Namias, Nicholas.

In: Journal of Burn Care and Research, Vol. 28, No. 6, 01.11.2007, p. 859-860.

Research output: Contribution to journalArticle

King, Booker ; Schulman, Carl I ; Pepe, Antonio ; Pappas, Peter ; Varas, Robin ; Namias, Nicholas. / Timing of central venous catheter exchange and frequency of bacteremia in burn patients. In: Journal of Burn Care and Research. 2007 ; Vol. 28, No. 6. pp. 859-860.
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