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Risk factors for recurrent catheter-related infections after catheter-related bloodstream infections

Authors
 Bum Sik Chin  ;  Sang Hoon Han  ;  Han Sung Lee  ;  Su Jin Jeong  ;  Heekyoung Choi  ;  Chang Oh Kim  ;  Jun Yong Choi  ;  Young Goo Song  ;  June Myung Kim 
Citation
 INTERNATIONAL JOURNAL OF INFECTIOUS DISEASES, Vol.14(1) : 16-21, 2010 
Journal Title
INTERNATIONAL JOURNAL OF INFECTIOUS DISEASES
ISSN
 1201-9712 
Issue Date
2010
MeSH
Aged ; Bacteremia/epidemiology* ; Bacteremia/etiology ; Catheter-Related Infections/epidemiology* ; Catheter-Related Infections/etiology ; Catheterization, Central Venous/adverse effects* ; Cohort Studies ; Female ; Fungemia/epidemiology* ; Fungemia/etiology ; Humans ; Intensive Care Units ; Male ; Recurrence ; Republic of Korea/epidemiology ; Retrospective Studies ; Risk Factors ; Systemic Inflammatory Response Syndrome/therapy
Keywords
Catheter-related bloodstream infection ; Recurrence ; Catheter-related infection ; Risk factors
Abstract
OBJECTIVES: This study was performed to identify the risk factors for recurrent catheter-related infections (CRIs) following non-tunneled central venous catheter (CVC) reinsertion after catheter-related bloodstream infections (CRBSIs).

METHODS: A retrospective cohort was constructed from a computer database for patients who underwent reinsertion of a non-tunneled CVC after a CRBSI during the period January 2004 to December 2007. Among these patients, recurrent CRI cases were selected through an electronic chart review, and the risk factors for recurrent CRI were investigated.

RESULTS: Fifty-three patients who had had a reinserted non-tunneled CVC after a CRBSI were analyzed and 22 patients were considered as having recurrent CRIs (41.5%). Recurrent/persistent CRBSI after catheter reinsertion was observed in 16 patients, and six patients with systemic inflammatory response syndrome revealed positive results of an identical organism with the initial CRBSI in semi-quantitative reinsertion-catheter tip cultures. In multivariate analysis, fungal CRBSI compared with bacterial infection (adjusted hazard ratio (HR) 7.77, 95% confidence interval (CI) 1.71-35.36) and CRBSI occurrence during intensive care unit (ICU) care (adjusted HR 5.20, 95% CI 1.41-19.18) were revealed as independent risk factors for recurrent CRIs after catheter reinsertion on account of CRBSIs.

CONCLUSIONS: A substantial proportion of the patients with CRBSIs revealed recurrent CRIs after catheter reinsertion. Fungal CRBSIs when compared with bacterial infections and CRBSI occurrence during ICU care were independent risk factors for recurrent CRIs following catheter reinsertion after a CRBSI.
Full Text
http://www.sciencedirect.com/science/article/pii/S1201971209000885
DOI
10.1016/j.ijid.2009.01.016
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Kim, June Myung(김준명)
Kim, Chang Oh(김창오) ORCID logo https://orcid.org/0000-0002-0773-5443
Song, Young Goo(송영구) ORCID logo https://orcid.org/0000-0002-0733-4156
Lee, Han Sung(이한성)
Jeong, Su Jin(정수진) ORCID logo https://orcid.org/0000-0003-4025-4542
Chin, Bum Sik(진범식)
Choi, Jun Yong(최준용) ORCID logo https://orcid.org/0000-0002-2775-3315
Choi, Hee Kyoung(최희경)
Han, Sang Hoon(한상훈) ORCID logo https://orcid.org/0000-0002-4278-5198
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/100509
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