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

BACKGROUND AND OBJECTIVE: The 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. METHODS: Fr...

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Main Authors: Débora Miranda Diogo Stabille, Augusto Diogo Filho, Beatriz Lemos da Silva Mandim, Lúcio Borges de Araújo, Priscila Miranda Diogo Mesquita, Miguel Tanús Jorge
Format: Article
Language:English
Published: Sociedade Brasileira de Anestesiologia 2015-06-01
Series:Revista Brasileira de Anestesiologia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942015000300200&lng=en&tlng=en
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author Débora Miranda Diogo Stabille
Augusto Diogo Filho
Beatriz Lemos da Silva Mandim
Lúcio Borges de Araújo
Priscila Miranda Diogo Mesquita
Miguel Tanús Jorge
author_facet Débora Miranda Diogo Stabille
Augusto Diogo Filho
Beatriz Lemos da Silva Mandim
Lúcio Borges de Araújo
Priscila Miranda Diogo Mesquita
Miguel Tanús Jorge
author_sort Débora Miranda Diogo Stabille
collection DOAJ
description BACKGROUND AND OBJECTIVE: The 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. METHODS: From 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. RESULTS: Of 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. CONCLUSION: Postoperative epidural catheter analgesia, under these study conditions, was found to be low risk for bacterial colonization in patients at surgical wards.
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spelling doaj.art-f705ea79d72145ed89712e7a11eb65082022-12-22T03:21:04ZengSociedade Brasileira de AnestesiologiaRevista Brasileira de Anestesiologia1806-907X2015-06-0165320020610.1016/j.bjane.2014.05.015S0034-70942015000300200Frequency of colonization and isolated bacteria from the tip of epidural catheter implanted for postoperative analgesiaDébora Miranda Diogo StabilleAugusto Diogo FilhoBeatriz Lemos da Silva MandimLúcio Borges de AraújoPriscila Miranda Diogo MesquitaMiguel Tanús JorgeBACKGROUND AND OBJECTIVE: The 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. METHODS: From 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. RESULTS: Of 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. CONCLUSION: Postoperative epidural catheter analgesia, under these study conditions, was found to be low risk for bacterial colonization in patients at surgical wards.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942015000300200&lng=en&tlng=enAnestesia epiduralInfecciónBacterias
spellingShingle Débora Miranda Diogo Stabille
Augusto Diogo Filho
Beatriz Lemos da Silva Mandim
Lúcio Borges de Araújo
Priscila Miranda Diogo Mesquita
Miguel Tanús Jorge
Frequency of colonization and isolated bacteria from the tip of epidural catheter implanted for postoperative analgesia
Revista Brasileira de Anestesiologia
Anestesia epidural
Infección
Bacterias
title Frequency of colonization and isolated bacteria from the tip of epidural catheter implanted for postoperative analgesia
title_full Frequency of colonization and isolated bacteria from the tip of epidural catheter implanted for postoperative analgesia
title_fullStr Frequency of colonization and isolated bacteria from the tip of epidural catheter implanted for postoperative analgesia
title_full_unstemmed Frequency of colonization and isolated bacteria from the tip of epidural catheter implanted for postoperative analgesia
title_short Frequency of colonization and isolated bacteria from the tip of epidural catheter implanted for postoperative analgesia
title_sort frequency of colonization and isolated bacteria from the tip of epidural catheter implanted for postoperative analgesia
topic Anestesia epidural
Infección
Bacterias
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942015000300200&lng=en&tlng=en
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