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Antimicrobial Use in Patients With Positive Intravascular Catheter Cultures A Six-Month Prospective Survey in a Teaching Hospital

Published online by Cambridge University Press:  02 January 2015

Jordi Rello ,
Jordi Vallés ,
Dionisia Fontanals ,
Paola Jubert  and
Ferran Segura
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Abstract

Review of medical records revealed that, of 190 intravascular catheters sent for culture during the study period, 50 were positive. Of these 50, 11 (22%) were sent for culture as a routine procedure without special clinical indications. Of the remaining 39 cultures, only 11 (28%) had clinical impact in the patient's management. Ten of the 50 therapeutic interventions were inappropriate. Restricting cultures to patients who may have catheter-related infection is likely to lead to significant cost savings.

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 17 , Issue 10 , October 1996 , pp. 668 - 669
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1996

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References

1.Maki, DG, Weise, CE, Sarafin, HW. A semiquantitative culture method for identifying intravenous catheter-related infection. N Engl J Med 1977;296:1305–1309.Google Scholar
2.Liñares, J, Sitges-Serra, A, Garau, J, Perez, JL, Martin, R. Pathogenesis of catheter sepsis: a prospective study with quantitative and semiquantitative cultures of catheter hub and segments. J Clin Microbiol 1985;21:357–360.Google Scholar
3.Kunin, CM, Tupasi, T, Craig, WA. Use of antimicrobials: a brief exposition of the problem and some tentative solutions. Ann Intern Med 1973;79:555–560.Google Scholar
4.Widmer, AF, Nettleman, M, Flint, K, Wenzel, RP. The clinical impact of culturing central venous catheters. Arch Intern Med 1992;152:1299–1302.Google Scholar
5.Rello, J, Coll, P, Prats, G. Evaluation of culture techniques for diagnosis of catheter-related sepsis in critically ill patients. Eur J Clin Microbiol Infect Dis 1992;11:1192–1193.Google Scholar