Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

Click here to sign up for SAGE Journal Email Alerts today!

Sign In to gain access to subscriptions and/or personal tools.
Journal of Parenteral and Enteral Nutrition
This Article
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by Horowitz, H. W.
Right arrow Articles by Pecora, N. A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Horowitz, H. W.
Right arrow Articles by Pecora, N. A.
Social Bookmarking
Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

Central Catheter-Related Infections: Comparison of Pulmonary Artery Catheters and Triple Lumen Catheters for the Delivery of Hyperalimentation in a Critical Care Setting

Harold W. Horowitz, M.D.

Departments of Medicine, Surgery, and Nursing, New York Medical College, Valhalla, New York

Brad M. Dworkin, M.D.

Departments of Medicine, Surgery, and Nursing, New York Medical College, Valhalla, New York

John A. Savino, M.D.

Departments of Medicine, Surgery, and Nursing, New York Medical College, Valhalla, New York

Daniel W. Byrne, B.A.

Departments of Medicine, Surgery, and Nursing, New York Medical College, Valhalla, New York

Nanette A. Pecora, R.N.

Departments of Medicine, Surgery, and Nursing, New York Medical College, Valhalla, New York

We prospectively studied the risk of catheter-related sepsis (CRS) in 75 critically ill patients who received total parenteral nutrition (TPN) through 158 pulmonary artery catheters (PACs) and 214 triple-lumen catheters (TLCs). We relied on semiquantitative cultures of the catheter tips, peripheral blood cultures in febrile patients and clinical response to catheter removal to diagnose catheter-related sepsis. The infection rate was 2.5% (4/158) of PACs and 6.5% (14/214) of TLCs (p=0.124). Colonization rates were 29.1% for PACs and 32% for TLCs. PACs were left in place a significantly shorter length of time than TLCs, 3.1 vs 5.1 days (p<0.005). Guidewire exchanges and subclavian vein insertions were associated with a decreased rate of CRS when compared to new insertions and internal jugular vein insertions, respectively.

We conclude that pulmonary artery catheters can be used safely for the delivery of hyperalimentation in critically ill patients with no increased risk for catheter-related sepsis compared to triple-lumen catheters. The use of the PAC in this manner allows for the use of a single central venous catheter for the delivery of hyperalimentation and hemodynamic monitoring. (Journal of Parenteral and Enteral Nutrition 14:588-592, 1990)

Journal of Parenteral and Enteral Nutrition, Vol. 14, No. 6, 588-592 (1990)
DOI: 10.1177/0148607190014006588
Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?


This article has been cited by other articles:


Home page
 Mayo Clin Proc.Home page
D. G. Maki, D. M. Kluger, and C. J. Crnich
The Risk of Bloodstream Infection in Adults With Different Intravascular Devices: A Systematic Review of 200 Published Prospective Studies
Mayo Clin. Proc., September 1, 2006; 81(9): 1159 - 1171.
[Abstract] [Full Text] [PDF]

Home page
 Anesth. Analg.Home page
M. Zurcher, M. R. Tramer, and B. Walder
Colonization and Bloodstream Infection with Single- Versus Multi-Lumen Central Venous Catheters: A Quantitative Systematic Review
Anesth. Analg., July 1, 2004; 99(1): 177 - 182.
[Abstract] [Full Text] [PDF]

Home page
 Arch SurgHome page
A. P. Borzotta and K. Beardsley
Candida Infections in Critically Ill Trauma Patients: A Retrospective Case-Control Study
Arch Surg, June 1, 1999; 134(6): 657 - 665.
[Abstract] [Full Text] [PDF]

Home page
 Med Decis MakingHome page
N. P. Ritchey, L. P. Caccamo, K. J. Carter, F. Castro, B. A. Erickson, W. Johnson, E. Kessler, and C. A. Ruiz
Optimal Interval for Triple-lumen Catheter Changes: A Decision Analysis
Med Decis Making, June 1, 1995; 15(2): 138 - 142.
[Abstract] [PDF]

Home page
 JPEN J Parenter Enteral NutrHome page
L. Kemp, J. Burge, P. Choban, J. Harden, J. Mirtallo, and L. Flancbaum
The Effect of Catheter Type and Site on Infection Rates in Total Parenteral Nutrition Patients
JPEN J Parenter Enteral Nutr, January 1, 1994; 18(1): 71 - 74.
[Abstract] [PDF]

Home page
 Nutr Clin PractHome page
M. Evans and M. A. Ryder
Invited Review: Vascular Access Devices: Perspectives on Designs, Complications, and Management
Nutr Clin Pract, August 1, 1993; 8(4): 145 - 152.
[Abstract] [PDF]

Home page
 Nutr Clin PractHome page
J. A. Kruse and N. J. Shah
Detection and Prevention of Central Venous Catheter-Related Infections
Nutr Clin Pract, August 1, 1993; 8(4): 163 - 170.
[Abstract] [PDF]

Home page
 JPEN J Parenter Enteral NutrHome page
N. Clark-Christoff, V.A. Watters, W. Sparks, P. Snyder, and J.P. Grant
Response to Dr Wright et al
JPEN J Parenter Enteral Nutr, May 1, 1993; 17(3): 297 - 298.
[PDF]

Home page
 JPEN J Parenter Enteral NutrHome page
N. Clark-Christoff, V. A. Watters, W. Sparks, P. Snyder, and J. P. Grant
Use of Triple-Lumen Subclavian Catheters for Administration of Total Parenteral Nutrition
JPEN J Parenter Enteral Nutr, September 1, 1992; 16(5): 403 - 407.
[Abstract] [PDF]