Central Venous Catheter–Related Bacteremia Due toTsukamurellaSpecies in the Immunocompromised Host: A Case Series and Review of the Literature

Background: Achieving a reliable venous access in a particular subset of patients and/or in emergency settings can be challenging and time-consuming. Furthermore, many hospitalized patients do not meet the criteria for central venous catheter positioning, unless an upgrade of the treatment is further needed. The mini-midline catheter has already showed to be reliable and safe as a stand-alone device, since it is easily and rapidly inserted and can indwell up to 1 month. Methods: In this further case series, we retrospectively evaluated data from 63 patients where a previously inserted mini-midline catheter was upgraded to a central venous catheter (the devices inserted in the arm replaced by peripherally inserted central catheter and others inserted “off-label” in the internal jugular replaced by single lumen centrally inserted central catheter), being used as introducer for the Seldinger guidewire. Results: The guidewire replacement was been made even early (after 1 day) or late (more than 10 days), usually following a need for an upgrade in treatment. No early or late complications were reported. Conclusion: According to the preliminary data we collected, this converting procedure seems to be feasible and risk-free, since neither infectious nor thrombotic complications were reported.

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USE OF CLINICAL INDICATORS IN THE EVALUATION OF PREVENTION AND CONTROL PRACTICES FOR BLOODSTREAM INFECTION

Texto & Contexto - Enfermagem ◽

10.1590/0104-0707201500004040014 ◽

2015 ◽

Vol 24 (4) ◽

pp. 1018-1026 ◽

Cited By ~ 6

Author(s):

Francisca Jane Gomes de Oliveira ◽

Joselany Afio Caetano ◽

Viviane Martins da Silva ◽

Paulo César de Almeida ◽

Andrea Bezerra Rodrigues ◽

...

Keyword(s):

Central Venous Catheter ◽

Bloodstream Infection ◽

Prevention And Control ◽

Compliance Rate ◽

Case Series ◽

Venous Catheter ◽

Central Venous ◽

Clinical Indicators ◽

And Control ◽

Catheter Related Bloodstream Infection

ABSTRACT The aim of this study was to evaluate the compliance of the implemented prevention and control practices for central venous catheter-related bloodstream infection, through clinical indicators. An observational study, with a quantitative approach, was conducted. The case series was based on 2064 evaluations, conducted through direct observation and medical records, using a manual for evaluating the quality of cross-infection control practices. The results showed that the indicator for the registrations of the insertion and dwell time of the catheter had the highest overall compliance rate (62.5%). The indicator related to hand hygiene, on the other hand, showed a null overall compliance rate. Strategies must be developed to ensure adherence to the prevention and control practices for central venous catheter-related bloodstream infection and periodic evaluations of working conditions must be implemented, in order to raise compliance rates.

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The Use Of Polyurethane Transparent Film In Indwelling Central Venous Catheter

Revista Latino-Americana de Enfermagem ◽

10.1590/s0104-11692010000600023 ◽

2010 ◽

Vol 18 (6) ◽

pp. 1212-1220 ◽

Cited By ~ 9

Author(s):

Renata Cristina de Campos Pereira Silveira ◽

Fernanda Titareli Merizio Martins Braga ◽

Livia Maria Garbin ◽

Cristina Maria Galvão

Keyword(s):

Central Venous Catheter ◽

Case Series ◽

Venous Catheter ◽

Skin Toxicity ◽

Transparent Film ◽

Exit Site ◽

Central Venous ◽

Hematopoietic Stem ◽

Gauze Dressing ◽

Sterile Gauze

Dressing is an intervention aimed to prevent infection in central venous catheter. This study aimed to analyze the frequency of catheter-related infection and skin toxicity in the use of transparent film in Hickman’s catheter in patients who underwent allogeneic hematopoietic stem cell transplantation. A case series with 10 cases was carried out. Due to the presence of exudate on the average for 12 days, sterile gauze dressing was used for 12.9 days (average). Transparent film was used, on average, for 15.1 days. Catheters were precociously removed due to infection in four cases. The highest degree of skin toxicity occurred in a case that used gauze dressing and in three cases with film. The transparent film permitted visualization of the exit site of the catheter and changes with longer intervals.

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Calcified central venous catheter fibrin sheath: case report and review of the literature

Clinical Imaging ◽

10.1016/j.clinimag.2015.07.014 ◽

2015 ◽

Vol 39 (6) ◽

pp. 1130-1133 ◽

Cited By ~ 5

Author(s):

Aryeh Keehn ◽

Dan Rabinowitz ◽

Steve K. Williams ◽

Benjamin H. Taragin

Keyword(s):

Case Report ◽

Central Venous Catheter ◽

Venous Catheter ◽

Review Of The Literature ◽

Central Venous ◽

Fibrin Sheath

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Ectopic intra-aortic insertion of a subclavian central venous catheter: case report and review of the literature

Journal of Thoracic and Cardiovascular Surgery ◽

10.1016/j.jtcvs.2003.11.021 ◽

2004 ◽

Vol 127 (5) ◽

pp. 1515-1516 ◽

Cited By ~ 5

Author(s):

Mohamed I. Seleem ◽

Ahmed M Al-Hashemy ◽

Awaje Al-Naemi

Keyword(s):

Case Report ◽

Central Venous Catheter ◽

Venous Catheter ◽

Review Of The Literature ◽

Central Venous

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Central Venous Catheter Infection with Brevibacterium sp. in an Immunocompetent Woman: Case Report and Review of the Literature

Infection ◽

10.1007/s15010-006-5027-6 ◽

2006 ◽

Vol 34 (2) ◽

pp. 103-106 ◽

Cited By ~ 16

Author(s):

S. Ulrich ◽

R. Zbinden ◽

M. Pagano ◽

M. Fischler ◽

R. Speich

Keyword(s):

Case Report ◽

Central Venous Catheter ◽

Venous Catheter ◽

Review Of The Literature ◽

Central Venous ◽

Catheter Infection ◽

Central Venous Catheter Infection

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Fosfluconazole for Antifungal Prophylaxis in Very Low Birth Weight Infants

International Journal of Pediatrics ◽

10.1155/2009/274768 ◽

2009 ◽

Vol 2009 ◽

pp. 1-3

Author(s):

Daijiro Takahashi ◽

Tomohiko Nakamura ◽

Reiko Shigematsu ◽

Miyu Matsui ◽

Shunsuke Araki ◽

...

Keyword(s):

Central Venous Catheter ◽

Fungal Infection ◽

Invasive Fungal Infection ◽

Very Low Birth Weight ◽

Case Series ◽

Venous Catheter ◽

Antifungal Prophylaxis ◽

Central Venous ◽

Vlbw Infants ◽

Case Series Study

We conducted a retrospective case series study to evaluate the safety of fosfluconazole prophylaxis for preventing invasive fungal infection in VLBW infants with a central vascular access. Fosfluconazole was administered intravenously at a dose of 6 mg/kg everyday during which time a central venous catheter was placed. A total of 23 infants met the criteria for enrollment in our study. No cases of fungal infection were detected during the central venous catheter placement in the group. None of the infants had an elevatedβ-D-glucan, and all of them were still alive at discharge. Regarding the liver and renal function, no statistically significant differences were observed before and at the end of fosfluconazole prophylaxis. The results of this study demonstrate that fosfluconazole prophylaxis in preventing invasive fungal infection was well tolerated by VLBW infants. This is a first report to describe antifungal prophylaxis using fosfluconazole for VLBW infants.

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