• Braz J Anesthesiol · May 2015

    Frequency of colonization and isolated bacteria from the tip of epidural catheter implanted for postoperative analgesia.

    • Débora Miranda Diogo Stabille, Diogo FilhoAugustoAPostgraduate Program, Ciências da Saúde (CS), Universidade Federal de Uberlândia (UFU), Uberlândia, MG, Brazil; Colégio Brasileiro de Cirurgiões, Rio de Janeiro, RJ, Brazil; Colégio Brasileiro de Cirurgia Digestiva, São Paulo, SP, Brazi, MandimBeatriz Lemos da SilvaBLDepartment of Anesthesiology, Hospital de Clínicas, Universidade Federal de Uberlândia (UFU), Uberlândia, MG, Brazil., de AraújoLúcio BorgesLBFaculdade de Matemática da Universidade Federal de Uberlândia (UFU), Uberlândia, MG, Brazil., Priscila Miranda Diogo Mesquita, and Miguel Tanús Jorge.
    • Health Sciences (HS), Universidade Federal de Uberlândia (UFU), Uberlândia, MG, Brazil. Electronic address: deboramdiogo@yahoo.com.br.
    • Braz J Anesthesiol. 2015 May 1; 65 (3): 200-6.

    Background And ObjectiveThe increased use of epidural analgesia with catheter leads to the need to demonstrate the safety of this method and know the incidence of catheter colonization, inserted postoperatively for epidural analgesia, and the bacteria responsible for this colonization.MethodsFrom November 2011 to April 2012, patients electively operated and maintained under epidural catheter for postoperative analgesia were evaluated. The catheter tip was collected for semiquantitative and qualitative microbiological analysis.ResultsOf 68 cultured catheters, six tips (8.8%) had positive cultures. No patient had superficial or deep infection. The mean duration of catheter use was 43.45 h (18-118) (p=0.0894). The type of surgery (contaminated or uncontaminated), physical status of patients, and surgical time showed no relation with the colonization of catheters. Microorganisms isolated from the catheter tip were Staphylococcus aureus, Pseudomonas aeruginosa and Sphingomonas paucimobilis.ConclusionPostoperative epidural catheter analgesia, under these study conditions, was found to be low risk for bacterial colonization in patients at surgical wards.Copyright © 2014 Sociedade Brasileira de Anestesiologia. Published by Elsevier Editora Ltda. All rights reserved.

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