Journal article

Initial and Extended Use of Femoral Versus Nonfemoral Double-Lumen Vascular Catheters and Catheter-Related Infection During Continuous Renal Replacement Therapy

Horng-Ruey Chua, Antoine G Schneider, Norelle L Sherry, Nadiah Lotfy, Matthew J Chan, Jonathan Galtieri, Geoffrey R Wong, Miklos Lipcsey, Caue de Araujo Matte, Allison Collins, Mercedes Garcia-Alvarez, Rinaldo Bellomo

American Journal of Kidney Diseases | W B SAUNDERS CO-ELSEVIER INC | Published : 2014

Abstract

BACKGROUND: The risk of catheter-related infection or bacteremia, with initial and extended use of femoral versus nonfemoral sites for double-lumen vascular catheters (DLVCs) during continuous renal replacement therapy (CRRT), is unclear. STUDY DESIGN: Retrospective observational cohort study. SETTING & PARTICIPANTS: Critically ill patients on CRRT in a combined intensive care unit of a tertiary institution. FACTOR: Femoral versus nonfemoral venous DLVC placement. OUTCOMES: Catheter-related colonization (CRCOL) and bloodstream infection (CRBSI). MEASUREMENTS: CRCOL/CRBSI rates expressed per 1,000 catheter-days. RESULTS: We studied 458 patients (median age, 65 years; 60% males) and 647 DLVCs...

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