Advertisement

Catheter-related bloodstream infections due to coagulase-negative staphylococci managed with catheter removal: Recurrences are rare

Published:November 19, 2019DOI:https://doi.org/10.1016/j.ajic.2019.10.013

      Highlights

      • Recurrences were rare, even with prosthetic material in place.
      • Local infection signs and neutropenia appear to increase the risk of recurrence.
      • Appropriate antibiotic treatment did not prevent recurrence.
      Little research has been carried out on recurrences of catheter-related bloodstream infection due to coagulase-negative staphylococci (CoNS-CRBSI). The main objective of this study was to characterize patients with CoNS-CRBSI and infection recurrence after catheter removal. We included 184 CoNS-CRBSI episodes. Only 8 patients experienced recurrent bacteremia and none of them developed secondary infection of preexisting orthopedic or intravascular implant material.

      Key Words

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to American Journal of Infection Control
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Suetens C
        • Morales I
        • Savey A
        • Palomar M
        • Hiesmayr M
        • Lepape A
        • et al.
        European surveillance of ICU-acquired infections (HELICS-ICU): methods and main results.
        J Hosp Infect. 2007; 65: 171-173
        • Freixas N
        • Bella F
        • Limon E
        • Pujol M
        • Almirante B
        • Gudiol F
        Impact of a multimodal intervention to reduce bloodstream infections related to vascular catheters in non-ICU wards: a multicentre study.
        Clin Microbiol Infect. 2013; 19: 838-844
        • Becker K
        • Heilmann C
        • Peters G
        Coagulase-negative staphylococci.
        Clin Microbiology Rev. 2014; 27: 870-926
        • Raad I
        • Kassar R
        • Ghannam D
        • Chaftari AM
        • Hachem R
        • Jiang Y
        Management of the catheter in documented catheter-related coagulase-negative staphylococcal bacteremia: remove or retain?.
        Clin Infect Dis. 2009; 49: 1187-1194
        • Flynn PM
        • Willis B
        • Gaur AH
        • Shenep JL
        Catheter design influences recurrence of catheter-related bloodstream infection in children with cancer.
        J Clin Oncol. 2003; 21: 3520-3525
        • Mermel LA
        • Allon M
        • Bouza E
        • Craven DE
        • Flynn P
        • O'Grady NP
        • et al.
        Clinical practice guidelines for the diagnosis and management of intravascular catheter-related infection: 2009 update by the Infectious Diseases Society of America.
        Clin Infect Dis. 2009; 49: 1-45
        • Hebeisen UP
        • Atkinson A
        • Marschall J
        • Buetti N
        Catheter-related bloodstream infections with coagulase-negative staphylococci: are antibiotics necessary if the catheter is removed?.
        Antimicrob Resist Infect Control. 2019; 8: 21
        • Park SY
        • Kwon KH
        • Chung JW
        • Huh HJ
        • Chae SL
        Coagulase-negative staphylococcal bacteremia: risk factors for mortality and impact of initial appropriate antimicrobial therapy on outcome.
        Eur J Clin Microbiol Infect Dis. 2015; 34: 1395-1401