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Pathogens CRBSI

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https://www.readbyqxmd.com/read/27730778/antibiotic-lock-therapy-in-the-era-of-gram-negative-resistance
#1
Rajeev Soman, Neha Gupta, Mitesh Suthar, Jatin Kothari, Alan Almeida, Anjali Shetty, Camilla Rodrigues
BACKGROUND: Central-line-associated blood-stream infection (CLABSI) is a highly consequential nosocomial infection. The most effective management includes the removal of the infected catheter. Retention of the catheter and antibiotic lock therapy (ALT) along with systemic antibiotics may be attempted only if there are unusual extenuating circumstances. CLABSIs due to Gram-negative bacteria (GNB) is more common in our setting and the organisms are often highly resistant. Hence, there is a need to explore the use of novel antimicrobials for catheter lock solutions along with antibiofilm agents...
February 2016: Journal of the Association of Physicians of India
https://www.readbyqxmd.com/read/27488325/catheter-related-blood-stream-infection-in-patients-receiving-long-term-home-parenteral-nutrition-tertiary-care-hospital-experience-in-saudi-arabia
#2
Esraa S Al-Tawil, Alanoud M Almuhareb, Hamdy M Amin
BACKGROUND/AIM: Parenteral nutrition (PN) is a lifesaving therapy for patients with many severe conditions, including intestinal failure. Some patients require long-term PN therapy, which makes home parenteral nutrition (HPN) an attractive option to improve the quality of life. Among the most common and serious complications observed in these patients are catheter-related blood stream infections (CRBSIs). The aim of our study is to determine the frequency of CRBSI among patients receiving long-term HPN...
July 2016: Saudi Journal of Gastroenterology: Official Journal of the Saudi Gastroenterology Association
https://www.readbyqxmd.com/read/27093936/-analysis-on-the-prevalence-of-central-venous-catheter-related-infection-in-burn-patients-and-its-risk-factors
#3
Li Fang, Fan Wang, Kedai Sun, Tao Zhou, Yali Gong, Yizhi Peng
OBJECTIVE: To investigate the prevalence of central venous catheter-related infection (CRI) in burn patients and its risk factors, so as to guide the clinical practice. METHODS: Clinical data of 5 026 days of 480 cases of central venous catheterization altogether in 228 burn patients admitted to our ward from June 2011 to December 2014, conforming to the study criteria, were retrospectively analyzed. (1) The incidence of CRI and that of catheter-related bloodstream infection (CRBSI) in patients (the infection rates per thousand days were calculated) and mortality due to them, and detection of concerning bacteria were recorded after each case of catheterization...
April 2016: Zhonghua Shao Shang za Zhi, Zhonghua Shaoshang Zazhi, Chinese Journal of Burns
https://www.readbyqxmd.com/read/26619558/-pathogen-characteristics-of-catheter-related-bloodstream-infection
#4
Dan-ni Li, Chao He, Yuan-fang Wang, Mei Kang, Zhi-xing Chen, Yi Xie
OBJECTIVE: To determine thepathogen characteristics of catheter-related bloodstream infection (CRBSI). METHODS: The clinical data of patients with CRBSI who were admitted in West China Hospital, Sichuan University during January 1, 2011 and October 15, 2014 were retrieved, along with findings of pathogen culture and drug susceptibility tests. RESULTS: Eighty-four strains of pathogens were isolated from 77 patients, which included 41 strains (48...
September 2015: Sichuan da Xue Xue Bao. Yi Xue Ban, Journal of Sichuan University. Medical Science Edition
https://www.readbyqxmd.com/read/26610337/microbial-biofilms-associated-with-intravascular-catheter-related-bloodstream-infections-in-adult-intensive-care-patients
#5
L Zhang, J Gowardman, M Morrison, N Runnegar, C M Rickard
Catheter-related bloodstream infection (CRBSI) is one of the most serious complications in hospitalised patients, leading to increased hospitalisation, intensive care admissions, extensive antibiotic treatment and mortality. A greater understanding of these bacterial infections is needed to improve the prevention and the management of CRBSIs. We describe here the systematic culture-independent evaluation of intravascular catheter (IVC) bacteriology. Twelve IVCs (6 central venous catheters and 6 arterial catheters) were collected from 6 patients...
