How long should peripherally inserted central catheterization be delayed in the context of recently documented bloodstream infection?
The risk of relapsing bacteremia was assessed retrospectively among a cohort of 348 patients who underwent peripherally inserted central catheter (PICC) insertion within 6 weeks of a documented bacteremia. The overall risk of relapsing bacteremia was low (three of 348; 0.9%) when PICC insertion was performed in the context of a recent bloodstream infection. The relapse risk was higher when PICCs were inserted within 2 days (two of 31; 6.5%) versus at least 3 days (one of 317; 0.3%) after documentation of bacteremia (P = .02).
Division of Infectious Diseases and Department of Medicine, University of Toronto, Toronto, Ontario, Canada. nick.daneman@sunnybrook.ca
Nick
N
Daneman
Mark
M
Downing
Brandon M
BM
Zagorski
D016470:Bacteremia / Q000150:complications* / Q000382:microbiology; D002405:Catheterization, Central Venous / Q000009:adverse effects; D002406:Catheterization, Peripheral / Q000009:adverse effects; D005260:Female; D006801:Humans; D008297:Male; D012008:Recurrence; D012189:Retrospective Studies; D012307:Risk Factors; D013997:Time Factors