| Autor: |
Sizun, J., Karangwa, A., Giroux, J., Masure, O., Simitzis, A., Alix, D., Parscau, L., Giroux, J D, Simitzis, A M, De Parscau, L |
| Předmět: |
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| Zdroj: |
Intensive Care Medicine; Aug1994, Vol. 20 Issue 7, p496-499, 4p |
| Abstrakt: |
Objective: To determine the incidence of Malassezia furfur-related colonization and infection of central venous catheters.Design: Prospective clinical study.Setting: A paediatric intensive care unit at a University Hospital.Patients: 66 newborns with central venous catheters for parenteral nutrition including lipid emulsions (Intralipid).Methods: When a central venous catheter was removed, it was rinsed with 1 ml of physiological saline, transported at ambient temperature to the clinical laboratory and cultured on Dixon's medium. The tip of the central venous catheter was used for a bacteriological study using Maki's technique. In case of suspected sepsis, blood cultures were obtained using an Isolator tube. RESULTS. 74 central venous catheters were included: mean duration of use of a central venous catheters and infusions of lipid emulsion (Intralipid) were 19.3 +/- 10 days and 8.6 +/- 8 days respectively. Only 2 central venous catheters (2.7%) were colonized by Malassezia furfur: (Mf) one in an asymptomatic newborn, and the other in an infected newborn with signs of sepsis, who most probably died at 4 months of age from refractory hypoxia due to pulmonary hypoplasia, but not from Mf sepsis.Conclusions: The incidence of Malassezia furfur-related colonization of central venous catheters appears to be low but not negligible, which warrants the use of specific culture techniques. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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