Lower arterial catheter-related infection in brachial than in femoral access.
Recent guidelines do not establish a recommendation about the arterial catheter site to minimize the arterial catheter-related infection risk. In this prospective and observational study, we found a higher arterial catheter-related infection in 1085 arterial femoral sites than in 141 arterial brachial sites (5.08 vs 0 per 1000 catheter-days, respectively; odds ratio, 6.18; 95% confidence interval: 1.11-infinite; P = .02). Thus, arterial brachial access should be used in preference to femoral access.
Lorente
Leonardo
L
Department of Intensive Care, Hospital Universitario de Canarias, Ofra s/n, La Laguna, Santa Cruz de Tenerife, Spain. lorentemartin@msn.com
Jiménez
Alejandro
A
Martín
María M
MM
Jiménez
Juan J
JJ
Iribarren
Jose L
JL
Mora
María L
ML
D000328:Adult; D000368:Aged; D016470:Bacteremia / Q000453:epidemiology*; D001916:Brachial Artery; D055499:Catheter-Related Infections / Q000453:epidemiology*; D002406:Catheterization, Peripheral / Q000009:adverse effects*; D005260:Female; D005263:Femoral Artery; D006801:Humans; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D011446:Prospective Studies