Prevention of intravascular catheter-related infections.

Abstract:

PURPOSE:To review the literature on prevention of intravascular catheter-related infections. DATA SOURCES:The MEDLINE database, conference proceedings, and bibliographies of review articles and book chapters were searched for relevant articles. Primary authors were contacted directly if data were incomplete. STUDY SELECTION:Studies met the following criteria unless otherwise stated: Trials were prospective and randomized; catheters were inserted into new sites, not into old sites over guidewires; catheter cultures were done by using semi-quantitative or quantitative methods; and, for prospective studies, catheter-related bloodstream infection was confirmed by microbial growth from percutaneously drawn blood cultures that matched catheter cultures. DATA EXTRACTION:Data on population, methods, preventive strategy, and outcome (measured as catheter-related bloodstream infections) were gathered. The quality of the data was graded by using preestablished criteria. DATA SYNTHESIS:The recommended preventive strategies with the strongest supportive evidence are full barrier precautions during central venous catheter insertion; subcutaneous tunneling short-term catheters inserted in the internal jugular or femoral veins when catheters are not used for drawing blood; contamination shields for pulmonary artery catheters; povidone-iodine ointment applied to insertion sites of hemodialysis catheters; specialized nursing teams caring for patients with short-term peripheral venous catheters, especially at institutions with a high incidence of catheter-related infection; no routine replacement of central venous catheters; antiseptic chamberfilled hub or hub-protective antiseptic sponge for central venous catheters; and use of chlorhexidine-silver sulfadiazine-impregnated or minocycline-rifampin-impregnated short-term central venous catheters if the rate of infection is high despite adherence to other strategies that do not incorporate antimicrobial agents (for example, maximal barrier precautions). CONCLUSIONS:Simple interventions can reduce the risk for serious catheter-related infection. Adequately powered randomized trials are needed.

journal_name

Ann Intern Med

authors

Mermel LA

doi

10.7326/0003-4819-132-5-200003070-00009

subject

Has Abstract

pub_date

2000-03-07 00:00:00

pages

391-402

issue

5

eissn

0003-4819

issn

1539-3704

pii

200003070-00009

journal_volume

132

pub_type

杂志文章,meta分析
  • Trends in the incidence of venous thromboembolism during pregnancy or postpartum: a 30-year population-based study.

    abstract:BACKGROUND:The risk for venous thromboembolism during pregnancy or postpartum is uncertain. OBJECTIVES:To estimate the relative and absolute risk for deep venous thrombosis and pulmonary embolism during pregnancy and postpartum and to describe trends in incidence. DESIGN:Population-based inception cohort study using ...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-143-10-200511150-00006

    authors: Heit JA,Kobbervig CE,James AH,Petterson TM,Bailey KR,Melton LJ 3rd

    更新日期:2005-11-15 00:00:00

  • Effect of starting age of physical activity on bone mass in the dominant arm of tennis and squash players.

    abstract:OBJECTIVE:To determine in female tennis and squash players the effect of biological age (that is, the starting age of playing relative to the age at menarche) at which tennis or squash playing was started on the difference in bone mineral content between the playing and non-playing arms. DESIGN:Cross-sectional study. ...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-123-1-199507010-00003

    authors: Kannus P,Haapasalo H,Sankelo M,Sievänen H,Pasanen M,Heinonen A,Oja P,Vuori I

    更新日期:1995-07-01 00:00:00

  • Treatment of severe hypophosphatemia.

    abstract::Aspects of phosphate biochemistry pertinent to therapy, the distribution of phosphorus in body compartments, therapeutic phosphorus preparations, prevention of hypophosphatemia, therapeutic guidelines, and side-effects of phosphorus therapy are reviewed. Severe hypophosphatemia (less than 0.32 mmol/litre or less than ...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-89-6-941

    authors: Lentz RD,Brown DM,Kjellstrand CM

    更新日期:1978-12-01 00:00:00

  • National study of internal medicine manpower: III. Subspecialty fellowship training 1976-1977.

    abstract::Questionnaire II of the National Study of Internal Medicine Manpower was directed to all of the 1502 subspecialty training programs in the United States and Puerto Rico. The overall response rate was 86%. For the years 1972-1973 through 1976-1977 the number of fellows in subspecialty training grew at an average rate o...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-91-2-287

    authors: Tarlov AR,Weil PA,Schleiter MK

    更新日期:1979-08-01 00:00:00

  • Transcatheter closure versus medical therapy of patent foramen ovale and presumed paradoxical thromboemboli: a systematic review.

