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Titolo:
DIFFERENTIAL QUANTITATIVE BLOOD CULTURES IN THE DIAGNOSIS OF CATHETER-RELATED SEPSIS IN INTENSIVE-CARE UNITS
Autore:
QUILICI N; AUDIBERT G; CONROY MC; BOLLAERT PE; GUILLEMIN F; WELFRINGER P; GARRIC J; WEBER M; LAXENAIRE MC;
Indirizzi:
HOP CENT,DEPT ANESTHESIE,29 AVE LATTRE TASSIGNY,CO 34 F-54035 NANCY FRANCE HOP CENT,MED INTENS CARE UNIT,BACTERIOL LAB,DEPT ANESTHESIA & SURG INTENS CARE NANCY FRANCE HOP CENT,EPIDEMIOL UNIT NANCY FRANCE UNIV NANCY NANCY FRANCE
Titolo Testata:
Clinical infectious diseases
fascicolo: 5, volume: 25, anno: 1997,
pagine: 1066 - 1070
SICI:
1058-4838(1997)25:5<1066:DQBCIT>2.0.ZU;2-4
Fonte:
ISI
Lingua:
ENG
Soggetto:
BACTEREMIA; PATHOGENESIS; MANAGEMENT;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
18
Recensione:
Indirizzi per estratti:
Citazione:
N. Quilici et al., "DIFFERENTIAL QUANTITATIVE BLOOD CULTURES IN THE DIAGNOSIS OF CATHETER-RELATED SEPSIS IN INTENSIVE-CARE UNITS", Clinical infectious diseases, 25(5), 1997, pp. 1066-1070

Abstract

The aim of this prospective study was to compare differential blood cultures and quantitative catheter tip cultures for the diagnosis of catheter-related sepsis. Over a period of 2 years, 283 central venous catheters were inserted in 190 adult patients. Catheters were removed when they were no longer needed or when infection was suspected. Immediately before removal of the central venous catheters, blood cultures were performed, with blood drawn simultaneously from the catheter and the peripheral vein, After removal, quantitative catheter culture was performed according to the Brun-Buisson modified Cleri technique. Fifty-five quantitative catheter cultures were positive. They were classified as contaminated (n = 18), colonized (n = 23), or infected (n = 14). Differential blood cultures correctly identified 13 infections. With acatheter/peripheral cfu ratio of 8, differential blood cultures had asensitivity of 92.8% and a specificity of 98.8%, When the catheters were removed because of suspected infection, differential blood cultures had a sensitivity of 92.8% and a specificity of 100%. Differential blood culture, a technique that does not necessitate catheter removal, seems effective in the diagnosis of catheter-related sepsis in patients in the intensive care unit.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 28/09/20 alle ore 12:11:13