Inzidenz der katheterassoziierten Infektionen auf einer kardiologisch-pulmonologischen Intensivstation : Risikofaktoren und Bedeutung klinischer und laborchemischer Parameter

309 patients received 572 central vascular catheters during the study period. The mean duration of catheterization was 4,9Þ2,8 days. 59 catheters (10%) were removed because of a suspected catheter-related infection. The catheter infection rate was 4% (8,1/1000 catheter days), the catheter bacteraemia rate 1,7% (3,5/1000 catheter days). The CRP-level did not help to diagnose catheter-related infection. A leucocyte count >16,0x103/ml correlated significantly with a negative catheter tip culture. A frequently falling temperature after removal of catheters with negative cultures was an indicator for the impact of non-infectious reasons of catheter-related fever. An ICU length of stay >14 days and the diagnosis 'infection' on admission were patient-related, a repeated catheterization and a duration of catheterization >5 days catheter-related risk factors. The infecion rate per catheter day remained unchanged with prolonged duration of catheterization but raised with repeated catheterization. A higher infecion rate was observed for quadruple-lumen compared to single-to triple-lumen catheters and during parenteral nutrition. Catheters inserted in the second study period (less experienced physicians and nurses) had a higher risk of infection.

Grantor dc:publisher

Publikationsserver der RWTH Aachen University

Year dc:date

2001

Author dc:creator

• Pinkawa, Michael

Contributors dc:contributor

• Hanrath, Peter

• info:eu-repo/classification/ddc/610
• Medizin

Statement dc:rights

• info:eu-repo/semantics/openAccess

Language dc:language

ger

Identifier

https://publications.rwth-aachen.de/search?p=id:%22RWTH-CONV-118647%22

OAI record oai:identifier

https://publications.rwth-aachen.de/oai2d?verb=GetRecord&metadataPrefix=oai_dc&identifier=oai%3Apublications.rwth-aachen.de%3A56554