OBJECTIVE Nosocomial bloodstream infections are associated with increased patient morbidity, mortality, and hospital costs. More than 90% of these infections are related to the use of intravascular catheter devices. This study was done to assess the risk and rates of catheter related-bloodstream infections (CR-BSI) associated with different intravascular technologies in a pediatric intensive ca...

Pathologic and experimental evidence indicates that platelet activation and fibrin formation contribute to the pathogenesis of angina pectoris, coronary vasospasm and myocardial infarction. Detection of localized intravascular platelet activation and fibrin formation in vivo by selective blood sampling requires catheters that do not induce coagulation ex vivo. We studied the effect of heparin b...

conclusions despite close concordance between ultrasonography and chest radiography, ceus is not a suitable alternative for standard chest radiography in detecting cvc location; however, considering its high sensitivity and acceptable specificity in our study, its usefulness as a triage method for detecting cvc location on a real-time basis in the operating room cannot be ignored. results chest...

Correspondence to: ProfessorWN McDicken, Department of Medical Physics and Medical Engineering, University of Edinburgh, Edinburgh EH3 9YW, UK. Intravascular techniques Intravascular ultrasound (IVUS) coronary arteries has become poss improvements in the miniaturisatic sound transducers. Intravascular B ing consists of cross sectional i vessels by miniature ultrasound mounted on wires which are...

To the Editor:—We read with interest the case report by Cladis and Litman regarding the intravascular injection of 3% 2-chlorprocaine. The authors are to be congratulated on their ability to postoperatively radiologically document the intravascular placement of the epidural catheter. However, we have concerns with the total dose of 2-chloroprocaine used. The authors state that they injected 4 m...

solution available in clinical settings, especially when current Centers for Disease Control and Prevention guidelines state that only solutions of PPD containing 5 TU/0.1 mL should be used.1 We have discontinued the 250 TU formulation in our institution. We urge caution in the interpretation of tuberculin tests and suggest careful examination of the strength of the solution before administration.

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 ...

To the Editor:—We read with interest the case report by Cladis and Litman regarding the intravascular injection of 3% 2-chlorprocaine. The authors are to be congratulated on their ability to postoperatively radiologically document the intravascular placement of the epidural catheter. However, we have concerns with the total dose of 2-chloroprocaine used. The authors state that they injected 4 m...

INTRODUCTION The use of the matrix-assisted laser desorption/ionization time of flight (MALDI-TOF) mass spectrometry has shown to be effective and fast in some clinical specimens for the identification of colonizing microorganisms. The objective of the study was to analyze the validity values for the prediction of colonization and catheter-related bloodstream infection (C-RBSI) of the MALDI-TOF...