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Critical Care
Published in: Critical Care 1/2018

Open Access 01-12-2018 | Letter

Epidemiology of subsequent bloodstream infections in the ICU

Authors: Niccolò Buetti, Elia Lo Priore, Rami Sommerstein, Andrew Atkinson, Andreas Kronenberg, Jonas Marschall, the Swiss Centre for Antibiotic resistance (ANRESIS)

Published in: Critical Care | Issue 1/2018

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Abstract

Subsequent bloodstream infections (sBSI) occur with a delay after removal of the intravascular catheter (IVC) whose tip revealed microbial growth. Here we describe the epidemiology of sBSI in the intensive care setting. Serratia marcescens, Staphylococcus aureus, Pseudomonas aeruginosa, and yeast were the pathogens most frequently associated with sBSI. In contrast, Enterococci were rarely found in sBSI.
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Literature
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Timsit JF, Rupp M, Bouza E, et al. A state of the art review on optimal practices to prevent, recognize, and manage complications associated with intravascular devices in the critically ill. Intensive Care Med. 2018;44:742–759CrossRef
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Buetti N, Lo Priore E, Atkinson A, Swiss Centre for Antibiotic R, et al. Low incidence of subsequent bacteraemia or fungaemia after removal of a colonized intravascular catheter tip. Clin Microbiol Infect. 2018;24:548.e1–3.CrossRef
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Perez-Parra A, Munoz P, Guinea J, et al. Is candida colonization of central vascular catheters in non-candidemic, non-neutropenic patients an indication for antifungals? Intensive Care Med. 2009;35:707–12.CrossRef
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Hetem DJ, de Ruiter SC, Buiting AG, et al. Preventing staphylococcus aureus bacteremia and sepsis in patients with staphylococcus aureus colonization of intravascular catheters: a retrospective multicenter study and meta-analysis. Medicine. 2011;90:284–8.CrossRef
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Mrozek N, Lautrette A, Aumeran C, et al. Bloodstream infection after positive catheter cultures: what are the risks in the intensive care unit when catheters are routinely cultured on removal? Crit Care Med. 2011;39:1301–5.CrossRef
Metadata
Title
Epidemiology of subsequent bloodstream infections in the ICU
Authors
Niccolò Buetti
Elia Lo Priore
Rami Sommerstein
Andrew Atkinson
Andreas Kronenberg
Jonas Marschall
the Swiss Centre for Antibiotic resistance (ANRESIS)
Publication date
01-12-2018
Publisher
BioMed Central
Published in
Critical Care / Issue 1/2018
Electronic ISSN: 1364-8535
DOI
https://doi.org/10.1186/s13054-018-2148-0

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