Low Rate of Bacteremia with a Subcutaneously Implanted Central Venous access Device

@article{Nurse2014LowRO,
  title={Low Rate of Bacteremia with a Subcutaneously Implanted Central Venous access Device},
  author={Brenda A Nurse and Rita Bonczek and Randall W. Barton and Daniel T. Larose},
  journal={The Journal of Vascular Access},
  year={2014},
  volume={15},
  pages={51 - 55}
}
Purpose Patients at long-term acute care hospitals (LTACs) are medically complex with multiple comorbidities and high rates of antibiotic and device use. The objective of the study was to analyze the incidence and rate of central line-associated bloodstream infections (CLABSI) and the critical factors for patient care, management, placement and maintenance of the implanted central venous access device at this LTAC. Methods A 13-year retrospective chart review was performed comprising 191… 

Topics from this paper

Use of a Central Catheter Maintenance Bundle in Long-Term Acute Care Hospitals.
  • A. Grigonis, A. Dawson, +4 authors L. K. Snyder
  • Medicine, Political Science
    American journal of critical care : an official publication, American Association of Critical-Care Nurses
  • 2016
TLDR
The bundle resulted in a significant and sustained reduction in CLABSI rates in 30 LTACHs for 14 months, and the results encourage the development and implementation of similar bundles as effective strategies for infection reduction inLTACHs.
The Malposition of Central Venous Catheters in Children
TLDR
The target of this article was to present two rare cases of malposition of catheters and two displacements of catheter due to chest tumors, and to enhance the importance of differential diagnostic imaging when difficulties occur.
Dialysis Central Venous Catheter Types and Performance
TLDR
The general features of CVCs are reviewed, including differences between tunneled and nontunneledCVCs, materials and their compatibility with lock solutions, the implications of straight versus precurved design in nontunnelsed CVDs, lumen and tip features with their clinical implications, catheter coatings and their effect on infection and thrombosis.
Best practice guidelines
  • G. Schears
  • Medicine
    Restorative Justice for Survivors of Sexual Abuse
  • 2020
Use of a Central

References

SHOWING 1-10 OF 23 REFERENCES
Epidemiology of device-associated infections related to a long-term implantable vascular access device.
TLDR
Nearly one fourth of patients who had a vascular access device implanted developed a primary BSI, but the overall infection rate was relatively low, even among those with HIV infection, andPrimary BSI rates in patients with vascular access devices appeared to differ according to the specific underlying illness.
An intervention to decrease catheter-related bloodstream infections in the ICU.
TLDR
An evidence-based intervention resulted in a large and sustained reduction (up to 66%) in rates of catheter-related bloodstream infection that was maintained throughout the 18-month study period.
Implantable Vascular Access Systems: Experience in 1500 Patients with Totally Implanted Central Venous Port Systems
TLDR
The safety and convenience of using totally implantable venous access systems in patients on long-term chemotherapy is confirmed, with a significant difference between the low rate of infections and other complications in the group of patients with solid tumors and patients with hematologic diseases.
A prospective evaluation of the Port-A-Cath implantable venous access system in chronically ill adults and children.
TLDR
Implantable venous access devices are reliable and have a low complication rate in adult and pediatric patients who require repetitive venousAccess and are thought to be the result of the placement of all catheters by a cutdown technique rather than percutaneously.
Port-A-Cath infections in children with cancer.
Increased Rate of Catheter-Related Bloodstream Infection Associated With Use of a Needleless Mechanical Valve Device at a Long-Term Acute Care Hospital
TLDR
An increased catheter-related BSI rate was temporally associated with use of a needleless mechanical valve device at the study hospital, despite several educational sessions regarding proper NMVD use.
Team-based prevention of catheter-related infections.
TLDR
The use of central venous catheters for the infusion of medications and fluids results in associated bloodstream infections, and the leading pathogens are coagulase-negative staphylococci, Staphylitis aureus, enterococcus species, and candida species.
Long-term acute care hospitals.
  • L. Munoz-Price
  • Medicine
    Clinical infectious diseases : an official publication of the Infectious Diseases Society of America
  • 2009
TLDR
A review of the limited amount of scientific literature on long-term acute care hospitals highlights their infection control problems, as well as the role LTACHs play on regional outbreaks.
Port-A-Cath: a study of complication rates.
TLDR
The medical records of these patients were reviewed to determine the type and rates of complications with the Port-A-Cath TM and a review of the literature described the results of the study and the results were described.
Implanted vascular access devices (ports) in children: complications and their prevention
TLDR
Ports have a high complication rate with long-term use and selecting the right port system, proper installation of the port chamber, and efficient handling and maintenance by trained staff could prevent the vast majority of port-related complications.
...
1
2
3
...