• Connecticut medicine · Jan 2013

    Central line associated blood stream infection related to cooling catheter in cardiac arrest survivors undergoing therapeutic hypothermia by endovascular cooling.

    • Nishant Patel, Sanjeev U Nair, Pampana Gowd, Ankur Gupta, David Morris, Giovanni G Geronilla, and Justin Lundbye.
    • Hartford Hospital, USA. nbpatel@harthosp.org
    • Conn Med. 2013 Jan 1;77(1):35-41.

    IntroductionThe risk of central line associated blood stream infections (CLABSI) related to cooling catheters used for therapeutic hypothermia (TH) is unclear.MethodsWe performed a retrospective analysis on 131 cardiac arrest survivors between 2007 and 2010, who underwent TH by femorally placed endovascular cooling catheter. All patients received prophylactic intravenous ampicillin-sulbactam for 72 hours to reduce the risk of aspiration pneumonia. Cooling catheter related CLABSI and other infections over a period of seven days from initiation of TH were estimated.ResultsOf a total 131 patients, 16 (12%) patients had bacteremia or infection prior to initiation of TH and were excluded. Of the remaining 115 (88%) patients, zero (0%) patients had cooling catheter related CLABSI and 23 (20%) patients had other infections during the study period.ConclusionIn cardiac arrest survivors undergoing TH, femorally placed endovascular cooling catheter is not associated with an increased incidence of CLABSI.

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