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Journal of Long-Term Effects of Medical Implants

Publication de 4  numéros par an

ISSN Imprimer: 1050-6934

ISSN En ligne: 1940-4379

SJR: 0.184 SNIP: 0.485 CiteScore™:: 1.1 H-Index: 39

Indexed in

Risk of Bacteremia in Patients with Hematological and other Malignancies after Initial Placement of a Central Venous Catheter

Volume 17, Numéro 4, 2007, pp. 303-311
DOI: 10.1615/JLongTermEffMedImplants.v17.i4.40
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RÉSUMÉ

Background: Widespread use of central venous access devices has made catheter-related bacteremia an important concern. Therefore, we conducted a follow-up study on the risk of bacteremia in Danish patients with hematological or other malignancies after placement of their first central venous access devise. Patients and methods: At a Danish university hospital we identified 357 patients with hematological or other malignancies during a three-year period, 2000-2002. Data on catheter placement and bacteremias were obtained from hospital registries. Clinical data were abstracted from patients' charts. Results: 104 patients had a hematological malignancy (“hem”) and 253 patients had other malignancies (“solid tumor”). A total of 55 patients (34/21) developed bacteremia following catheter placement. After adjustment for age, sex, and comorbidity, the relative risk of bacteremia in the “hem” compared with the “solid tumor” group was 10.8 (95%; CI, 5.8−20.1). In both groups, the central venous catheter was the most frequent focus of infection with no major difference in proportion (50% and 33%, respectively); an unknown focus was also common (50% and 19%, respectively). Conclusion: Patients with hematological malignancies had a 10-fold increased risk of bacteremia compared with other cancer patients and the central venous catheter was not the only important focus.

CITÉ PAR
  1. Tomlinson D., Mermel L. A., Ethier M.-C., Matlow A., Gillmeister B., Sung L., Defining Bloodstream Infections Related to Central Venous Catheters in Patients With Cancer: A Systematic Review, Clinical Infectious Diseases, 53, 7, 2011. Crossref

  2. Inagaki Kengo, El Feghaly Rana E., Catheter-Related Bloodstream Infections (CRBSIs), in Introduction to Clinical Infectious Diseases, 2019. Crossref

  3. Beekmann Susan E., Henderson David K., Infections Caused by Percutaneous Intravascular Devices, in Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases, 2015. Crossref

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