Long‐Term Central Venous Catheter Infection in HIV‐Infected and Cancer Patients: A Multicenter Cohort Study

To evaluate and compare the risk of long-term central venous catheter (CVC) infection in human immunodeficiency virus (HIV)-infected and cancer patients. Prospective multicenter cohort study based on active surveillance of long-term CVC manipulations and patient outcome over a 6-month period. Servic...

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Bibliographic Details
Published in:Infection control and hospital epidemiology 1999-07, Vol.20 (7), p.494-498
Main Authors: Astagneau, Pascal, Maugat, Sylvie, Tran‐Minh, Tuan, Douard, Marie‐Cécile, Longuet, Pascale, Maslo, Caroline, Patte, Régis, Macrez, Annick, Brücker, Gilles
Format: Article
Language:English
Subjects:
AIDS/HIV
Bacteremia - complications
Bacteremia - epidemiology
Bacteremia - microbiology
Bacterial diseases
Bacterial infections
Bacterial Infections - complications
Bacterial Infections - epidemiology
Bacterial Infections - microbiology
Biological and medical sciences
Cancer
Candida - isolation & purification
Catheterization, Central Venous - adverse effects
Catheterization, Central Venous - instrumentation
Central venous catheterization
Cohort Studies
Disease risk
France, Paris
Gram-Negative Bacteria - isolation & purification
Gram-Positive Cocci - isolation & purification
Health risks
HIV
HIV Infections - complications
Human immunodeficiency virus
Human viral diseases
Humans
Incidence
Indwelling catheters
Infections
Infectious diseases
Karnofsky performance status
Medical instruments
Medical sciences
Neoplasms - complications
Neutropenia
Nursing
Original Articles
Predisposing factors
Prospective Studies
Public health
Risk Factors
Time Factors
Viral diseases
Viral diseases of the lymphoid tissue and the blood. Aids
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Summary:To evaluate and compare the risk of long-term central venous catheter (CVC) infection in human immunodeficiency virus (HIV)-infected and cancer patients. Prospective multicenter cohort study based on active surveillance of long-term CVC manipulations and patient outcome over a 6-month period. Services of infectious diseases and oncology of 12 university hospitals in Paris, France. In 1995, all HIV and cancer patients with solid malignancy were included at the time of long-term CVC implantation. Overall, 31.6% of long-term CVC infections were identified in 32% of 201 HIV and 5% of 255 cancer patients. Most were associated with bacteremia, most commonly coagulase-negative staphylococci. The long-term CVC time-related infection risk was greater in HIV than in cancer patients (3.78 vs 0.39 infections per 1,000 long-term CVC days; P
ISSN:0899-823X
1559-6834
DOI:10.1086/501658