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

Internal Medicine

Research output: Contribution to journal › Article

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

ASJC Scopus subject areas

Immunology and Allergy
Infectious Diseases

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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

Prospective study of catheter replacement and other risk factors for infection of hyperalimentation catheters. / Armstrong, Carl W.; Mayhall, C. Glen; Miller, Kathy B.; Newsome, Heber H.; Sugerman, Harvey J.; Dalton, Harry P.; Hall, Gaye O.; Gennings, Chris; Armstrong, Carl W.; Mayhall, C. Glen; Miller, Kathy B.; Newsome, Heber H.; Sugerman, Harvey J.; Dalton, Harry P.; Hall, Gaye O.; Gennings, Chris; Armstrong, Carl W.; Mayhall, C. Glen; Miller, Kathy B.; Newsome, Heber H.; Sugerman, Harvey J.; Dalton, Harry P.; Hall, Gaye O.; Gennings, Chris; Armstrong, Carl W.; Mayhall, C. Glen; Miller, Kathy B.; Newsome, Heber H.; Sugerman, Harvey J.; Dalton, Harry P.; Hall, Gaye O.; Gennings, Chris; Armstrong, Carl W.; Mayhall, C. Glen; Miller, Kathy B.; Newsome, Heber H.; Sugerman, Harvey J.; Dalton, Harry P.; Hall, Gaye O.; Gennings, Chris.

In: Journal of Infectious Diseases, Vol. 154, No. 5, 11.1986, p. 808-816.

Research output: Contribution to journal › Article

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

Armstrong, Carl W. ; Mayhall, C. Glen ; Miller, Kathy B. ; Newsome, Heber H. ; Sugerman, Harvey J. ; Dalton, Harry P. ; Hall, Gaye O. ; Gennings, Chris ; Armstrong, Carl W. ; Mayhall, C. Glen ; Miller, Kathy B. ; Newsome, Heber H. ; Sugerman, Harvey J. ; Dalton, Harry P. ; Hall, Gaye O. ; Gennings, Chris ; Armstrong, Carl W. ; Mayhall, C. Glen ; Miller, Kathy B. ; Newsome, Heber H. ; Sugerman, Harvey J. ; Dalton, Harry P. ; Hall, Gaye O. ; Gennings, Chris ; Armstrong, Carl W. ; Mayhall, C. Glen ; Miller, Kathy B. ; Newsome, Heber H. ; Sugerman, Harvey J. ; Dalton, Harry P. ; Hall, Gaye O. ; Gennings, Chris ; Armstrong, Carl W. ; Mayhall, C. Glen ; Miller, Kathy B. ; Newsome, Heber H. ; Sugerman, Harvey J. ; Dalton, Harry P. ; Hall, Gaye O. ; Gennings, Chris. / Prospective study of catheter replacement and other risk factors for infection of hyperalimentation catheters. In: Journal of Infectious Diseases. 1986 ; Vol. 154, No. 5. pp. 808-816.

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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.",

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