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

DC Field Value Language
dc.contributor.author한상훈-
dc.contributor.author김준명-
dc.contributor.author김창오-
dc.contributor.author송영구-
dc.contributor.author이한성-
dc.contributor.author정수진-
dc.contributor.author진범식-
dc.contributor.author최준용-
dc.contributor.author최희경-
dc.date.accessioned2015-04-23T16:23:54Z-
dc.date.available2015-04-23T16:23:54Z-
dc.date.issued2010-
dc.identifier.issn1201-9712-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/100509-
dc.description.abstractOBJECTIVES: 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.-
dc.description.statementOfResponsibilityopen-
dc.format.extente16~e21-
dc.relation.isPartOfINTERNATIONAL JOURNAL OF INFECTIOUS DISEASES-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAged-
dc.subject.MESHBacteremia/epidemiology*-
dc.subject.MESHBacteremia/etiology-
dc.subject.MESHCatheter-Related Infections/epidemiology*-
dc.subject.MESHCatheter-Related Infections/etiology-
dc.subject.MESHCatheterization, Central Venous/adverse effects*-
dc.subject.MESHCohort Studies-
dc.subject.MESHFemale-
dc.subject.MESHFungemia/epidemiology*-
dc.subject.MESHFungemia/etiology-
dc.subject.MESHHumans-
dc.subject.MESHIntensive Care Units-
dc.subject.MESHMale-
dc.subject.MESHRecurrence-
dc.subject.MESHRepublic of Korea/epidemiology-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHRisk Factors-
dc.subject.MESHSystemic Inflammatory Response Syndrome/therapy-
dc.titleRisk factors for recurrent catheter-related infections after catheter-related bloodstream infections-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Internal Medicine (내과학)-
dc.contributor.googleauthorBum Sik Chin-
dc.contributor.googleauthorSang Hoon Han-
dc.contributor.googleauthorHan Sung Lee-
dc.contributor.googleauthorSu Jin Jeong-
dc.contributor.googleauthorHeekyoung Choi-
dc.contributor.googleauthorChang Oh Kim-
dc.contributor.googleauthorJun Yong Choi-
dc.contributor.googleauthorYoung Goo Song-
dc.contributor.googleauthorJune Myung Kim-
dc.identifier.doi10.1016/j.ijid.2009.01.016-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA04286-
dc.contributor.localIdA00953-
dc.contributor.localIdA01044-
dc.contributor.localIdA02037-
dc.contributor.localIdA03277-
dc.contributor.localIdA03638-
dc.contributor.localIdA03981-
dc.contributor.localIdA04191-
dc.contributor.localIdA04228-
dc.relation.journalcodeJ01125-
dc.identifier.eissn1878-3511-
dc.identifier.pmid19375968-
dc.identifier.urlhttp://www.sciencedirect.com/science/article/pii/S1201971209000885-
dc.subject.keywordCatheter-related bloodstream infection-
dc.subject.keywordRecurrence-
dc.subject.keywordCatheter-related infection-
dc.subject.keywordRisk factors-
dc.contributor.alternativeNameHan, Sang Hoon-
dc.contributor.alternativeNameKim, June Myung-
dc.contributor.alternativeNameKim, Chang Oh-
dc.contributor.alternativeNameSong, Young Goo-
dc.contributor.alternativeNameLee, Han Sung-
dc.contributor.alternativeNameJeong, Su Jin-
dc.contributor.alternativeNameChin, Bum Sik-
dc.contributor.alternativeNameChoi, Jun Yong-
dc.contributor.alternativeNameChoi, Hee Kyoung-
dc.contributor.affiliatedAuthorHan, Sang Hoon-
dc.contributor.affiliatedAuthorKim, June Myung-
dc.contributor.affiliatedAuthorKim, Chang Oh-
dc.contributor.affiliatedAuthorSong, Young Goo-
dc.contributor.affiliatedAuthorLee, Han Sung-
dc.contributor.affiliatedAuthorJeong, Su Jin-
dc.contributor.affiliatedAuthorChin, Bum Sik-
dc.contributor.affiliatedAuthorChoi, Jun Yong-
dc.contributor.affiliatedAuthorChoi, Hee Kyoung-
dc.citation.volume14-
dc.citation.number1-
dc.citation.startPage16-
dc.citation.endPage21-
dc.identifier.bibliographicCitationINTERNATIONAL JOURNAL OF INFECTIOUS DISEASES, Vol.14(1) : 16-21, 2010-
dc.identifier.rimsid36533-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers

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