Lower incidence of catheter-related bloodstream infection in subclavian venous access in the presence of tracheostomy than in femoral venous access: prospective observational study

Lorente, Leonardo; Jiménez, Alejandro; Martı́n, Marı́a; Palmero, S; Jiménez, Juan J.; Mora, M

doi:10.1111/j.1469-0691.2010.03406.x

Cited by 8 publications

(4 citation statements)

References 9 publications

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“…Afterwards, we found that internal jugular venous site by central access and tracheostomy had a higher CRBSI risk than femoral venous site [44] . In addition, we found a lower CRBSI risk in the subclavian venous site with tracheostomy than in femoral venous site [45] . Besides, we found a higher CRBSI risk in internal jugular venous site by posterior access with tracheostomy than without tracheostomy [46] .…”

Section: Risk Of Crbsi According the Existence Of Tracheostomymentioning

confidence: 50%

Antimicrobial-impregnated catheters for the prevention of catheter-related bloodstream infections

Lorente

2016

WJCCM

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Central venous catheters are commonly used in critically ill patients. Such catheterization may entail mechanical and infectious complications. The interest in catheterrelated infection lies in the morbidity, mortality and costs that it involved. Numerous contributions have been made in the prevention of catheter-related infection and the current review focuses on the possible current role of antimicrobial impregnated catheters to reduce catheter-related bloodstream infections (CRBSI). There is evidence that the use of chlorhexidine-silver sulfadiazine (CHSS), rifampicin-minocycline, or rifampicin-miconazol impregnated catheters reduce the incidence of CRBSI and costs. In addition, there are some clinical circumstances associated with higher risk of CRBSI, such as the venous catheter access and the presence of tracheostomy. Current guidelines for the prevention of CRBSI recommended the use of a CHSS or rifampicin-minocycline impregnated catheter in patients whose catheter is expected to remain in place > 5 d and if the CRBSI rate has not decreased after implementation of a comprehensive strategy to reduce it.

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Section: Risk Of Crbsi According the Existence Of Tracheostomymentioning

confidence: 50%

Antimicrobial-impregnated catheters for the prevention of catheter-related bloodstream infections

Lorente

2016

WJCCM

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“…One study assessed the use of the subclavian vein in the presence of tracheostomy in comparison to the femoral vein. The "subclavian + tracheostomy" group presented lower incidence of CLABSI when compared to "femoral without tracheostomy", 3.9 vs. 10.0 CLABSI episodes/1,000 catheter days, while there was a tendency for the incidence of CLABSI in the "subclavian + tracheostomy" group to be lower, 3.9 vs. 11.2I CLABSI/1,000 catheters-days 40 . Level of evidence: 3.e.…”

Section: Discussionmentioning

confidence: 84%

“…Extra strategies added to already implemented care concerning the insertion and maintenance of catheters were tested as a means to lower risk of colonization and infection of CVCs 14 , 17 , 27 , 30 , 34 - 36 , 40 - 41 .…”

Section: Discussionmentioning

confidence: 99%

Evidence-based measures to prevent central line-associated bloodstream infections: a systematic review

Perin

Erdmann

Higashi

et al. 2016

Rev. Latino-Am. Enfermagem

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Objective: to identify evidence-based care to prevent CLABSI among adult patients hospitalized in ICUs. Method: systematic review conducted in the following databases: PubMed, Scopus, Cinahl, Web of Science, Lilacs, Bdenf and Cochrane Studies addressing care and maintenance of central venous catheters, published from January 2011 to July 2014 were searched. The 34 studies identified were organized in an instrument and assessed by using the classification provided by the Joanna Briggs Institute. Results: the studies presented care bundles including elements such as hand hygiene and maximal barrier precautions; multidimensional programs and strategies such as impregnated catheters and bandages and the involvement of facilities in and commitment of staff to preventing infections. Conclusions: care bundles coupled with education and the commitment of both staff and institutions is a strategy that can contribute to decreased rates of central line-associated bloodstream infections among adult patients hospitalized in intensive care units.

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“…Several studies found that catheter related local infection incidence was higher for femoral than for internal jugular or subclavian access routes. 3 Anaesthesia was maintained with volatile agents. Sevofurane when compared with i.v.…”

Section: Discussionmentioning

confidence: 99%

Anaesthesia and intensive care management of face transplantation

Sedaghati-Nia

Gilton

Liger

et al. 2013

British Journal of Anaesthesia

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The face-grafting techniques are innovative and highly complex, requiring well-defined organization of all the teams involved. Subsequent to the first report in France in 2005, there have been 17 facial allograft transplantations performed worldwide. We describe anaesthesia and postoperative management, and the problems encountered, during the course of seven facial composite tissue grafts performed between 2007 and 2011 in our hospital. The reasons for transplantation were ballistic trauma in four patients, extensive neurofibromatosis in two patients, and severe burns in one patient. Anaesthesia for this long procedure involves advanced planning for airway management, vascular access, technique of anaesthesia, and fluid management. Preparation and grafting phases were highly haemorrhagic (>one blood volume), requiring massive transfusion. Median (range) volumes given for packed red cell (PRC) and fresh-frozen plasma (FFP) were 64.2 ml kg(-1) (35.5-227.5) and 46.2 ml kg(-1) (6.3-173.7), respectively. Blood loss quantification was difficult because of diffuse bleeding to the drapes. The management of patients with neurofibromatosis or burns involving the whole face was more difficult and haemorrhagic than the patients with lower face transplantation. Average surgical duration was 19.1 h (15-28 h). Postoperative severe graft oedema was present in most patients. Most patients encountered complications in ICU, such as renal insufficiency, acute respiratory distress syndrome, and jugular thrombosis. Opportunistic bacterial infections were a feature during the postoperative period in these highly immunosuppressed patients.

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Lower incidence of catheter-related bloodstream infection in subclavian venous access in the presence of tracheostomy than in femoral venous access: prospective observational study

Cited by 8 publications

References 9 publications

Antimicrobial-impregnated catheters for the prevention of catheter-related bloodstream infections

Antimicrobial-impregnated catheters for the prevention of catheter-related bloodstream infections

Evidence-based measures to prevent central line-associated bloodstream infections: a systematic review

Anaesthesia and intensive care management of face transplantation

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