Hostname: page-component-76fb5796d-dfsvx Total loading time: 0 Render date: 2024-04-26T22:55:15.043Z Has data issue: false hasContentIssue false
  • English
  • Français

Bacterial Infection from Intravascular Monitoring Devices

Published online by Cambridge University Press:  02 January 2015

Charles W. Stratton  and
H. Bradford Hawley
H. Bradford Hawley
Affiliation:
Infectious Diseases, Wright State University School of Medicine, Good Samaritan Hospital, Dayton, Ohio
Get access Rights & Permissions [Opens in a new window]

Extract

During the past decade intravascular monitoring has become commonplace in hospital critical care areas. Early reports, such as that of Gardner et al, reassured us that these devices were safe. In fact, Gardner and associates noted not a single local or systemic infection that could be definitely related to radial artery monitoring catheters in 531 patients. Results of a more recent study by Band and Maki are more sobering. They found a 4% incidence of septicemia and an 18% incidence of local infection when they prospectively studied 130 arterial catheters in 95 patients. There were many differences between these two studies, but perhaps the two most important factors leading to the higher incidence of infection in the later study were increased duration of catheter placement and placement of the catheter by surgical cutdown or in a femoral artery.

Type
Original Articles
Information
Infection Control & Hospital Epidemiology , Volume 4 , Issue 5 , October 1983 , pp. 399 - 404
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1983

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Gardner, RM, Schwartz, R, Wong, HC, et al: Percutaneous indwelling radial-artery catheters for monitoring cardiovascular function: Prospective study of the risk of thrombosis and infection. N Engl J Med 1974; 290:1227–1231.CrossRefGoogle ScholarPubMed
2.Band, JD, Maki, DG: Infections caused by arterial catheters used for hemodynamic monitoring. Am J Med 1979; 67:735–741.CrossRefGoogle ScholarPubMed
3.Weinstein, RA, Emori, TG, Anderson, RL, et al: Pressure transducers as a source of bacteremia after open heart surgery: Report of an outbreak and guidelines for prevention. Chest 1976; 69:338–344.CrossRefGoogle ScholarPubMed
4.Weinstein, RA, Stamm, WE, Kramer, L, et al: Pressure monitoring devices: Overlooked source of nosocomial infection. JAMA 1976; 236:936–938.CrossRefGoogle ScholarPubMed
5.Aduan, RP, Iannini, PB, Salaki, J: Nosocomial bacteremia associated with contaminated blood pressure transducers: Report of an outbreak and review of the literature. Am J Infect Control 1980; 8:33–40.CrossRefGoogle ScholarPubMed
6.Buxton, AE, Anderson, RL, Klimek, J, et al: Failure of disposable domes to prevent septicemia acquired from contaminated pressure transducers. Chest 1978; 74:508–513.CrossRefGoogle ScholarPubMed
7.Donowitz, LG, Marsik, FJ, Hoyt, JW, et al: Serratia marcescens bacteremia from contaminated pressure transducers. JAMA 1979; 242:1749–1751.CrossRefGoogle ScholarPubMed
8.Walton, JR, Shapiro, BA, Harrison, RA, et al: Serratia bacteremia from mean arterial pressure monitors. Anesthesiology 1975; 43:113–114.CrossRefGoogle ScholarPubMed
9.Cleary, TJ, Maclntyre, DS, Castro, M: Serratia marcescens bacteremias in an intensive care unit: Contaminated heparinized saline solution as a reservoir. Am J Infect Control 1981; 9:107–111.CrossRefGoogle Scholar
10.Spaccavento, LJ, Hawley, HB: Infections associated with intraarterial lines. Heart Lung 1982; 11:118–122.Google Scholar
11.Wabrath, JM, Abbott, NK, Caplan, E, et al: Stopcock: Bacterial contamination in invasive monitoring systems. Heart Lung 1979; 8:100–104.Google Scholar
12.Stamm, WE, Colella, JJ, Anderson, RL, et al: Indwelling arterial catheters as a course of nosocomial bacteremia: An outbreak caused by Flavobacterium species. N Engl J Med 1975; 292:1099–1102.CrossRefGoogle Scholar
13.Maki, DG, Hassemer, CA: Endemic rate of fluid contamination and related septicemia in arterial pressure monitoring. Am J Med 1981; 70:733–738.CrossRefGoogle ScholarPubMed
14.Altemeier, WA, McDonough, JJ, Fullen, WD: Third day surgical fever. Arch Surg 1971; 103:158–166.CrossRefGoogle ScholarPubMed
15.Maki, DG, Martin, WT: Nationwide epidemic of septicemia caused by contaminated infusion products: IV. Growth of microbial pathogens in fluids for intravenous infusion. J Infect Dis 1975; 131:267–272.CrossRefGoogle Scholar
16.Retailliau, HF: Infection control with invasive pressure monitoring devices. Am J Infect Control 1979; 7:13–17.Google ScholarPubMed
17.Center for Disease Control: National Nosocomial Infections Study Report, 1977. US Dept of Health, Education, and Welfare, 1979, pp 31–35.Google Scholar
18.Wallis, C, Melnick, JL, Wende, RD, et al: Rapid isolation of bacteremia from septicemic patients by use of an antimicrobial agent removal device. J Clin Microbiol 1980; 11:462–464.CrossRefGoogle Scholar
19.Appleman, MD, Swinney, RS, Heseltine, PNR: Evaluation of the antibiotic removal device. J Clin Microbiol 1982; 15:278–281.CrossRefGoogle ScholarPubMed