导管败血症的发病机制：一项对导管接头和节段进行定量和半定量培养的前瞻性研究。
Pathogenesis of catheter sepsis: a prospective study with quantitative and semiquantitative cultures of catheter hub and segments.
作者信息
Liñares J, Sitges-Serra A, Garau J, Pérez J L, Martín R
出版信息
J Clin Microbiol. 1985 Mar;21(3):357-60. doi: 10.1128/jcm.21.3.357-360.1985.
Abstract
Our purpose was to study prospectively the causes, routes of infection, and frequency of catheter-related sepsis in patients on total parenteral nutrition. From January 1981 to January 1984, cultures of 135 subclavian catheters from 135 adult patients were done by quantitative and semiquantitative methods. Twenty patients (14.8%) had catheter-related sepsis. Fourteen episodes (70%) stemmed from an colonized hub. Skin infection (Staphylococcus aureus, 2 cases), total parenteral nutrition mixture contamination (Enterobacter cloacae, 2 cases), and hematogenous seeding of the catheter tip (Yersinia enterocolitica, 1 case, and Streptococcus faecalis, 1 case) accounted for the remaining six septic episodes. The catheter hub is, in our experience, the most common site of origin of organisms causing catheter tip infection and bacteremia.
摘要
我们的目的是前瞻性地研究接受全胃肠外营养患者的导管相关败血症的病因、感染途径及发生率。1981年1月至1984年1月，对135例成年患者的135根锁骨下导管进行了定量和半定量培养。20例患者（14.8%）发生了导管相关败血症。14次发作（70%）源于定植的导管接头。皮肤感染（金黄色葡萄球菌，2例）、全胃肠外营养混合液污染（阴沟肠杆菌，2例）以及导管尖端血行播散（小肠结肠炎耶尔森菌，1例；粪肠球菌，1例）导致了其余6次败血症发作。根据我们的经验，导管接头是引起导管尖端感染和菌血症的微生物最常见的起源部位。
相似文献
1
Pathogenesis of catheter sepsis: a prospective study with quantitative and semiquantitative cultures of catheter hub and segments.导管败血症的发病机制：一项对导管接头和节段进行定量和半定量培养的前瞻性研究。
J Clin Microbiol. 1985 Mar;21(3):357-60. doi: 10.1128/jcm.21.3.357-360.1985.
2
Hub colonization as the initial step in an outbreak of catheter-related sepsis due to coagulase negative staphylococci during parenteral nutrition.在肠外营养期间，凝固酶阴性葡萄球菌引起的导管相关败血症暴发中，枢纽定植作为起始步骤。
JPEN J Parenter Enteral Nutr. 1984 Nov-Dec;8(6):668-72. doi: 10.1177/0148607184008006668.
3
A randomized trial on the effect of tubing changes on hub contamination and catheter sepsis during parenteral nutrition.一项关于更换输液管对肠外营养期间接头污染及导管败血症影响的随机试验。
JPEN J Parenter Enteral Nutr. 1985 May-Jun;9(3):322-5. doi: 10.1177/0148607185009003322.
4
5
Bacteria in total parenteral nutrition catheters: where do they come from?
Lancet. 1983 Mar 5;1(8323):531. doi: 10.1016/s0140-6736(83)92219-5.
6
Total parenteral nutrition-related infections. Prospective epidemiologic study using semiquantitative methods.全胃肠外营养相关感染。采用半定量方法的前瞻性流行病学研究。
Am J Med. 1982 Nov;73(5):695-9. doi: 10.1016/0002-9343(82)90412-0.
7
[Infections related to parenteral nutrition catheter].
Rev Clin Esp. 2000 Jul;200(7):367-9. doi: 10.1016/s0014-2565(00)70663-1.
8
A prospective study of the mechanisms of infection associated with hemodialysis catheters.
J Infect Dis. 1986 Oct;154(4):579-89. doi: 10.1093/infdis/154.4.579.
9
Catheter-related sepsis in patients on intravenous nutrition: a prospective study of quantitative catheter cultures and guidewire changes for suspected sepsis.
Br J Surg. 1985 Jan;72(1):52-5. doi: 10.1002/bjs.1800720121.
10
Efficacy of silver-coating central venous catheters in reducing bacterial colonization.银涂层中心静脉导管在减少细菌定植方面的疗效。
Crit Care Med. 1999 Mar;27(3):515-21. doi: 10.1097/00003246-199903000-00028.
引用本文的文献
1
Adding vortexing to the Maki technique provides no benefit for the diagnosis of catheter colonization or catheter-related bacteremia.在马基技术中增加涡旋对导管定植或导管相关菌血症的诊断没有益处。
World J Crit Care Med. 2024 Mar 9;13(1):89085. doi: 10.5492/wjccm.v13.i1.89085.
2
Unresolved issues in the diagnosis of catheter related candidemia: A position paper.导管相关念珠菌血症诊断中的未解决问题：立场文件。
Rev Esp Quimioter. 2024 Feb;37(1):1-16. doi: 10.37201/req/112.2023. Epub 2023 Nov 13.
