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Assessment of Catheter-Associated Infection Risk with the Hickman Right Atrial Catheter

Published online by Cambridge University Press:  02 January 2015

Peter C. Fuchs ,
Marie E. Gustafson ,
James T. King  and
Patrick T. Goodall
Peter C. Fuchs*
Affiliation:
Departments of Hospital Epidemiology, Surgery and Medicine, St. Vincent Hospital and Medical Center, Portland, Oregon
Marie E. Gustafson
Affiliation:
Departments of Hospital Epidemiology, Surgery and Medicine, St. Vincent Hospital and Medical Center, Portland, Oregon
James T. King
Affiliation:
Departments of Hospital Epidemiology, Surgery and Medicine, St. Vincent Hospital and Medical Center, Portland, Oregon
Patrick T. Goodall
Affiliation:
Departments of Hospital Epidemiology, Surgery and Medicine, St. Vincent Hospital and Medical Center, Portland, Oregon
*
Department of Hospital Epidemiology, St. Vincent Hospital and Medical Center, Portland, OR 97225
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Abstract

One hundred fifty Hickman right atrial catheters were inserted into 143 patients and were followed prospectively until removal. Primary indications for their use were: cancer chemotherapy (45), parenteral nutrition (35), antibiotic therapy (63), and miscellaneous (7). The overall catheter-associated infection rate was 12.0%. Since the mean duration of catheterization was 125 days, the infection/duration rate was 1.0/1,000 days of use. The risk of infection differed significantly according to the primary indication for catheterization: parenteral nutrition > antibiotic therapy > cancer chemotherapy. The increased risk of catheter-associated infection attributable to duration of catheterization was additive, and the per day risk of such infections remained constant regardless of duration. Nearly two-thirds of patients were discharged home with catheters in place, without adversely affecting infection risk.

Type
Original Articles
Information
Infection Control & Hospital Epidemiology , Volume 5 , Issue 5 , May 1984 , pp. 226 - 230
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1984

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