February 2016: European Journal of Clinical Microbiology & Infectious Diseases
https://www.readbyqxmd.com/read/26059324/sterile-v-aseptic-non-touch-technique-for-needle-less-connector-care-on-central-venous-access-devices-in-a-bone-marrow-transplant-population-a-comparative-study
#6
COMPARATIVE STUDY
Julie M Flynn, Samantha J Keogh, Nicole C Gavin
PURPOSE: The aim of this study was to determine whether a variation in practice from an aseptic non-touch technique (ANTT) to a sterile technique when changing needleless connectors on central venous access devices (CVAD) was associated with any change in catheter related bloodstream infection (CRBSI) rates in the bone marrow transplant (BMT) population. METHODS: A two group comparative study without concurrent controls using a retrospective cohort was conducted in a large metropolitan hospital in Brisbane, Australia...
December 2015: European Journal of Oncology Nursing: the Official Journal of European Oncology Nursing Society
https://www.readbyqxmd.com/read/26051740/report-distribution-and-clinical-characteristics-of-pathogenic-bacteria-causing-catheter-related-bloodstream-infections
#7
Hong-mei Li
This paper on analysis pathogenic bacterial distribution of central veins Catheter-related Blood-Stream infection (CRBS) and clinical features of different infection. Ninety-one patients with CRBSI were selected, to analyze and research for etiological distribution, clinical characteristics, inflammatory markers and prognosis.Among the 91 cases, 31 cases were infected by Candida, accounting for 34.1%; 31 cases were infected by Gram-negative bacilli, accounting for 34.1%; 29 cases were infected by Gram-positive cocci, accounting for 31...
May 2015: Pakistan Journal of Pharmaceutical Sciences
https://www.readbyqxmd.com/read/25976045/-species-distribution-of-pathogens-and-prognostic-factors-for-catheter-related-bloodstream-infections-in-intensive-care-unit
#8
Jun Li, Li Yu, Junhui Yang, Ding Long, Yuanchao Zhang, Xiaofen Bu
OBJECTIVE: To explore the incidence and species distribution of catheter-related bloodstream infection (CRBSI) in intensive care unit (ICU) at our hospital and analyze the risk factors for CRBSI. METHODS: Hospitalized patients microbiologically diagnosed as CRBSI were recruited from January 2012 to June 2013. And the clinical data were collected retrospectively and analyzed by software IBM SPSS 19.0. RESULTS: Among 67 patients diagnosed as nosocomial CRBSI, 24 cases (35...
March 10, 2015: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/25712314/in-vitro-activity-of-gentamicin-vancomycin-or-amikacin-combined-with-edta-or-l-arginine-as-lock-therapy-against-a-wide-spectrum-of-biofilm-forming-clinical-strains-isolated-from-catheter-related-infections
#9
David Lebeaux, Véronique Leflon-Guibout, Jean-Marc Ghigo, Christophe Beloin
OBJECTIVES: Treatment of catheter-related bloodstream infections (CRBSI) is hampered by the characteristic tolerance of bacterial biofilms towards antibiotics. Our objective was to study the effect of the combination of antibiotics and the alkaline amino acid l-arginine or the cation chelator EDTA on the bacterial killing of in vitro biofilms formed by an array of clinical strains responsible for CRBSI and representative of epidemiologically relevant bacterial species. METHODS: Among 32 strains described in a previous clinical study, we focused on the most antibiotic-tolerant strains including CoNS (n = 4), Staphylococcus aureus (n = 4), Enterococcus faecalis (n = 2), Pseudomonas aeruginosa (n = 4) and Enterobacteriaceae (n = 4)...
2015: Journal of Antimicrobial Chemotherapy
https://www.readbyqxmd.com/read/25695128/risk-factors-for-early-onset-of-catheter-related-bloodstream-infection-in-an-intensive-care-unit-in-china-a-retrospective-study
#10
Fuzheng Tao, Ronglin Jiang, Yingzi Chen, Renhui Chen
BACKGROUND: Catheter-related bloodstream infection (CRBSI) is a life-threatening condition encountered in patients with long-term central venous catheter (CVC) indwelling. The objective was to investigate the clinical characteristics, treatment, and prognosis of CRBSI in the intensive care unit (ICU) in a Chinese center, as well as the risk factors for early CRBSI. MATERIAL AND METHODS: A total of 73 CRBSI patients were retrospectively studied in relation to patients' clinical and epidemiological data, microbiological culture, and treatment...
