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Clinical usefulness of catheter-drawn blood samples and catheter-tip cultures for the diagnosis of catheter-related bloodstream infections in neonates

Published online by Cambridge University Press:  17 April 2020

Janita Ferreira*
Affiliation:
Universidade Federal de Minas Gerais, Hospital das Clínicas, Comissão de Controle de Infecção Hospitalar, Belo Horizonte, Minas Gerais, Brazil
Paulo Augusto Moreira Camargos
Affiliation:
Universidade Federal de Minas Gerais, Faculdade de Medicina, Departamento de Pediatria, Belo Horizonte, Minas Gerais, Brazil
Viviane Rosado
Affiliation:
Universidade Federal de Minas Gerais, Hospital das Clínicas, Comissão de Controle de Infecção Hospitalar, Belo Horizonte, Minas Gerais, Brazil
Leni Márcia Anchieta
Affiliation:
Universidade Federal de Minas Gerais, Faculdade de Medicina, Departamento de Pediatria, Belo Horizonte, Minas Gerais, Brazil
Roberta Maia de Castro Romanelli
Affiliation:
Universidade Federal de Minas Gerais, Faculdade de Medicina, Departamento de Pediatria, Belo Horizonte, Minas Gerais, Brazil
*
Author for correspondence: Janita Ferreira, E-mail: ferreira.jnt@gmail.com

Abstract

Catheter-drawn blood sampling is an efficient method of diagnosing catheter-related bloodstream infection (CRBSI) in neonates; it has greater sensitivity and accuracy than methods using catheter-tip cultures. No association was detected between catheter-drawn blood sampling and the occurrence of adverse events with central venous catheters.

Type
Concise Communication
Copyright
© 2020 by The Society for Healthcare Epidemiology of America. All rights reserved.

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References

Rosado, V, Camargos, P, Anchieta, L, et al. Risk factors for central venous catheter-related infections in a neonatal population-systematic review. J Pediatr (Rio J) 2018;94:314.CrossRefGoogle Scholar
Russel, A. Neonatal sepsis. Pediatr Child Health 2010;21:265269.CrossRefGoogle Scholar
Mermel, L, Allon, M, Bouza, E, et al. Clinical practice guidelines for the diagnosis and management of intravascular catheter-related infection: 2009. Update by the Infections Diseases Society of America. IDSA Guidelines 2009;49:145.Google ScholarPubMed
ANVISA. Neonatologia: critérios nacionais de infecções relacionadas à assistência à saúde. Brazil: ANVISA; 2017.Google Scholar
Vasudevan, C, McGuire, W. Early removal versus expectant management of central venous catheter in neonates with bloodstream infection. Cochrane Database Syst Rev 2016;4:CD008436. doi: 10.1002/14651858.Google ScholarPubMed
Ferreira, J, Camargos, P, Clemente, W, Romanelli, R. Clinical usefulness of catheter-drawn blood samples and catheter tip cultures for the diagnosis of catheter-related bloodstream infections in neonatology: a systematic review. Am J Infect Control 2018;46:8187.CrossRefGoogle Scholar
Tsai, M, Hsu, J, Lien, R, et al. Catheter management in neonates with bloodstream infection and a percutaneously inserted central venous catheter in situ: removal or not? Am J Infect Control 2012;40:5964.CrossRefGoogle ScholarPubMed
Pedreira, M. Obstrução de cateteres centrais de inserção periférica em neonatos: a prevenção é a melhor intervenção. Rev Pau Pediatr 2015;33:255257.CrossRefGoogle Scholar
Pettit, J. Assessment of infants with peripherally inserted central catheters: Part 1. Detecting the most frequently occurring complications. Adv Neonatal Care 2002;2:304315.CrossRefGoogle ScholarPubMed