Risk Factors for Central Line–Associated Bloodstream Infection in Pediatric Intensive Care Units

August 27th, 2010

Wylie MC et al. – The authors sought to identify risk factors for central line–associated bloodstream infection (CLABSI) to describe children who might benefit from adjunctive interventions. Duration of central access, receipt of parenteral nutrition, and receipt of blood transfusion were confirmed as risk factors for CLABSI among children in the ICU. Newly identified risk factors include presence of gastrostomy tube, nonoperative cardiovascular disease, and ICU placement of central venous catheter. Children with these risk factors may be candidates for adjunctive interventions for CLABSI prevention. read more

Nursing home-associated infections in Department of Veterans Affairs community living centers

August 17th, 2010

Tsan L et al. – Little is known about factors contributing to nursing home–associated infections (NHAIs). Indwelling device use, but not bed location or treatment code, was found to be associated with increased rate of NHAIs.
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Endoluminal colonization as a risk factor for coagulase-negative staphylococcal catheter-related bloodstream infections in haemodialysis patients

August 17th, 2010

Rodríguez–Aranda A et al. – Approximately 25% of haemodialysis (HD) patients use catheters as vascular access. Catheter–related bloodstream infections (CRBSI) are a major risk in this population. The study determines whether endoluminal catheter colonization (ECC) predicts CRBSI. This study shows that ECC may predict the risk of developing CRSBI. Surveillance cultures could, therefore, be used to triage individual HD patients who might benefit from specific intervention measures. read more

Long-term persistence of MRSA in re-admitted patients

August 9th, 2010

Mattner F et al. – A detailed knowledge of the dynamics of the loss of MRSA infection could result in a reduction of the incidence of MRSA in the future. Multiple anatomical site carriage of MRSA appeared to predict a prolonged persistence in the cohort of patients re–admitted to a university hospital. read more

Is previous Clostridium difficile infection a problem after reversal of ileostomy

August 9th, 2010

Randall JK et al. – Ileostomy closure and small bowel resection, may carry a higher risk of CDI.
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