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dc.contributor.authorGowardman, Johnen_US
dc.contributor.authorLipman, J.en_US
dc.contributor.authorRickard, Claireen_US
dc.date.accessioned2017-04-04T15:16:20Z
dc.date.available2017-04-04T15:16:20Z
dc.date.issued2010en_US
dc.date.modified2011-06-22T06:49:57Z
dc.identifier.issn01956701en_US
dc.identifier.doi10.1016/j.jhin.2010.01.005en_AU
dc.identifier.urihttp://hdl.handle.net/10072/35477
dc.description.abstractIntravascular devices (IVDs) are essential in the management of critically ill patients; however, IVD-related sepsis remains a major complication. Arterial catheters (ACs) are one of the most manipulated IVDs in critically ill patients. When bloodstream infection (BSI) is suspected in a patient with an IVD in situ, clinicians have focused their attention on the central venous catheter (CVC) while largely ignoring the AC. Although it would be routine for the CVC to be cultured and replaced if necessary for suspected IVD or catheter-related sepsis, the AC may not be treated in the same manner. The reasons for this may in part relate to the patient groups studied. In lower acuity patients with short dwell times, AC sepsis rates are indeed low. In the higher acuity patient, earlier studies suggested that ACs had an infective potential at least equal to short term CVCs, a finding that has translated poorly into clinical practice. It has been estimated that there may be up to 48 000 BSIs per year arising from ACs in the USA alone, suggesting a significant clinical problem. Recent evidence now shows that the infective potential of the AC is comparable with that in short term CVCs regarding both colonisation (which precedes BSI) and BSI, consolidating earlier studies. In critically ill patients suspected of catheter-related bloodsteam infection it is suggested that both the AC and CVC must now be assessed together.en_US
dc.description.peerreviewedYesen_US
dc.description.publicationstatusYesen_AU
dc.format.extent272470 bytes
dc.format.mimetypeapplication/pdf
dc.languageEnglishen_US
dc.language.isoen_AU
dc.publisherW.B. Saunders Co. Ltd.en_US
dc.publisher.placeUnited Kingdomen_US
dc.relation.ispartofstudentpublicationNen_AU
dc.relation.ispartofpagefrom12en_US
dc.relation.ispartofpageto18en_US
dc.relation.ispartofissue1en_AU
dc.relation.ispartofjournalJournal of Hospital Infectionen_US
dc.relation.ispartofvolume75en_US
dc.rights.retentionYen_AU
dc.subject.fieldofresearchClinical Sciences not elsewhere classifieden_US
dc.subject.fieldofresearchcode110399en_US
dc.titleAssessment of peripheral arterial catheters as a source of sepsis in the critically ill: a narrative reviewen_US
dc.typeJournal articleen_US
dc.type.descriptionC1 - Peer Reviewed (HERDC)en_US
dc.type.codeC - Journal Articlesen_US
gro.facultyGriffith Health, School of Nursing and Midwiferyen_US
gro.rights.copyrightCopyright 2010 The Healthcare Infection Society. This is the author-manuscript version of this paper. Reproduced in accordance with the copyright policy of the publisher. Please refer to the journal's website for access to the definitive, published version.en_AU
gro.date.issued2010
gro.hasfulltextFull Text


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