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Outcome of Escherichia coli and/or Klebsiella Bloodstream Infection in Children With Central Venous Catheters

Published online by Cambridge University Press:  02 January 2015

Jessica Buckley ,
Susan E. Coffin ,
Ebbing Lautenbach ,
Priya Prasad ,
Jaclyn Chu ,
Monika Goyal  and
Theoklis E. Zaoutis
Jessica Buckley
Affiliation:
Division of Infectious Diseases, The Children's Hospital of Philadelphia, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania
Susan E. Coffin
Affiliation:
Division of Infectious Diseases, The Children's Hospital of Philadelphia, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania Department of Pediatrics, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania
Ebbing Lautenbach
Affiliation:
Division of Infectious Diseases, Department of Medicine, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania Department of Biostatistics and Epidemiology, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania Centers for Education and Research on Therapeutics, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania
Priya Prasad
Affiliation:
Division of Infectious Diseases, The Children's Hospital of Philadelphia, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania
Jaclyn Chu
Affiliation:
Division of Infectious Diseases, The Children's Hospital of Philadelphia, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania
Monika Goyal
Affiliation:
Division of Infectious Diseases, The Children's Hospital of Philadelphia, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania Department of Pediatrics, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania
Theoklis E. Zaoutis*
Affiliation:
Division of Infectious Diseases, The Children's Hospital of Philadelphia, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania Department of Pediatrics, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania Department of Biostatistics and Epidemiology, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania Centers for Education and Research on Therapeutics, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania
*
Division of Infectious Diseases, The Children's Hospital of Philadelphia, CHOP NORTH, 3535 Market Street, Suite 1527, Philadelphia, PA 19104 (zaoutis@email.chop.edu)
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Abstract

We conducted a retrospective cohort study of children with catheter-associated bloodstream infections (BSIs) due to Escherichia coli and/or Klebsiella. Risk factors for poor outcome (ie, death or recurrence of infection) were receipt of mechanical ventilation (adjusted odds ratio [aOR], 4.6 [95% confidence interval {CI}, 1.39-16.30]) and receipt of total parenteral nutrition (aOR, 3.5 [95% CI, 1.1-10.8]). A significant proportion of children with catheter-associated BSI were treated successfully without catheter removal.

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 28 , Issue 11 , November 2007 , pp. 1308 - 1310
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2011

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References

1.Richards, MJ, Edwards, JR, Culver, DH, Gaynes, RP. Nosocomial infections in pediatric intensive care units in the United States. National Nosocomial Infections Surveillance System. Pediatrics 1999;103:e39.Google Scholar
2.O'Grady, NP, Alexander, M, Dellinger, EP, et al. Guidelines for the prevention of intravascular catheter-related infections. The Hospital Infection Control Practices Advisory Committee, Centers for Disease Control and Prevention, U.S. Pediatrics 2002;110:e51.Google Scholar
3.Mermel, LA, Farr, BM, Sherertz, RJ, et al. Guidelines for the management of intravascular catheter-related infections. Clin Infect Dis 2001;32:1249–1272.CrossRefGoogle ScholarPubMed
4.Hanna, H, Afif, C, Alakech, B, et al. Central venous catheter-related bacteremia due to gram-negative bacilli: significance of catheter removal in preventing relapse. Infect Control Hosp Epidemiol 2004;25:646–649.CrossRefGoogle ScholarPubMed
5.Page, S, Abel, G, Stringer, MD, Puntis, JW. Management of septicaemic infants during long-term parenteral nutrition. Int J Clin Pract 2000;54:147–150.CrossRefGoogle ScholarPubMed
6.Benjamin, DK Jr., Miller, W, Garges, H, et al. Bacteremia, central catheters, and neonates: when to pull the line. Pediatrics 2001;107:1272–1276.CrossRefGoogle ScholarPubMed