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dc.contributor.authorGowardman, JR
dc.contributor.authorLipman, J
dc.contributor.authorRickard, CM
dc.date.accessioned2017-05-03T11:48:06Z
dc.date.available2017-05-03T11:48:06Z
dc.date.issued2010
dc.date.modified2011-06-22T06:49:57Z
dc.identifier.issn0195-6701
dc.identifier.doi10.1016/j.jhin.2010.01.005
dc.identifier.urihttp://hdl.handle.net/10072/35477
dc.description.abstractIntravascular devices (IVDs) are essential in the management of critically ill patients; however, IVD-related sepsis remains a major complication. Arterial catheters (ACs) are one of the most manipulated IVDs in critically ill patients. When bloodstream infection (BSI) is suspected in a patient with an IVD in situ, clinicians have focused their attention on the central venous catheter (CVC) while largely ignoring the AC. Although it would be routine for the CVC to be cultured and replaced if necessary for suspected IVD or catheter-related sepsis, the AC may not be treated in the same manner. The reasons for this may in part relate to the patient groups studied. In lower acuity patients with short dwell times, AC sepsis rates are indeed low. In the higher acuity patient, earlier studies suggested that ACs had an infective potential at least equal to short term CVCs, a finding that has translated poorly into clinical practice. It has been estimated that there may be up to 48 000 BSIs per year arising from ACs in the USA alone, suggesting a significant clinical problem. Recent evidence now shows that the infective potential of the AC is comparable with that in short term CVCs regarding both colonisation (which precedes BSI) and BSI, consolidating earlier studies. In critically ill patients suspected of catheter-related bloodsteam infection it is suggested that both the AC and CVC must now be assessed together.
dc.description.peerreviewedYes
dc.description.publicationstatusYes
dc.format.extent272470 bytes
dc.format.mimetypeapplication/pdf
dc.languageEnglish
dc.language.isoeng
dc.publisherW.B. Saunders Co. Ltd.
dc.publisher.placeUnited Kingdom
dc.relation.ispartofstudentpublicationN
dc.relation.ispartofpagefrom12
dc.relation.ispartofpageto18
dc.relation.ispartofissue1
dc.relation.ispartofjournalJournal of Hospital Infection
dc.relation.ispartofvolume75
dc.rights.retentionY
dc.subject.fieldofresearchClinical sciences
dc.subject.fieldofresearchClinical sciences not elsewhere classified
dc.subject.fieldofresearchcode3202
dc.subject.fieldofresearchcode320299
dc.titleAssessment of peripheral arterial catheters as a source of sepsis in the critically ill: a narrative review
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.facultyGriffith Health, School of Nursing and Midwifery
gro.rights.copyright© 2010 The Healthcare Infection Society. This is the author-manuscript version of this paper. Reproduced in accordance with the copyright policy of the publisher. Please refer to the journal's website for access to the definitive, published version.
gro.date.issued2010
gro.hasfulltextFull Text
gro.griffith.authorRickard, Claire
gro.griffith.authorGowardman, John R.


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