    abstract:BACKGROUND:The optimal strategy to prevent recurrent presumed paradoxical emboli in patients with patent foramen ovale is unknown. PURPOSE:To synthesize the current knowledge about and qualitatively assess the relative benefits of transcatheter closure versus medical therapy for patent foramen ovale. DATA SOURCES:Eng...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章,评审

    doi:10.7326/0003-4819-139-9-200311040-00010

    authors: Khairy P,O'Donnell CP,Landzberg MJ

    更新日期:2003-11-04 00:00:00

  • Salicylate-induced pulmonary edema. Clinical features and prognosis.

    abstract::To assess the course and prognosis of salicylate-induced pulmonary edema, we reviewed the records of 36 consecutive patients admitted with serum salicylate levels greater than 30 mg/dL. Pulmonary edema developed in eight patients, and pulmonary infiltrates were never seen in 28 patients. Several features distinguished...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-95-4-405

    authors: Heffner JE,Sahn SA

    更新日期:1981-10-01 00:00:00

  • Comparison of chemical composition of peritoneal fluid and serum: a method for monitoring dialysis patients and a tool for assessing binding to serum proteins in vivo.

    abstract::It is hypothesized that peritoneal fluid might be used as an alternative vehicle for monitoring the clinical chemistry of patients on peritoneal dialyses and save these patients the venesection and resultant blood loss. Peritoneal fluid was obtained before 47.2% of 106 dialysis treatments and compared with simultaneou...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-89-1-67

    authors: Kelton JG,Ulan R,Stiller C,Holmes E

    更新日期:1978-07-01 00:00:00

  • Reporting the recruitment process in clinical trials: who are these patients and how did they get there?

    abstract:BACKGROUND:A common criticism of randomized, controlled trials (RCTs) is that the enrollment process may be highly selective and those who enroll may not represent persons in the general population. The recruitment process reported in published RCTs has not been systematically evaluated. OBJECTIVE:To determine whether...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-137-1-200207020-00007

    authors: Gross CP,Mallory R,Heiat A,Krumholz HM

    更新日期:2002-07-02 00:00:00

  • Diagnosis and management of delirium near the end of life.

    abstract::Delirium is a common and distressing symptom that constitutes a significant challenge for end-of-life care. However, reliable techniques are available for the diagnosis of delirium, and effective therapies exist as well. This consensus paper uses a case-based format that begins with an overview of the definition and p...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-135-1-200107030-00011

    authors: Casarett DJ,Inouye SK,American College of Physicians-American Society of Internal Medicine End-of-Life Care Consensus Panel.

    更新日期:2001-07-03 00:00:00

  • Diagnostic and predictive accuracy of blood pressure screening methods with consideration of rescreening intervals: a systematic review for the U.S. Preventive Services Task Force.

    abstract:BACKGROUND:Elevated blood pressure (BP) is the largest contributing risk factor to all-cause and cardiovascular mortality. PURPOSE:To update a systematic review on the benefits and harms of screening for high BP in adults and to summarize evidence on rescreening intervals and diagnostic and predictive accuracy of diff...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章,评审

    doi:10.7326/M14-1539

    authors: Piper MA,Evans CV,Burda BU,Margolis KL,O'Connor E,Whitlock EP

    更新日期:2015-02-03 00:00:00

  • Differences in metabolism of sulfonamides predisposing to idiosyncratic toxicity.

    abstract::Individual differences in metabolism of the sulfonamides may predispose patients to idiosyncratic reactions. Sulfonamides are metabolized by N-acetylation (mediated by a genetically polymorphic enzyme) and oxidation to potentially toxic metabolites. We examined 6 patients who had severe reactions to sulfonamides and c...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-105-2-179

    authors: Shear NH,Spielberg SP,Grant DM,Tang BK,Kalow W

    更新日期:1986-08-01 00:00:00

  • Clinically silent atrial septal defects with evidence for cerebral embolization.

    abstract::The cause of stroke in young patients frequently cannot be established. Eleven consecutive patients, age 50 and younger, had clinical evidence of cerebral embolization. Results of physical, radiographic, electrocardiographic, and two-dimensional echocardiographic examinations were normal in all patients. During normal...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-105-5-695

    authors: Harvey JR,Teague SM,Anderson JL,Voyles WF,Thadani U

    更新日期:1986-11-01 00:00:00

  • Mammographic screening for women aged 40 to 49 years: the primary care practitioner's dilemma.

    abstract::The data from population-based, randomized trials of the mammographic screening of women aged 40 to 49 years are limited by retrospective subgroup analysis, low statistical power, and the use of older mammographic techniques. Nonetheless, meta-analysis involving the most recently reported data from all similarly desig...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章,评审

    doi:10.7326/0003-4819-122-7-199504010-00010

    authors: Sickles EA,Kopans DB

    更新日期:1995-04-01 00:00:00

  • Multivitamin use, folate, and colon cancer in women in the Nurses' Health Study.