3
Central Venous Catheter-Related Infectious Complications in Pediatric Surgical Patients: A Single-Center Experience.小儿外科患者中心静脉导管相关感染并发症：单中心经验
J Pediatr Intensive Care. 2021 Feb 17;11(3):240-246. doi: 10.1055/s-0041-1723946. eCollection 2022 Sep.
4
Sonication did not provide reliability to Maki technique for catheter related bloodstream infection diagnosis.超声处理不能为 Maki 技术诊断导管相关血流感染提供可靠性。
Rev Esp Quimioter. 2022 Apr;35(1):165-170. doi: 10.37201/req/110.2021. Epub 2021 Nov 30.
5
Does continuity in nursing staff matter? A pilot study on correlation of central line-associated bloodstream infections and employee turnover.护士人员的连续性重要吗？一项关于中心静脉相关血流感染与员工离职率相关性的初步研究。
Antimicrob Resist Infect Control. 2021 Jun 6;10(1):90. doi: 10.1186/s13756-021-00958-z.
6
Prevalence of and risk factors for intravenous catheter infection in hospitalized cattle, goats, and sheep.住院牛、山羊和绵羊静脉导管感染的流行情况及危险因素。
J Vet Intern Med. 2020 Jan;34(1):330-338. doi: 10.1111/jvim.15684. Epub 2019 Dec 20.
7
Malignancy Associated Iatrogenic Iliopsoas Abscess -Venous Access Complication From Ablation Procedure.恶性肿瘤相关医源性髂腰肌脓肿——消融手术引起的静脉通路并发症
J Atr Fibrillation. 2016 Apr 30;8(6):1442. doi: 10.4022/jafib.1442. eCollection 2016 Apr-May.
8
In Vitro and In Vivo Effectiveness of an Innovative Silver-Copper Nanoparticle Coating of Catheters To Prevent Methicillin-Resistant Staphylococcus aureus Infection.用于预防耐甲氧西林金黄色葡萄球菌感染的创新型导管银铜纳米颗粒涂层的体外和体内有效性
Antimicrob Agents Chemother. 2016 Aug 22;60(9):5349-56. doi: 10.1128/AAC.00959-16. Print 2016 Sep.
9
Disinfection of Needleless Connector Hubs: Clinical Evidence Systematic Review.无针连接器接头的消毒：临床证据系统评价
Nurs Res Pract. 2015;2015:796762. doi: 10.1155/2015/796762. Epub 2015 May 14.
10
Staphylococcus aureus infections: epidemiology, pathophysiology, clinical manifestations, and management.金黄色葡萄球菌感染：流行病学、病理生理学、临床表现及管理
Clin Microbiol Rev. 2015 Jul;28(3):603-61. doi: 10.1128/CMR.00134-14.
本文引用的文献
1
A comparison of tunnelled and nontunnelled subclavian vein catheters: a prospective study of complications during parenteral feeding.
Clin Nutr. 1983 Apr;2(1):51-4. doi: 10.1016/0261-5614(83)90031-6.
2
Long term parenteral therapy by percutaneous tunneled silicone central venous catheter--a follow-up of 300 catheters.
Clin Nutr. 1982 Jul;1(2):117-24. doi: 10.1016/0261-5614(82)90033-4.
3
Quantitative culture of intravenous catheters and other intravascular inserts.静脉导管及其他血管内植入物的定量培养
J Infect Dis. 1980 Jun;141(6):781-6. doi: 10.1093/infdis/141.6.781.
4
Bacterial contamination of arterial lines. A prospective study.动脉导管的细菌污染。一项前瞻性研究。
JAMA. 1983 Jan 14;249(2):223-5.
5
6
Pathogenesis and predictability of central venous catheter sepsis.
Surgery. 1982 Apr;91(4):383-9.
7
Evaluation of the Sceptor microdilution antibiotic susceptibility testing system: a collaborative investigation.Sceptor微量稀释法抗生素药敏试验系统的评估：一项合作研究。
J Clin Microbiol. 1981 Jan;13(1):184-94. doi: 10.1128/jcm.13.1.184-194.1981.
8
Catheter sepsis due to Staphylococcus epidermidis during parenteral nutrition.肠外营养期间表皮葡萄球菌引起的导管败血症
Surg Gynecol Obstet. 1980 Oct;151(4):481-3.
9
Hub colonization as the initial step in an outbreak of catheter-related sepsis due to coagulase negative staphylococci during parenteral nutrition.在肠外营养期间，凝固酶阴性葡萄球菌引起的导管相关败血症暴发中，枢纽定植作为起始步骤。
JPEN J Parenter Enteral Nutr. 1984 Nov-Dec;8(6):668-72. doi: 10.1177/0148607184008006668.
10
An outbreak of Staphylococcus epidermidis septicemia.
JPEN J Parenter Enteral Nutr. 1983 Nov-Dec;7(6):569-72. doi: 10.1177/0148607183007006569.
Zotero 插件