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Article: Predictive value of surveillance skin and hub cultures in central venous catheter sepsis

TitlePredictive value of surveillance skin and hub cultures in central venous catheter sepsis
Authors
Issue Date1988
PublisherWB Saunders Co Ltd. The Journal's web site is located at http://www.elsevier.com/locate/jhin
Citation
Journal Of Hospital Infection, 1988, v. 12 n. 3, p. 191-198 How to Cite?
AbstractIn a prospective study of septic complications of central venous catheters used for total parenteral nutrition, daily surveillance catheter hub cultures and twice weekly skin cultures as the catheter entry site were evaluated for their predictive value for catheter sepsis, i.e. bacteraemia with an identical species as that recovered from the catheter tip, or catheters which grew ≥15 cfus by a semiquantitative method and/or ≥10 3 cfus by a quantitative method. Of 142 catheters studied, 29 were identified to have catheter sepsis. For these the sensitivity of the surveillance hub culture was 34.5% and the sensitivity of the skin culture was 37.9%. When either the hub or the skin culture result was considered as an indication of catheter sepsis, the sensitivity increased to 79.3%. The positive and negative predictive value of the combined result was 44.2% and 93.3% respectively. This study suggests that simultaneous hub and skin cultures are required for a satisfactory surveillance.
Persistent Identifierhttp://hdl.handle.net/10722/172575
ISSN
2015 Impact Factor: 2.655
2015 SCImago Journal Rankings: 1.349
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorFan, STen_US
dc.contributor.authorTeohChan, CHen_US
dc.contributor.authorLau, KFen_US
dc.contributor.authorChu, KWen_US
dc.contributor.authorKwan, AKBen_US
dc.contributor.authorWong, KKen_US
dc.date.accessioned2012-10-30T06:23:29Z-
dc.date.available2012-10-30T06:23:29Z-
dc.date.issued1988en_US
dc.identifier.citationJournal Of Hospital Infection, 1988, v. 12 n. 3, p. 191-198en_US
dc.identifier.issn0195-6701en_US
dc.identifier.urihttp://hdl.handle.net/10722/172575-
dc.description.abstractIn a prospective study of septic complications of central venous catheters used for total parenteral nutrition, daily surveillance catheter hub cultures and twice weekly skin cultures as the catheter entry site were evaluated for their predictive value for catheter sepsis, i.e. bacteraemia with an identical species as that recovered from the catheter tip, or catheters which grew ≥15 cfus by a semiquantitative method and/or ≥10 3 cfus by a quantitative method. Of 142 catheters studied, 29 were identified to have catheter sepsis. For these the sensitivity of the surveillance hub culture was 34.5% and the sensitivity of the skin culture was 37.9%. When either the hub or the skin culture result was considered as an indication of catheter sepsis, the sensitivity increased to 79.3%. The positive and negative predictive value of the combined result was 44.2% and 93.3% respectively. This study suggests that simultaneous hub and skin cultures are required for a satisfactory surveillance.en_US
dc.languageengen_US
dc.publisherWB Saunders Co Ltd. The Journal's web site is located at http://www.elsevier.com/locate/jhinen_US
dc.relation.ispartofJournal of Hospital Infectionen_US
dc.subject.meshBacteria - Isolation & Purificationen_US
dc.subject.meshBacteriological Techniquesen_US
dc.subject.meshCatheterization, Central Venous - Adverse Effectsen_US
dc.subject.meshCross Infection - Microbiologyen_US
dc.subject.meshHumansen_US
dc.subject.meshPredictive Value Of Testsen_US
dc.subject.meshProspective Studiesen_US
dc.subject.meshSensitivity And Specificityen_US
dc.subject.meshSepsis - Etiology - Microbiologyen_US
dc.subject.meshSkin - Microbiologyen_US
dc.titlePredictive value of surveillance skin and hub cultures in central venous catheter sepsisen_US
dc.typeArticleen_US
dc.identifier.emailFan, ST: stfan@hku.hken_US
dc.identifier.authorityFan, ST=rp00355en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1016/0195-6701(88)90006-0-
dc.identifier.pmid2904459-
dc.identifier.scopuseid_2-s2.0-0023739011en_US
dc.identifier.volume12en_US
dc.identifier.issue3en_US
dc.identifier.spage191en_US
dc.identifier.epage198en_US
dc.identifier.isiWOS:A1988Q699900006-
dc.publisher.placeUnited Kingdomen_US
dc.identifier.scopusauthoridFan, ST=7402678224en_US
dc.identifier.scopusauthoridTeohChan, CH=6603360891en_US
dc.identifier.scopusauthoridLau, KF=7401560107en_US
dc.identifier.scopusauthoridChu, KW=7402453653en_US
dc.identifier.scopusauthoridKwan, AKB=7101738200en_US
dc.identifier.scopusauthoridWong, KK=7404759210en_US

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