Prospective study of catheter replacement and other risk factors for infection of hyperalimentation catheters

Carl W. Armstrong; C. Glen Mayhall; Kathy B. Miller; Heber H. Newsome; Harvey J. Sugerman; Harry P. Dalton; Gaye O. Hall; Chris Gennings; Carl W. Armstrong; C. Glen Mayhall; Kathy B. Miller; Heber H. Newsome; Harvey J. Sugerman; Harry P. Dalton; Gaye O. Hall; Chris Gennings; Carl W. Armstrong; C. Glen Mayhall; Kathy B. Miller; Heber H. Newsome; Harvey J. Sugerman; Harry P. Dalton; Gaye O. Hall; Chris Gennings; Carl W. Armstrong; C. Glen Mayhall; Kathy B. Miller; Heber H. Newsome; Harvey J. Sugerman; Harry P. Dalton; Gaye O. Hall; Chris Gennings; Carl W. Armstrong; C. Glen Mayhall; Kathy B. Miller; Heber H. Newsome; Harvey J. Sugerman; Harry P. Dalton; Gaye O. Hall; Chris Gennings

doi:10.1093/infdis/154.5.808

Prospective study of catheter replacement and other risk factors for infection of hyperalimentation catheters

Carl W. Armstrong, C. Glen Mayhall, Kathy B. Miller, Heber H. Newsome, Harvey J. Sugerman, Harry P. Dalton, Gaye O. Hall, Chris Gennings, Carl W. Armstrong, C. Glen Mayhall, Kathy B. Miller, Heber H. Newsome, Harvey J. Sugerman, Harry P. Dalton, Gaye O. Hall, Chris Gennings, Carl W. Armstrong, C. Glen Mayhall, Kathy B. Miller, Heber H. NewsomeHarvey J. Sugerman, Harry P. Dalton, Gaye O. Hall, Chris Gennings, Carl W. Armstrong, C. Glen Mayhall, Kathy B. Miller, Heber H. Newsome, Harvey J. Sugerman, Harry P. Dalton, Gaye O. Hall, Chris Gennings, Carl W. Armstrong, C. Glen Mayhall, Kathy B. Miller, Heber H. Newsome, Harvey J. Sugerman, Harry P. Dalton, Gaye O. Hall, Chris Gennings

Research output: Contribution to journal › Article › peer-review

105 Scopus citations

Abstract

To determine risk factors for infection of hyperalimentation catheters, we prospectively studied 169 catheter systems (88 patients) by using a semiquantitative culture technique. Infection occurred in 24 (14%) catheters (16 patients), was inversely proportional to the number of previous catheters inserted by the operator (P <.02), and was proportional to the interval between admission and catheter insertion (P <.0005). Catheter replacement over a guidewire was no more likely to be associated with infection than was a de novo percutaneous insertion at another site (P =.6). Using a proportional hazards model, we estimated the risk of infection per day to be 1.3 times greater for a catheter if the patient had been hospitalized 50 days instead of seven days, and 3.8 times greater if the patient had a Swan-Ganz catheter at the time of insertion.

Original language	English (US)
Pages (from-to)	808-816
Number of pages	9
Journal	Journal of Infectious Diseases
Volume	154
Issue number	5
DOIs	https://doi.org/10.1093/infdis/154.5.808
State	Published - Nov 1986
Externally published	Yes

ASJC Scopus subject areas

General Medicine

Access to Document

10.1093/infdis/154.5.808

Cite this

Armstrong, C. W., Mayhall, C. G., Miller, K. B., Newsome, H. H., Sugerman, H. J., Dalton, H. P., Hall, G. O., Gennings, C., Armstrong, C. W., Mayhall, C. G., Miller, K. B., Newsome, H. H., Sugerman, H. J., Dalton, H. P., Hall, G. O., Gennings, C., Armstrong, C. W., Mayhall, C. G., Miller, K. B., ... Gennings, C. (1986). Prospective study of catheter replacement and other risk factors for infection of hyperalimentation catheters. Journal of Infectious Diseases, 154(5), 808-816. https://doi.org/10.1093/infdis/154.5.808

Armstrong, CW, Mayhall, CG, Miller, KB, Newsome, HH, Sugerman, HJ, Dalton, HP, Hall, GO, Gennings, C, Armstrong, CW, Mayhall, CG, Miller, KB, Newsome, HH, Sugerman, HJ, Dalton, HP, Hall, GO, Gennings, C, Armstrong, CW, Mayhall, CG, Miller, KB, Newsome, HH, Sugerman, HJ, Dalton, HP, Hall, GO, Gennings, C, Armstrong, CW, Mayhall, CG, Miller, KB, Newsome, HH, Sugerman, HJ, Dalton, HP, Hall, GO, Gennings, C, Armstrong, CW, Mayhall, CG, Miller, KB, Newsome, HH, Sugerman, HJ, Dalton, HP, Hall, GO & Gennings, C 1986, 'Prospective study of catheter replacement and other risk factors for infection of hyperalimentation catheters', Journal of Infectious Diseases, vol. 154, no. 5, pp. 808-816. https://doi.org/10.1093/infdis/154.5.808

