Clinical Evaluation of Catheter-Related Fungemia and Bacteremia

Yuichi Inoue, Tuyoshi Fujii, Takakazu Otsubo, Norihiko Mori, Tohru Ishino, Shigeru Kohno, Tomiko Takase, Mitsuo Kaku, Hironobu Koga, Kohei Hara

研究成果: Article査読

12 被引用数 (Scopus)

抄録

Forty-four patients with catheter-related infection admitted to Hokusho Central Hospital between 1985 and 1991 were studied retrospectively. The rate of catheter-related fungemia or bacteremia to all corresponding cases of fungemia and bacteremia increased from 7.7% in 1985 to 28.8% in 1991. The isolated pathogens were Candida parapsilosis (8 strains), Candida tropicalis (6 strains), methicillin-resistant Staphylococcus aureus (MRSA) (6 strains), methicillin-sensitive S. aureus (MSSA) (5 strains) and Streptococcus epidermidis (3 strains). Bacteremia occurred after catheterization of the femoral vein for a mean duration of 37 days. The period was significantly shorter than that after catheterization of the subclavian vein (56 days). The major isolates from the subclavian vein were Candida spp. (14/17, 82.4%), followed by MRSA (1/17, 5.9%) and MSSA (1/17, 5.9%), while isolates from the femoral vein were Candida spp. (6/16, 37.5%), MRSA (5/16, 31.3%) and MSSA (3/16, 20.8%). Catheter removal alone did not improve the clinical condition, particularly in MRSA bacteremia; the combination of antimicrobial therapy and removal of the catheter was necessary for a better prognosis.

本文言語English
ページ(範囲)485-490
ページ数6
ジャーナルInternal Medicine
34
6
DOI
出版ステータスPublished - 1995
外部発表はい

ASJC Scopus subject areas

  • 内科学

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