    abstract:BACKGROUND:High intake of folate may reduce risk for colon cancer, but the dosage and duration relations and the impact of dietary compared with supplementary sources are not well understood. OBJECTIVE:To evaluate the relation between folate intake and incidence of colon cancer. DESIGN:Prospective cohort study. SETT...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-129-7-199810010-00002

    authors: Giovannucci E,Stampfer MJ,Colditz GA,Hunter DJ,Fuchs C,Rosner BA,Speizer FE,Willett WC

    更新日期:1998-10-01 00:00:00

  • Guidelines for the care of patients hospitalized with viral hepatitis.

    abstract::For years patients hospitalized with viral hepatitis have been placed in two categories of isolation--enteric precautions and blood precautions. This strategy was based on the inability to differentiate between hepatitis A and B and on the assumption that feces and blood from patients with either type might be infecti...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-91-6-872

    authors: Favero MS,Maynard JE,Leger RT,Graham DR,Dixon RE

    更新日期:1979-12-01 00:00:00

  • Giant cell reparative granuloma of Paget's disease of bone: a unique clinical entity.

    abstract::Giant cell tumor of bone is a rare, but well-recognized complication of Paget's disease of bone. In contrast, giant cell reparative granuloma (a benign tumor of the jaws occurring primarily in young adults) has never been described in association with Paget's disease. Five patients had giant cell lesions complicating ...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-98-1-35

    authors: Upchurch KS,Simon LS,Schiller AL,Rosenthal DI,Campion EW,Krane SM

    更新日期:1983-01-01 00:00:00

  • Advanced seminoma: the role of chemotherapy and adjunctive surgery.

    abstract:STUDY OBJECTIVE:To determine the effectiveness of chemotherapy and adjunctive surgery in managing patients with advanced seminoma. DESIGN:Nonrandomized prospective clinical trial of chemotherapy in a cohort of patients with advanced seminoma. SETTING:Referral cancer hospital. PATIENTS:Consecutive sample of 62 patien...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-108-4-513

    authors: Motzer RJ,Bosl GJ,Geller NL,Penenberg D,Yagoda A,Golbey R,Whitmore WF Jr,Fair WR,Sogani P,Herr H

    更新日期:1988-04-01 00:00:00

  • Biological basis for cancer treatment.

    abstract::The new knowledge of the regulation of cell growth and the genetic and biochemical changes that lead to malignancy have created many new opportunities for cancer drug discovery. These new targets include oncogenes, growth factors and their receptors, signal transduction pathways, and cell differentiation signals. Atte...

    journal_title:Annals of internal medicine

    pub_type: 评论,杂志文章,评审

    doi:10.7326/0003-4819-118-8-199304150-00011

    authors: Chabner BA

    更新日期:1993-04-15 00:00:00

  • Direct binding studies of adrenergic receptors: biochemical, physiologic, and clinical implications.

    abstract::Recently developed radioligand binding techniques permit direct investigation of the alpha- and beta-adrenergic receptors for catecholamines in a wide variety of tissues. These techniques allow the receptors to be quantitated, characterized, and studied under varying conditions of physiologic and pathophysiologic inte...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章,评审

    doi:10.7326/0003-4819-91-3-450

    authors: Lefkowitz RJ

    更新日期:1979-09-01 00:00:00

  • Firearm-related injury and death in the United States: a call to action from 8 health professional organizations and the American Bar Association.

    abstract::Deaths and injuries related to firearms constitute a major public health problem in the United States. In response to firearm violence and other firearm-related injuries and deaths, an interdisciplinary, interprofessional group of leaders of 8 national health professional organizations and the American Bar Association...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/M15-0337

    authors: Weinberger SE,Hoyt DB,Lawrence HC 3rd,Levin S,Henley DE,Alden ER,Wilkerson D,Benjamin GC,Hubbard WC

    更新日期:2015-04-07 00:00:00

  • Sudden cardiac death: management of high-risk patients.

    abstract::Sudden cardiac death remains a leading cause of death in the United States, accounting for more than 350,000 deaths each year, and the survival rate of victims remains low. Most survivors face a significant risk for recurrence. The typical substrate is chronic--abnormal myocardium with fibrosis (often from previous my...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章,评审

    doi:10.7326/0003-4819-114-6-499

    authors: Akhtar M,Garan H,Lehmann MH,Troup PJ

    更新日期:1991-03-15 00:00:00

  • Molecular genetics of human hemoglobin synthesis.

