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Microbiological pattern of arterial catheters in the intensive care unit.
- Source :
-
BMC microbiology [BMC Microbiol] 2010 Oct 19; Vol. 10, pp. 266. Date of Electronic Publication: 2010 Oct 19. - Publication Year :
- 2010
-
Abstract
- Background: Intravascular catheter related infection (CRI) is one of the most serious nosocomial infections. Diagnostic criteria include a positive culture from the catheter tip along with blood, yet in many patients with signs of infection, current culture techniques fail to identify pathogens on catheter segments. We hypothesised that a molecular examination of the bacterial community on short term arterial catheters (ACs) would improve our understanding of the variety of organisms that are present in this niche environment and would help develop new methods for the diagnosis of CRI.<br />Results: The whole bacterial community presenting on all ACs was evaluated by molecular methods, i.e., a strategy of whole community DNA extraction, PCR amplification followed by cloning and 16S rDNA sequence analysis. Ten ACs were removed from patients suspected of CRI and 430 clones from 5 "colonised" and 5 "uncolonised" (semi-quantitative method) AC libraries were selected for sequencing and subsequent analysis. A total of 79 operational taxonomic units (OTUs) were identified at the level of 97% similarity belonging to six bacterial divisions. An average of 20 OTUs were present in each AC, irrespective of colonisation status. Conventional culture failed to reveal the majority of these bacteria.<br />Conclusions: There was no significant difference in the bacterial diversity between the 'uncolonised' and 'colonised' ACs. This suggests that vascular devices cultured conventionally and reported as non infective may at times potentially be a significant source of sepsis in critically ill patients. Alternative methods may be required for the accurate diagnosis of CRI in critically ill patients.
- Subjects :
- Adult
Aged
Bacteria genetics
Biodiversity
Catheterization, Central Venous
Catheters, Indwelling microbiology
Cohort Studies
Female
Humans
Intensive Care Units
Male
Middle Aged
Molecular Sequence Data
Bacteria isolation & purification
Catheter-Related Infections microbiology
Cross Infection microbiology
Subjects
Details
- Language :
- English
- ISSN :
- 1471-2180
- Volume :
- 10
- Database :
- MEDLINE
- Journal :
- BMC microbiology
- Publication Type :
- Academic Journal
- Accession number :
- 20955628
- Full Text :
- https://doi.org/10.1186/1471-2180-10-266