1887

Chapter 13.12 : Culture of Intravascular Devices

MyBook is a cheap paperback edition of the original book and will be sold at uniform, low price.

Preview this chapter:
Zoom in
Zoomout

Culture of Intravascular Devices, Page 1 of 2

| /docserver/preview/fulltext/10.1128/9781555817435/9781555815271_Chap13_12-1.gif /docserver/preview/fulltext/10.1128/9781555817435/9781555815271_Chap13_12-2.gif

Abstract:

Intravascular catheters are used to provide continuous vascular access to permit blood sampling; to administer blood products, medications, total parenteral nutrition, and other fluids; and, in the case of pulmonary artery catheters, to permit hemodynamic monitoring of cardiac function. Because these devices penetrate the integument, they put the patient at significant risk for development of device-related infection. The insertion site becomes colonized by bacteria from the patient's own skin or by microorganisms carried on the hands of medical personnel ( ). Organisms can also gain access through the lumen of the catheter following contamination of the hub ( ) or infusion of contaminated fluids. Invading organisms can then colonize the intravascular catheter surfaces in the form of a biofilm and produce local infection and, in a significant number of cases, bacteremia, fungemia, suppurative phlebitis, or septic thrombosis ( ). ( Appendix 13.12-1 for further discussion.)

Citation: Garcia L. 2010. Culture of Intravascular Devices, p 501-507. In Clinical Microbiology Procedures Handbook, 3rd Edition. ASM Press, Washington, DC. doi: 10.1128/9781555817435.ch13.12
Highlighted Text: Show | Hide
Loading full text...

Full text loading...

Figures

Image of Figure 13.12-1
Figure 13.12-1

Placement of surgically implanted long percutaneous catheter (illustration by Carol Moretti).

Citation: Garcia L. 2010. Culture of Intravascular Devices, p 501-507. In Clinical Microbiology Procedures Handbook, 3rd Edition. ASM Press, Washington, DC. doi: 10.1128/9781555817435.ch13.12
Permissions and Reprints Request Permissions
Download as Powerpoint
Image of Figure 13.12-2
Figure 13.12-2

Placement of surgically implanted subcutaneous port (illustration by Carol Moretti).

Citation: Garcia L. 2010. Culture of Intravascular Devices, p 501-507. In Clinical Microbiology Procedures Handbook, 3rd Edition. ASM Press, Washington, DC. doi: 10.1128/9781555817435.ch13.12
Permissions and Reprints Request Permissions
Download as Powerpoint
Image of Figure 13.12-3
Figure 13.12-3

Segments of long catheter for culture (illustration by Carol Moretti).

Citation: Garcia L. 2010. Culture of Intravascular Devices, p 501-507. In Clinical Microbiology Procedures Handbook, 3rd Edition. ASM Press, Washington, DC. doi: 10.1128/9781555817435.ch13.12
Permissions and Reprints Request Permissions
Download as Powerpoint
Image of Figure 13.12-4
Figure 13.12-4

Segment of short catheter for culture (illustration by Carol Moretti).

Citation: Garcia L. 2010. Culture of Intravascular Devices, p 501-507. In Clinical Microbiology Procedures Handbook, 3rd Edition. ASM Press, Washington, DC. doi: 10.1128/9781555817435.ch13.12
Permissions and Reprints Request Permissions
Download as Powerpoint
Image of Figure 13.12-5
Figure 13.12-5

Maki roll technique (illustration by Carol Moretti)

Citation: Garcia L. 2010. Culture of Intravascular Devices, p 501-507. In Clinical Microbiology Procedures Handbook, 3rd Edition. ASM Press, Washington, DC. doi: 10.1128/9781555817435.ch13.12
Permissions and Reprints Request Permissions
Download as Powerpoint

