Retained Hickman catheter cuff as a source of infection.
Two cases of Pseudomonas aeruginosa infection complicating retained subcutaneous Hickman catheter cuffs are described. Foreign body-associated Pseudomonas infection is unlikely to respond to treatment with antibiotics alone. We therefore recommend that the cuff is removed at the same time as the Hickman catheter is pulled out so as to prevent future infection.
al-Wali
W I
WI
Department of Bacteriology, Royal Hallamshire Hospital, Sheffield, U.K.
Wilcox
M H
MH
Thickett
K J
KJ
Simmons
K M
KM
Spencer
R C
RC
D000328:Adult; D002405:Catheterization, Central Venous / Q000009:adverse effects* / Q000295:instrumentation; D002408:Catheters, Indwelling / Q000009:adverse effects*; D005260:Female; D005547:Foreign Bodies / Q000382:microbiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D016459:Prosthesis-Related Infections / Q000209:etiology*; D011552:Pseudomonas Infections / Q000209:etiology*