Catheter-related Bacteremias in Patients with Cancer
Authors: Jeffrey S. Groeger
Journal: Annals of Internal Medicine (1994)

Letters1 July 1994Catheter-related Bacteremias in Patients with CancerJeffrey S. Groeger, MD, Arthur E. Brown, MD, and Donald Armstrong, MDJeffrey S. Groeger, MDMemorial Sloan-Kettering Cancer Center; New York, NY 10021Search for more papers by this author, Arthur E. Brown, MDMemorial Sloan-Kettering Cancer Center; New York, NY 10021Search for more papers by this author, and Donald Armstrong, MDMemorial Sloan-Kettering Cancer Center; New York, NY 10021Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-121-1-199407010-00018 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:We noted that potential factors contributing to catheter-related bacteremia include poor device care technique at home, in the clinic, or in the hospital; increased frequency of device flushing; and contamination of infusate [1, 2] or catheter hubs [3]. To highlight this point, “water-borne” gram-negative bacilli are grouped separately from other pathogens. We compared the incidence of bacteremia (as defined in our article [4]) occurring in 985 Hickman-type catheters flushed daily with the incidence occurring in 582 devices flushed twice weekly when not in continual use. The switch to a twice-weekly home care regimen was associated with a 10% ...References1. Maki DG. Infections associated with intravascular lines. In: Remington JS, Swartz MN, eds. Current Clinical Topics in Infectious Diseases. New York: McGraw-Hill; 1980:309-63. Google Scholar2. Maki DG, Alvarado CJ. The role of clinical microbiology laboratory in diagnosis of infusion related sepsis. Clin Microbiol. 1982; 4:89-94. Google Scholar3. Linares J, Sitges-Serra A, Garau J, Perez JL, Martin R. Pathogenesis of catheter sepsis: A prospective study with quantitative and semiquantitative cultures of catheter hub and segments. J Clin Microbiol. 1985; 21:357-60. Google Scholar4. 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 Scholar5. Lucas AB, Groeger JS. A prospective evaluation of Hickman catheter morbidity with twice weekly flushing compared to daily flushing. International Consensus on Supportive Care in Oncology. Brussels, Belgium; 1990. Google Scholar Author, Article, and Disclosure InformationAffiliations: Memorial Sloan-Kettering Cancer Center; New York, NY 10021 PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byDiagnostic et prise en charge des infections sur cathéters veineux centraux de longue duréeBroviac catheter-related bacteraemias due to unusual pathogens in children with cancer: Case reports with literature review 1 July 1994Volume 121, Issue 1Page: 72-73KeywordsBacteremiaCathetersLymphocytic leukemiaLymphomaMedical risk factorsMultiple myelomaNeutropeniaNeutrophilsPathogensThrombosis ePublished: 15 August 2000 Issue Published: 1 July 1994 Copyright & PermissionsCopyright © 1994 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...