Catheter-related Bacteremias in Patients with Cancer
Authors: Elio Castagnola, Giuliana Carrega, Alberto Garaventa
Journal: Annals of Internal Medicine (1994)

Letters1 July 1994Catheter-related Bacteremias in Patients with CancerElio Castagnola, MD, Giuliana Carrega, MD, and Alberto Garaventa, MDElio Castagnola, MDG. Gaslini Children's Hospital; Genoa; ItalySearch for more papers by this author, Giuliana Carrega, MDG. Gaslini Children's Hospital; Genoa; ItalySearch for more papers by this author, and Alberto Garaventa, MDG. Gaslini Children's Hospital; Genoa; ItalySearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-121-1-199407010-00017 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:A recent report by Groeger and coworkers [1] shows a higher proportion of catheter-related bacteremias in patients with Hickman-type catheters; the authors speculate that the predominance of gram-negative pathogens is probably caused by translocation of gut bacteria in neutropenic patients with altered mucosal barriers. However, they do not report the proportion of neutropenic patients at the time of diagnosis of catheter-related bacteremias and, among Enterobacteriaceae, do not differentiate those pathogens frequently identified as contaminants of infusate and antiseptics [2-4]. We did a study of the incidence of catheter-related bacteremias in 584 Broviac catheters inserted from January 1984 ...References1. Groeger JS, Lucas AB, Thaler HT, Friedlander-Klar H, Brown AE, Kiehn TE, et al. Infectious morbidity associated with long-term use of venous access devices in patients with cancer. Ann Intern Med. 1993; 119:1168-74. Google Scholar2. Maki DG. Pathogenesis, prevention, and management of infections due to intravescular devices used for infusion therapy. In: Bisno AL, Waldvogel FA, eds. Infections Associated with Indwelling Medical Devices. Washington, DC: American Society for Microbiology; 1989:161-77. Google Scholar3. Raad II, Bodey GP. Infectious complications of indwelling vascular catheters. Clin Infect Dis. 1992; 15:197-210. Google Scholar4. Goldman DA, Pier GB. Pathogenesis of infections related to intravascular catheterization. Clin Microbiol Rev. 1993; 6:176-92. Google Scholar5. Viscoli C, Garaventa A, Boni L, Melodia A, Dini G, Cuneo R, et al. Role of Broviac catheters in infections in children with cancer. Pediatr Infect Dis J. 1988; 7:556-60. Google Scholar Author, Article, and Disclosure InformationAuthors: Elio Castagnola, MD; Giuliana Carrega, MD; Alberto Garaventa, MDAffiliations: G. Gaslini Children's Hospital; Genoa; Italy PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byGroshong catheter-related complications in children with cancerConditions associated with infections of indwelling central venous catheters in cancer patients: a summaryProspective Study of Indwelling Central Venous Catheter-Related Complications in Children With Broviac or Clampless Valved CathetersIncidence of septicaemias and invasive mycoses in children undergoing treatment for solid tumoursBloodstream infections in children with cancer: a multicentre surveillance study of the Italian Association of Paediatric Haematology and OncologyComplications Related to Indwelling Caval Catheters on a Gynecologic Oncology ServiceLetter to the editor: “Indwelling central venous catheter-related sepsis”Broviac catheter-related bacteraemias due to unusual pathogens in children with cancer: Case reports with literature reviewFactors predisposing cancer patients to infection 1 July 1994Volume 121, Issue 1Page: 72-73KeywordsBacteremiaCathetersChildrenHeparinKlebsiellaNeutropeniaOutpatientsPathogensPatientsPseudomonas ePublished: 15 August 2000 Issue Published: 1 July 1994 Copyright & PermissionsCopyright © 1994 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...