Risk factors for early catheter-related infections in cancer patients. Penel, N., Neu, J., Clisant, S., Hoppe, H., Devos, P., & Yazdanpanah, Y. Cancer, 110(7):1586–1592, October, 2007.
doi  abstract   bibtex   
BACKGROUND: Early catheter-related infection is a serious complication in cancer treatment, although risk factors for its occurrence are not well established. The authors conducted a prospective study to identify the risk factors for developing early catheter-related infection. METHODS: All consecutive patients with cancer who underwent insertion of a central venous catheter were enrolled and were followed prospectively during 1 month. The study endpoint was occurrence of early catheter-related infection. RESULTS: Over 10,392 catheter-days of follow-up, 14 of 371 patients had early catheter-related infections (14 patients in 10,392 catheter-days or 1.34 per 1000 catheter-days). The causative pathogens were gram positive in 11 of 14 patients. In univariate analysis, the risk factors for early catheter-related infection were aged \textless10 years (P = .0001), difficulties during insertion (P \textless 10(-6)), blood product administration (P \textless 10(-3)), parenteral nutrition (P \textless 10(-4)), and use \textgreater2 days (P \textless 10(-6)). In multivariate analysis, 3 variables remained significantly associated with the risk of early catheter-related infection: age \textless10 years (odds ratio [OR], 18.4; 95% confidence interval [95% CI], 1.9-106.7), difficulties during insertion procedure (OR, 25.6; 95% CI, 4.2-106), and parenteral nutrition (OR, 28.5; 95% CI, 4.2-200). CONCLUSIONS: On the day of insertion, 2 variables were identified that were associated with a high risk of developing an early catheter-related infection: young age and difficulties during insertion. The results from this study may be used to identify patients who are at high risk of infection who may be candidates for preventive strategies.
@article{penel_risk_2007,
	title = {Risk factors for early catheter-related infections in cancer patients.},
	volume = {110},
	issn = {0008-543X 0008-543X},
	doi = {10.1002/cncr.22942},
	abstract = {BACKGROUND: Early catheter-related infection is a serious complication in cancer  treatment, although risk factors for its occurrence are not well established. The authors conducted a prospective study to identify the risk factors for developing early catheter-related infection. METHODS: All consecutive patients with cancer who underwent insertion of a central venous catheter were enrolled and were followed prospectively during 1 month. The study endpoint was occurrence of early catheter-related infection. RESULTS: Over 10,392 catheter-days of follow-up, 14 of 371 patients had early catheter-related infections (14 patients in 10,392 catheter-days or 1.34 per 1000 catheter-days). The causative pathogens were gram  positive in 11 of 14 patients. In univariate analysis, the risk factors for early catheter-related infection were aged {\textless}10 years (P = .0001), difficulties during insertion (P {\textless} 10(-6)), blood product administration (P {\textless} 10(-3)), parenteral nutrition (P {\textless} 10(-4)), and use {\textgreater}2 days (P {\textless} 10(-6)). In multivariate analysis, 3 variables remained significantly associated with the risk of early catheter-related infection: age {\textless}10 years (odds ratio [OR], 18.4; 95\% confidence  interval [95\% CI], 1.9-106.7), difficulties during insertion procedure (OR, 25.6; 95\% CI, 4.2-106), and parenteral nutrition (OR, 28.5; 95\% CI, 4.2-200). CONCLUSIONS: On the day of insertion, 2 variables were identified that were associated with a high risk of developing an early catheter-related infection: young age and difficulties during insertion. The results from this study may be used to identify patients who are at high risk of infection who may be candidates for preventive strategies.},
	language = {eng},
	number = {7},
	journal = {Cancer},
	author = {Penel, Nicolas and Neu, Jean-Charles and Clisant, Stephanie and Hoppe, Helga and Devos, Patrick and Yazdanpanah, Yazdan},
	month = oct,
	year = {2007},
	pmid = {17685401},
	keywords = {Humans, Adult, Female, Adolescent, Prospective Studies, Aged, Male, Middle Aged, Follow-Up Studies, Odds Ratio, Risk Assessment, Risk Factors, Time Factors, Aged, 80 and over, Child, Analysis of Variance, Infant, Antineoplastic Agents/*administration \& dosage, Catheterization, Central Venous/*adverse effects, Catheters, Indwelling/*adverse effects, Child, Preschool, Infection/diagnosis/epidemiology/*etiology/microbiology, Neoplasms/*drug therapy},
	pages = {1586--1592}
}

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