title: [Infections caused by central venous catheterization at intensive care units].
abstract: All different types of catheters can induce localized (subcutaneous) or systemic sepsis. Infection rates of 7 to 20% have been reported in the literature; catheter infection results from bacterial colonization of the skin, colonization of the line or may be secondary to blood born seeding. In a one year prospective study of 56 catheters in our unit, the rate of systemic infection was 5.3%, insertion site infection 3.6%, and contamination without infection 25%. No catheter with less than 10(2) colonies on a semi-quantitative culture method was infected. Prevention of catheter related sepsis needs strict aseptic protocols, and short duration of catheterization, antiseptic wrapping of the line; antimicrobial filtersets may further reduce the infection risk.
authors: J L
authors: JL
authors: Schmit
authors: F
authors: F
authors: Tennenbaum
authors: D
authors: D
authors: Terminassian
authors: P F
authors: PF
authors: Westeel
authors: A
authors: A
authors: Fournier
mesh_terms: D001424:Bacterial Infections / Q000209:etiology* / Q000382:microbiology / Q000517:prevention & control; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D015169:Colony Count, Microbial; D004866:Equipment Contamination / Q000517:prevention & control; D006801:Humans; D011446:Prospective Studies
vernacular_title: Infections dues aux accès veineux centraux en réanimation.