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Unnecessary Removal of Central Venous Catheters in Cancer Patients with Bloodstream Infections

Published online by Cambridge University Press:  14 January 2018

Anne Marie Chaftari*
Affiliation:
Department of Infectious Diseases, Infection Control and Employee Health, The University of Texas MD Anderson Cancer Center, Houston, Texas
Ray Hachem
Affiliation:
Department of Infectious Diseases, Infection Control and Employee Health, The University of Texas MD Anderson Cancer Center, Houston, Texas
Sammy Raad
Affiliation:
Department of Infectious Diseases, Infection Control and Employee Health, The University of Texas MD Anderson Cancer Center, Houston, Texas
Ying Jiang
Affiliation:
Department of Infectious Diseases, Infection Control and Employee Health, The University of Texas MD Anderson Cancer Center, Houston, Texas
Elizabeth Natividad
Affiliation:
Department of Infusion Therapy, The University of Texas MD Anderson Cancer Center, Houston, Texas
Patrick Chaftari
Affiliation:
Department of Emergency Medicine, UT MD Anderson Cancer Center, 1515 Holcombe, Houston, TX 77030.
Issam Raad
Affiliation:
Department of Infectious Diseases, Infection Control and Employee Health, The University of Texas MD Anderson Cancer Center, Houston, Texas
*
Address correspondence to Anne Marie Chaftari, MD, Department of Infectious Diseases, Infection Control and Employee Health, Unit 1460, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Houston, TX 77030 (achaftar@mdanderson.org).

Abstract

We evaluated the rate of central venous catheter (CVC) removal in 283 cancer patients with bloodstream infections (BSIs). Removal of CVCs occurred unnecessarily in 57% of patients with non-central-line-associated BSI (non-CLABSI), which was equivalent to the rate of CVC removal in patients with CLABSIs. Physician education and safe interventions to salvage the vascular access are warranted.

Infect Control Hosp Epidemiol 2018;39:222–225

Type
Concise Communications
Copyright
© 2018 by The Society for Healthcare Epidemiology of America. All rights reserved 

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