2015: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
https://www.readbyqxmd.com/read/25566999/surveillance-of-catheter-related-infections-the-supplementary-role-of-the-microbiology-laboratory
#11
Wilhelmina Strasheim, Martha M Kock, Veronica Ueckermann, Ebrahim Hoosien, Andries W Dreyer, Marthie M Ehlers
BACKGROUND: The burden of catheter-related infections (CRIs) in developing countries is severe. In South Africa, a standardised surveillance definition does not exist and the collection of catheter days is challenging. The aim of the study was to provide baseline data on the prevalence of CRIs and to describe the epidemiology of CRI events within a tertiary academic hospital. METHODS: Surveillance was laboratory-based and conducted for a six month period. A microbiologically confirmed CRBSI (MC-CRBSI) event was defined as the isolation of the same microorganism from the catheter and concomitant blood cultures (BCs), within 48 h of catheter removal, which were not related to an infection at another site...
2015: BMC Infectious Diseases
https://www.readbyqxmd.com/read/25311403/central-venous-catheter-associated-bloodstream-infections-in-pediatric-hematology-oncology-patients-and-effectiveness-of-antimicrobial-lock-therapy
#12
Hsing-Chen Tsai, Li-Min Huang, Luan-Yin Chang, Ping-Ing Lee, Jong-Ming Chen, Pei-Lan Shao, Po-Ren Hsueh, Wang-Huei Sheng, Yu-Ching Chang, Chun-Yi Lu
BACKGROUND: Central line-associated bloodstream infection (CLABSI) is a serious complication in hematology-oncology patients. This study aimed to analyze the prevalence of CLABSI and the effectiveness of antimicrobial lock therapy (ALT) in pediatric patients. METHODS: BSIs of all pediatric hematology-oncology patients admitted to a children's hospital between January 2009 and December 2013 were reviewed. The United States National Healthcare Safety Network and Infectious Diseases Society of America guidelines were used to define CLABSI and catheter-related BSI (CRBSI)...
December 2015: Journal of Microbiology, Immunology, and Infection, Wei Mian Yu Gan Ran za Zhi
https://www.readbyqxmd.com/read/25048776/catheter-related-bloodstream-infection-in-patients-with-motility-disorder-of-the-alimentary-tract
#13
Wataru Sumida, Yoshio Watanabe, Hidemi Takasu, Kazuo Oshima
PURPOSE: Catheter-related bloodstream infection (CRBSI) is a serious complication associated with parenteral nutrition (PN). We retrospectively examined the features of CRBSI in patients with motility disorder (MD) by reviewing medical records. METHODS: Patients who received PN for more than 100 days in our hospital between January 2009 and September 2013 were reviewed. They were divided into two groups based on the presence or absence of MD. The frequency of CRBSI and the pathogenic organisms detected were compared...
September 2014: Pediatric Surgery International
https://www.readbyqxmd.com/read/24899534/genetic-characteristics-and-antimicrobial-resistance-of-staphylococcus-epidermidis-isolates-from-patients-with-catheter-related-bloodstream-infections-and-from-colonized-healthcare-workers-in-a-belgian-hospital
#14
Soraya Cherifi, Baudouin Byl, Ariane Deplano, Carole Nagant, Claire Nonhoff, Olivier Denis, Marie Hallin
BACKGROUND: Staphylococcus epidermidis is a pathogen that is frequently encountered in the hospital environment. Healthcare workers (HCWs) can serve as a reservoir for the transmission of S. epidermidis to patients. METHODS: The aim of this study was to compare and identify differences between S. epidermidis isolated from 20 patients with catheter-related bloodstream infections (CRBSIs) and from the hands of 42 HCWs in the same hospital in terms of antimicrobial resistance, biofilm production, presence of the intercellular adhesion (ica) operon and genetic diversity (pulsed field gel electrophoresis (PFGE), multilocus sequence typing (MLST) and staphylococcal cassette chromosome (SCC) mec typing)...
2014: Annals of Clinical Microbiology and Antimicrobials
https://www.readbyqxmd.com/read/24887215/weighted-incidence-syndromic-combination-antibiograms-to-guide-empiric-treatment-of-critical-care-infections-a-retrospective-cohort-study
#15
Varinder Randhawa, Syed Sarwar, Sandra Walker, Marion Elligsen, Lesley Palmay, Nick Daneman
INTRODUCTION: Empiric antimicrobial selection for critical care infections must balance the need for timely adequate coverage with the resistance pressure exerted by broadspectrum agents. We estimated the potential of weighted incidence syndromic combination antibiograms (WISCAs) to improve time to adequate coverage for critical care infections. In contrast to traditional antibiograms, WISCAs display the likelihood of coverage for a specific infectious syndrome (rather than individual pathogens), and also take into account the potential for poly-microbial infections and the use of multi-drug regimens...