@article{99284cde216a42ca91708a02309a894d,

title = "Prospective study of catheter replacement and other risk factors for infection of hyperalimentation catheters",

abstract = "To determine risk factors for infection of hyperalimentation catheters, we prospectively studied 169 catheter systems (88 patients) by using a semiquantitative culture technique. Infection occurred in 24 (14%) catheters (16 patients), was inversely proportional to the number of previous catheters inserted by the operator (P <.02), and was proportional to the interval between admission and catheter insertion (P <.0005). Catheter replacement over a guidewire was no more likely to be associated with infection than was a de novo percutaneous insertion at another site (P =.6). Using a proportional hazards model, we estimated the risk of infection per day to be 1.3 times greater for a catheter if the patient had been hospitalized 50 days instead of seven days, and 3.8 times greater if the patient had a Swan-Ganz catheter at the time of insertion.",

author = "Armstrong, {Carl W.} and Mayhall, {C. Glen} and Miller, {Kathy B.} and Newsome, {Heber H.} and Sugerman, {Harvey J.} and Dalton, {Harry P.} and Hall, {Gaye O.} and Chris Gennings and Armstrong, {Carl W.} and Mayhall, {C. Glen} and Miller, {Kathy B.} and Newsome, {Heber H.} and Sugerman, {Harvey J.} and Dalton, {Harry P.} and Hall, {Gaye O.} and Chris Gennings and Armstrong, {Carl W.} and Mayhall, {C. Glen} and Miller, {Kathy B.} and Newsome, {Heber H.} and Sugerman, {Harvey J.} and Dalton, {Harry P.} and Hall, {Gaye O.} and Chris Gennings and Armstrong, {Carl W.} and Mayhall, {C. Glen} and Miller, {Kathy B.} and Newsome, {Heber H.} and Sugerman, {Harvey J.} and Dalton, {Harry P.} and Hall, {Gaye O.} and Chris Gennings and Armstrong, {Carl W.} and Mayhall, {C. Glen} and Miller, {Kathy B.} and Newsome, {Heber H.} and Sugerman, {Harvey J.} and Dalton, {Harry P.} and Hall, {Gaye O.} and Chris Gennings",

year = "1986",

month = nov,

doi = "10.1093/infdis/154.5.808",

language = "English (US)",

volume = "154",

pages = "808--816",

journal = "Journal of Infectious Diseases",

issn = "0022-1899",

publisher = "Oxford University Press",

number = "5",

}

TY - JOUR

T1 - Prospective study of catheter replacement and other risk factors for infection of hyperalimentation catheters

AU - Armstrong, Carl W.

AU - Mayhall, C. Glen

AU - Miller, Kathy B.

AU - Newsome, Heber H.

AU - Sugerman, Harvey J.

AU - Dalton, Harry P.

AU - Hall, Gaye O.

AU - Gennings, Chris

AU - Armstrong, Carl W.

AU - Mayhall, C. Glen

AU - Miller, Kathy B.

AU - Newsome, Heber H.

AU - Sugerman, Harvey J.

AU - Dalton, Harry P.

AU - Hall, Gaye O.

AU - Gennings, Chris

AU - Armstrong, Carl W.

AU - Mayhall, C. Glen

AU - Miller, Kathy B.

AU - Newsome, Heber H.

AU - Sugerman, Harvey J.

AU - Dalton, Harry P.

AU - Hall, Gaye O.

AU - Gennings, Chris

AU - Armstrong, Carl W.

AU - Mayhall, C. Glen

AU - Miller, Kathy B.

AU - Newsome, Heber H.

AU - Sugerman, Harvey J.

AU - Dalton, Harry P.

AU - Hall, Gaye O.

AU - Gennings, Chris

AU - Armstrong, Carl W.

AU - Mayhall, C. Glen

AU - Miller, Kathy B.

AU - Newsome, Heber H.

AU - Sugerman, Harvey J.

AU - Dalton, Harry P.

AU - Hall, Gaye O.

AU - Gennings, Chris

PY - 1986/11

Y1 - 1986/11

N2 - To determine risk factors for infection of hyperalimentation catheters, we prospectively studied 169 catheter systems (88 patients) by using a semiquantitative culture technique. Infection occurred in 24 (14%) catheters (16 patients), was inversely proportional to the number of previous catheters inserted by the operator (P <.02), and was proportional to the interval between admission and catheter insertion (P <.0005). Catheter replacement over a guidewire was no more likely to be associated with infection than was a de novo percutaneous insertion at another site (P =.6). Using a proportional hazards model, we estimated the risk of infection per day to be 1.3 times greater for a catheter if the patient had been hospitalized 50 days instead of seven days, and 3.8 times greater if the patient had a Swan-Ganz catheter at the time of insertion.

AB - To determine risk factors for infection of hyperalimentation catheters, we prospectively studied 169 catheter systems (88 patients) by using a semiquantitative culture technique. Infection occurred in 24 (14%) catheters (16 patients), was inversely proportional to the number of previous catheters inserted by the operator (P <.02), and was proportional to the interval between admission and catheter insertion (P <.0005). Catheter replacement over a guidewire was no more likely to be associated with infection than was a de novo percutaneous insertion at another site (P =.6). Using a proportional hazards model, we estimated the risk of infection per day to be 1.3 times greater for a catheter if the patient had been hospitalized 50 days instead of seven days, and 3.8 times greater if the patient had a Swan-Ganz catheter at the time of insertion.

UR - http://www.scopus.com/inward/record.url?scp=0023037574&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0023037574&partnerID=8YFLogxK

U2 - 10.1093/infdis/154.5.808

DO - 10.1093/infdis/154.5.808

M3 - Article

C2 - 3095437

AN - SCOPUS:0023037574

SN - 0022-1899

VL - 154

SP - 808

EP - 816

JO - Journal of Infectious Diseases

JF - Journal of Infectious Diseases

IS - 5

ER -

Prospective study of catheter replacement and other risk factors for infection of hyperalimentation catheters

Abstract

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this