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Prolonged Catheter Use and Infection in Regional Anesthesia
- Source :
- Anesthesiology. 128:764-773
- Publication Year :
- 2018
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2018.
-
Abstract
- BackgroundProlonged catheter use is controversial because of the risk of catheter-related infection, but the extent to which the risk increases over time remains unknown. We thus assessed the time-dependence of catheter-related infection risk up to 15 days.MethodsOur analysis was based on the German Network for Regional Anesthesia, which includes 25 centers. We considered 44,555 patients who had surgery between 2007 and 2014 and had continuous regional anesthesia as well as complete covariable details. Cox regression analysis was performed and adjusted for confounding covariables to examine the relationship between catheter duration and probability of infection-free catheter use.ResultsAfter adjustment for confounding factors, the probability of infection-free catheter use decreases with each day of peripheral and epidural catheter use. In peripheral catheters, it was 99% at day 4 of catheter duration, 96% at day 7, and 73% at day 15. In epidural catheters, it was 99% at day 4 of catheter duration, 95% at day 7, and 73% at day 15. Only 31 patients (0.07%) had severe infections that prompted surgical intervention. Among these were five catheters that initially had only mild or moderate signs of infection and were left in situ; all progressed to severe infections.ConclusionsInfection risk in catheter use increases over time, especially after four days. Infected catheters should be removed as soon as practical.
- Subjects :
- Infection risk
medicine.medical_specialty
business.industry
MEDLINE
Retrospective cohort study
03 medical and health sciences
Catheter
0302 clinical medicine
Anesthesiology and Pain Medicine
Multicenter study
030202 anesthesiology
Regional anesthesia
Emergency medicine
Medicine
Observational study
Young adult
business
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 00033022
- Volume :
- 128
- Database :
- OpenAIRE
- Journal :
- Anesthesiology
- Accession number :
- edsair.doi...........30bf6d2ff8775a913cafdcc71eea4397