Hostname: page-component-78c5997874-lj6df Total loading time: 0 Render date: 2024-11-17T11:23:00.210Z Has data issue: false hasContentIssue false

Persistent, Unusual Gram-Negative Bacteremia Associated With Arterial Pressure Monitoring in a Pediatric Intensive Care Unit

Published online by Cambridge University Press:  21 June 2016

Robert J. Leggiadro*
Affiliation:
Department of Pediatrics, University of Tennessee, Memphis, Tennessee Infection Control Service, LeBonheur Children's Medical Center, Memphis, Tennessee
Gary S. Luedtke
Affiliation:
Infection Control Service, LeBonheur Children's Medical Center, Memphis, Tennessee
Marsha S. Anderson
Affiliation:
Department of Pediatrics, University of Tennessee, Memphis, Tennessee
Stephanie A. Storgion
Affiliation:
Department of Pediatrics, University of Tennessee, Memphis, Tennessee
Mark C. Bugnitz
Affiliation:
Department of Pediatrics, University of Tennessee, Memphis, Tennessee
Fred F. Barrett
Affiliation:
Department of Pediatrics, University of Tennessee, Memphis, Tennessee Infection Control Service, LeBonheur Children's Medical Center, Memphis, Tennessee
*
Division of Infectious Diseases, LeBonheur Children's Medical Center, 848 Adams Ave., Memphis, TN 38103

Extract

Although the incidence of infection related to arterial catheterization was recently reported to be low in one pediatric intensive care unit,' nosocomial infection associated with the use of intravascular pressure monitoring devices, including arterial and central venous pressure catheters, may be overlooked. These infections may be manifested by persistent bacteremia with unusual, often water-related, gram-negative organisms (e.g., Pseudomonas, Klebsiella, Enterobacter, Serratia, or Flavobacterium species).

Type
Departments
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1992

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Furfaro, S, Gauthier, M, Facroix, J, Nadeau, D, Fafieur, F, Mathews, S. Arterial catheter-related infections in children. Am J Dis Child. 1991;145:10371043.CrossRefGoogle ScholarPubMed
2. Hekker, TAM, van Overhagen, W, Schneider, AJ. Pressure transducers: an overlooked source of sepsis in the intensive care unit. Inten Care Med. 1990;16:511512.CrossRefGoogle ScholarPubMed
3. Weinstein, RA, Stamm, WE, Kramer, L, Corey, L. Pressure monitoring devices: overlooked source of nosocomial infection. JAMA. 1976;236:936938.CrossRefGoogle ScholarPubMed
4. Hawley, HB. Bacterial infection from intravascular monitoring devices. Infect Control. 1983;4:399401.Google ScholarPubMed
5. Schoch, PE, Cunha, BA. Nosocomial Achromobacter xylosoxidans infection. Infect Control Hosp Epidemiol. 1988;9:8487.CrossRefGoogle Scholar
6. Gahm-Hansen, B, Alstrup, P, Dessau, R, et al. Outbreak of infection with Achromobacter xylosoxidans from contaminated intravascular pressure transducers. J Hosp Infect. 1988;12:16.CrossRefGoogle Scholar
7. Stamm, WE, Colella, JJ, Anderson, RE, Dixon, RE. Indwelling arterial catheters as a source of nosocomial bacteremia. N Engl J Med. 1975;292:10991102.CrossRefGoogle ScholarPubMed
8. Centers for Disease Control. Transducer-associated bacteremia-North Carolina. MMWR. 1975;24:295.Google Scholar