References

/content/book/10.1128/9781555817435.chap13.12
1. Cleri, D. J.,, M. L. Corrado,, and S. J. Seligman. 1980. Quantitative culture of intravenous catheters and other intravascular inserts. J. Infect. Dis. 141: 781 786.
2. Collignon, P. J.,, R. Chan,, and R. Munro. 1987. Rapid diagnosis of intravascular catheter-related sepsis. Arch. Intern. Med. 147: 1609 1612.
3. Collignon, P. J.,, N. Soni,, I. Y. Pearson,, W. P. Woods,, R. Munro,, and T. C. Sorrell. 1986. Is semiquantitative culture of central vein catheter tips useful in the diagnosis of catheter-associated bacteremia? J. Clin. Microbiol. 24: 532 535.
4. Liñares, J.,, A. Sitges-Serra,, J. Garau,, J. L. Perez,, and R. Martin. 1985. Pathogenesis of catheter sepsis: a prospective study with quantitative and semiquantitative cultures of catheter hub and segments. J. Clin. Microbiol. 21: 357 360.
5. Maki, D. G., 1980. Sepsis associated with infusion therapy, p. 207 253. In S. Karran (ed.), Controversies in Surgical Sepsis. Praeger, New York, NY.
6. Miller, K. B., 1988. Cardiovascular system update, p. 1168 1181. In R. Berg (ed.), The APIC Curriculum for Infection Control Practices, vol. 3. Kendall/Hunt, Dubuque, IA.
7. Moore, C. L.,, K. A. Erickson,, L. B. Yanes,, M. Franklin,, and L. Gonsalves. 1986. Nursing care and management of venous access ports. Oncol. Nurs. Forum 13: 35 39.
8. Raad, I.,, M. F. Sabbagh,, K. H. Rand,, and R. J. Sherertz. 1992. Quantitative tip culture methods and the diagnosis of central venous catheter-related infections. Diagn. Microbiol. Infect. Dis. 15: 13 20.
9. Raad, I.,, H. Hanna,, and D. Maki. 2007. Intravascular catheter-related infections: advances in diagnosis, prevention, and management. Lancet Infect. Dis. 7: 645 657.
10. Siegman-Igra, Y.,, A. M. Anglim,, D. E. Shapiro,, K. A. Adal,, B. A. Strain,, and B. M. Farr. 1997. Diagnosis of catheter-related bloodstream infections: a meta-analysis. J. Clin. Microbiol. 35: 928 936.
11. Collignon, P. J.,, and R. Munro. 1989. Laboratory diagnosis of intravascular catheter associated sepsis. Eur. J. Clin. Microbiol. Infect. Dis. 8: 807 814.
12. Coutleé, F.,, C. Lemieux,, and J. F. Paradis. 1988. Value of direct catheter staining in the diagnosis of intravascular-catheter-related infection. J. Clin. Microbiol. 26: 1088 1090.
13. Hamory, B. H., 1987. Nosocomial bloodstream and intravascular device-related infections, p. 283 319. In R. P. Wenzel (ed.), Prevention and Control of Nosocomial Infections, vol. 1. The Williams & Wilkins Co., Baltimore, MD.
14. Kristinsson, K. G.,, I. A. Burnett,, and R. C. Spencer. 1989. Evaluation of three methods for culturing long intravascular catheters. J. Hosp. Infect. 14: 183 191.
1. Cleri, D. J.,, M. L. Corrado,, and S. J. Seligman. 1980. Quantitative culture of intravenous catheters and other intravascular inserts. J. Infect. Dis. 141: 781 786.
2. Cooper, G. L.,, and C. C. Hopkins. 1985. Rapid diagnosis of intravascular catheter-associated infection by direct Gram staining of catheter segments. N. Engl. J. Med. 312: 1142 1147.
3. Haslett, T. M.,, H. D. Isenberg,, E. Hilton,, V. Tucci,, B. G. Kay,, and E. M. Vellozzi. 1988. Microbiology of indwelling central intravascular catheters. J. Clin. Microbiol. 26: 696 701.
4. Liñares, J.,, A. Sitges-Serra,, J. Garan,, J. L. Perez,, and R. Martin. 1985. Pathogenesis of catheter sepsis: a prospective study with quantitative and semiquantitative cultures of catheter hub and segments. J. Clin. Microbiol. 21: 357 360.
5. Maki, D. G., 1980. Sepsis associated with infusion therapy, p. 207 253. In S. Karran (ed.), Controversies in Surgical Sepsis. Praeger, New York, NY.
6. Maki, D. G., 1989. Pathogenesis, prevention, and management of infections due to intravascular devices used for infusion therapy, p. 161 177. In A. L. Bisno, and F. A. Waldvogel (ed.), Infections Associated with Indwelling Medical Devices. American Society for Microbiology, Washington, DC.
7. Maki, D. G.,, C. E. Weise,, and H. W. Sarafin. 1977. A semiquantitative culture method for identifying intravenous-catheter-related infection. N. Engl. J. Med. 296: 1305 1309.
8. Needham, P. M. 1990. Intraluminal colonization of a Groshong catheter. Clin. Microbiol. Newsl. 12: 189 190.
9. Rello, J.,, J. M. Gatell,, J. Almirall,, J. M. Campistol,, J. Gonzalez,, and J. Puig de la Bellacasa. 1989. Evaluation of culture techniques for identification of catheter-related infection in hemodialysis patients. Eur. J. Clin. Microbiol. Infect. Dis. 8: 620 622.
10. Zufferey, J.,, B. Rime,, P. Francioli,, and J. Bille. 1988. Simple method for rapid diagnosis of catheter-associated infection by direct acridine orange staining of catheter tips. J. Clin. Microbiol. 16: 175 176.

Tables

Generic image for table
Table 13.12-A1

Bloodstream pathogens suggestive of intravenous-infusion-related septicemia

Modified from reference .

Citation: Garcia L. 2010. Culture of Intravascular Devices, p 501-507. In Clinical Microbiology Procedures Handbook, 3rd Edition. ASM Press, Washington, DC. doi: 10.1128/9781555817435.ch13.12

This is a required field
Please enter a valid email address
Please check the format of the address you have entered.
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error