Skin insertion site culture for the prediction of primary bloodstream infection View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2021-06-14

AUTHORS

Leonardo Lorente, María Lecuona, Alejandra Pérez-Llombet, Adriana González-Mesa, Manuel Callejon, Alejandro Jiménez, María Luisa Mora, Ana Madueño

ABSTRACT

PurposePrevious studies have analyzed the capability of skin insertion site culture to predict catheter-related bloodstream infection (CRBSI). However, there has been not analyzed its capability to predict primary bloodstream infection (PBSI), that include CRBSI and bloodstream infection of unknown origin (BSIUO). The novel objective of our study was to determine the capability of insertion skin site culture to predict CRBSI and primary bloodstream infection (PBSI), that include CRBSI and bloodstream infection of unknown origin (BSIUO).Material and methodsObservational and prospective study in one Intensive Care Unit. Patients with some central venous catheter (CVC) at least during 7 days and suspected catheter-related infection (CRI) (new episode of fever or sepsis) were included. Cultures of insertion skin site, paired blood samples, catheter-tip, and other clinical samples were taken. Capability of insertion skin site culture to predict CRBSI and PBSI was determined.ResultsWe included 108 CVC from 96 CRI suspicion episodes. The causes that motivated CRI suspicion were 20 (18.5%) PBSI, 44 (40.7%) other infections, and 44 (40.7%) unknown. Among the 20 PBSI, 11 (55%) were CRBSI and 9 (45%) were BSIUO. Negative predictive value of insertion skin site culture to predict CRBSI was 95% (87–98%) and to predict PBSI was 85% (76–91%).ConclusionsThe new finding of our study was that skin insertion site culture had a good negative predicted valued for the prediction of CRBSI and PBSI. More... »

PAGES

1269-1275

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s11845-021-02685-1

DOI

http://dx.doi.org/10.1007/s11845-021-02685-1

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1138844083

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/34121133


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