    abstract::Molecular analysis of normal and abnormal human globin genes and their gene products has recently provided information on the precise genetic events that result in hemoglobinopathies. In the case of structurally abnormal hemoglobins, the following mechanisms can be invoked: single nucleotide base substitutions leading...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章,评审

    doi:10.7326/0003-4819-91-4-605

    authors: Forget BG

    更新日期:1979-10-01 00:00:00

  • Asymptomatic glomerulonephritis after nonstreptococcal upper respiratory infections.

    abstract::Two hundred forty previously healthy military personnel with nonstreptococcal upper respiratory infections were prospectively studied to define the incidence and clinicopathologic characteristics of possible virus-associated glomerulonephritis. Nine patients without preceding streptococcal infection had erythrocyte ca...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-91-5-697

    authors: Smith MC,Cooke JH,Zimmerman DM,Bird JJ,Feaster BL,Morrison RE,Reimann BE

    更新日期:1979-11-01 00:00:00

  • Liver biopsy in hemophilia A.

    abstract::Hepatitis is a significant complication of the treatment of hemophilia A with factor VIII concentrates. Chronic liver disease in these patients is infrequently documented in the literature. The results of percutaneous liver biopsy, under the coverage of glycine-precipitated factor VIII, in six patients with hemophilia...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-86-6-703

    authors: Lesesne HR,Morgan JE,Blatt PM,Webster WP,Roberts HR

    更新日期:1977-06-01 00:00:00

  • Problem doctors: is there a system-level solution?

    abstract::Physician performance failures are not rare and pose substantial threats to patient welfare and safety. Few hospitals respond to such failures promptly or effectively. Failure to ensure the quality and safety of the performance of colleagues is a breach of medicine's fiduciary responsibility to the public. A major rea...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-144-2-200601170-00008

    authors: Leape LL,Fromson JA

    更新日期:2006-01-17 00:00:00

  • A nosocomial outbreak of multidrug-resistant tuberculosis.

    abstract:BACKGROUND:An outbreak of seven cases (in six patients and one health care worker, all of whom had AIDS) of multidrug-resistant tuberculosis occurred in a hospital in Chicago. The hospital had a respirator-fit testing program but no acid-fast bacilli isolation rooms. OBJECTIVE:To identify risk factors for transmission...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-127-1-199707010-00006

    authors: Kenyon TA,Ridzon R,Luskin-Hawk R,Schultz C,Paul WS,Valway SE,Onorato IM,Castro K

    更新日期:1997-07-01 00:00:00

  • Incidence of and risk factors for ventilator-associated pneumonia in critically ill patients.

    abstract:BACKGROUND:Understanding the risk factors for ventilator-associated pneumonia can help to assess prognosis and devise and test preventive strategies. OBJECTIVE:To examine the baseline and time-dependent risk factors for ventilator-associated pneumonia and to determine the conditional probability and cumulative risk ov...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-129-6-199809150-00002

    authors: Cook DJ,Walter SD,Cook RJ,Griffith LE,Guyatt GH,Leasa D,Jaeschke RZ,Brun-Buisson C

    更新日期:1998-09-15 00:00:00

  • Treatment of intractable lupus nephritis with total lymphoid irradiation.

    abstract::Ten patients with lupus nephritis and marked proteinuria (3.9 g or more/d) that did not respond adequately to treatment with prednisone alone or prednisone in combination with azathioprine were treated with total lymphoid irradiation in an uncontrolled feasibility study. Within 6 weeks after the start of total lymphoi...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-102-4-450

    authors: Strober S,Field E,Hoppe RT,Kotzin BL,Shemesh O,Engleman E,Ross JC,Myers BD

    更新日期:1985-04-01 00:00:00

  • Pneumocystis carinii pneumonia: a cluster of eleven cases.

    abstract::An unusual cluster of 11 patients with Pneumocystis carinii pneumonia occurred in a 3-month period at Memorial Hospital, New York. Ten of the 11 patients had lymphoma or leukemia. In 7 patients, corticosteroid therapy was decreased or stopped shortly before pneumocystis pneumonia was diagnosed. The pediatric patients ...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-82-6-722

    authors: Singer C,Armstrong D,Rosen PP,Schottenfeld D

    更新日期:1975-06-01 00:00:00

  • Primary aldosteronism: factors associated with normalization of blood pressure after surgery.

    abstract:BACKGROUND:Hypertension often persists after adrenalectomy for primary aldosteronism. OBJECTIVE:To determine factors associated with resolution of hypertension after adrenalectomy for primary aldosteronism. DESIGN:Retrospective cohort study. SETTING:Tertiary care referral center in Rochester, Minnesota. PATIENTS:Al...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-135-4-200108210-00010

    authors: Sawka AM,Young WF,Thompson GB,Grant CS,Farley DR,Leibson C,van Heerden JA

    更新日期:2001-08-21 00:00:00