2014: Critical Care: the Official Journal of the Critical Care Forum
https://www.readbyqxmd.com/read/24861410/microbiocidal-effects-of-various-taurolidine-containing-catheter-lock-solutions
#16
E D Olthof, R Nijland, A F Gülich, G J A Wanten
BACKGROUND & AIMS: We have recently shown that a catheter lock solution containing taurolidine dramatically decreases catheter-related bloodstream infections (CRBSI) in patients on home parenteral nutrition (HPN) when compared to heparin. Since several taurolidine formulations are commercially available, some of which also contain citrate or heparin, we were interested in the effect of these different locks on growth and biofilm formation of fungal, Gram-negative and Gram-positive pathogens that are known to impede HPN treatment...
April 2015: Clinical Nutrition: Official Journal of the European Society of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/24809204/-candida-catheter-related-blood-stream-infection
#17
Masako Kadowaki, Nobuyuki Shimono
Candida catheter-related bloodstream infection (CRBSI) is a biofilm-related disease, which is usually refractory because antifungals show limited effect. With medical development and increase in number of compromised hosts, CRBSI became more frequent. Candida, which is one of the opportunistic pathogens, ranks the fourth causative organism of bacteremia. The onset of bacteremia is greatly associated with the presence of catheter. Repeated blood cultures and the central venous catheter (CVC) tip culture are done for the definitive diagnosis of Candida CRBSI...
February 2014: Japanese Journal of Antibiotics
https://www.readbyqxmd.com/read/24739727/-clinical-analysis-of-nosocomial-infection-and-risk-factors-of-extremely-premature-infants
#18
Na Jiang, Ying Wang, Qi Wang, Haijing Li, Jingyun Mai, Zhenlang Lin
OBJECTIVE: To investigate the incidence of nosocomial infections of extremely premature infants and to explore the risk factors and strategies for infection control. METHOD: There were 118 extremely premature infants who were confirmed to have nosocomial infection in neonatal intensive care unit of the authors' hospital from January 2008 to December 2012. Their data of the infection rate, risk factors and clinical characteristics were retrospectively analyzed. RESULT: During the study, nosocomial infection occurred in 78 extremely premature infants 129 times...
February 2014: Zhonghua Er Ke za Zhi. Chinese Journal of Pediatrics
https://www.readbyqxmd.com/read/24399393/intravascular-catheter-related-infections-and-antimicrobial-susceptibility-pattern-of-isolated-bacteria-in-a-tertiary-care-hospital-of-bangladesh
#19
F J Mansur, L Barai, M M Karim, J A Haq, K Fatema, M O Faruq
The aim of this study was to evaluate the rate of bacterial colonisation and catheter related blood stream infections (CRBSI) together with the antibiotic susceptibility patterns in a tertiary care hospital. CRBSI was detected with semi-quantitative and quantitative methods. The antimicrobial susceptible patterns of the isolated organisms were performed by Kirby Bauer disk diffusion method. The rate of catheter colonisation and CRBSI were 42.1% and 14% (16.1/1000 catheter days) respectively. The most common causative pathogens were Pseudomonas sp...
January 2014: Indian Journal of Medical Microbiology
https://www.readbyqxmd.com/read/24183319/catheter-related-bloodstream-infections-caused-by-gram-negative-bacteria
#20
E Bouza, A Eworo, A Fernández Cruz, E Reigadas, M Rodríguez-Créixems, P Muñoz
From 2008 to 2010, patients with microbiologically confirmed Gram-negative catheter-related bloodstream infection (GN-CRBSI) were each compared with two randomly selected controls. We included 81 cases (17% of all CRBSI) and 162 controls with CRBSI caused by other pathogens. Incidence of GN-CRBSI was 0.53 episodes per 1000 admissions. Cases were more likely to have underlying neurological disease or gastrointestinal conditions, previous antimicrobial therapy and a shorter time to blood culture positivity. Surgery in the present admission (odds ratio: 3...
December 2013: Journal of Hospital Infection
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