Unusual Organisms Causing Intravenous Line Infections in Compromised Hosts

Gill, M. Vanessa; Natalie, C. Klein; Burke, Amy

doi:10.1097/00019048-199605000-00005

Cited by 8 publications

(2 citation statements)

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“…Martino et al noted that non-glucose-fermenting gram-negative bacilli (NGFGNB), including S. maltophilia, Acinetobacter species and Alcaligenes xylosoxydans, were associated with catheter-related infections in cancer patients [16]. In spite of this, S. maltophilia, Alcaligenes xylosoxydans, Nocardia, Acinetobacter lwoffi and Enterobacter cloacae were still viewed as unusual organisms causing intravenous line infections [7]. However, these pathogens were the predominant organisms isolated from port-related infection in our series.…”

Section: Discussionmentioning

confidence: 99%

Implantable venous port-related infections in cancer patients

Huang

Chen

et al. 2004

Supportive Care in Cancer

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Section: Discussionmentioning

confidence: 99%

Implantable venous port-related infections in cancer patients

Huang

Chen

et al. 2004

Supportive Care in Cancer

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“…Successful treatment of tunneled catheter-related, gram-negative bacteremia has been reported by means of antimicrobial therapy without catheter removal, especially in studies of pediatric patients. 40 ' 94 A limitation in some of the pediatric studies was a failure to require that cultures of percutaneously drawn blood be done to document bloodstream infection. Other studies have demonstrated that catheter removal in cases of catheter-related bacteremia with Pseudomonas species other than P aeruginosa, Burkholderia cepacia, Acinetobacter baumannii, and Stenotrophomonas species reduced the rate of treatment failure and improved survival.…”

Section: Gram-negative Bacillimentioning

confidence: 99%

Guidelines for the Management of Intravascular Catheter-Related Infections

Mermel

Farr

Sherertz

et al. 2001

Infect. Control Hosp. Epidemiol.

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607

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These guidelines from the Infectious Diseases Society of America (IDSA), the American College of Critical Care Medicine (for the Society of Critical Care Medicine), and the Society for Healthcare Epidemiology of America contain recommendations for the management of adults and children with, and diagnosis of infections related to, peripheral and nontunneled central venous catheters (CVCs), pulmonary artery catheters, tunneled central catheters, and implantable devices. The guidelines, written for clinicians, contain IDSA evidence-based recommendations for assessment of the quality and strength of the data. Recommendations are presented according to the type of catheter, the infecting organism, and the associated complications.Intravascular catheter-related infections are a major cause of morbidity and mortality in the United States. Coagulase-negative staphylococci,Staphylococcus aureus, aerobic gram-negative bacilli, andCandida albicansmost commonly cause catheter-related bloodstream infection. Management of catheter-related infection varies according to the type of catheter involved. After appropriate cultures of blood and catheter samples are done, empirical iv antimicrobial therapy should be initiated on the basis of clinical clues, the severity of the patient's acute illness, underlying disease, and the potential pathogen (s) involved. In most cases of nontunneled CVC-related bacteremia and fungemia, the CVC should be removed.

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