Table 4 Relationship between having a positive catheter tip culture or catheter-related bacteremia and patient risk factors, or those related to the technique.
From: Assessing infection related to short-term central venous catheters in the perioperative setting
Catheter tip culture | OR (95% CI) or md (95% CI) | p | CLABSI (N = 7) | OR (95% CI) or md (95% CI) | p | ||
|---|---|---|---|---|---|---|---|
Positive (n = 19) | Negative (N = 179) | ||||||
Male gender, n (%) | 17 (89.5) | 106 (59.2) | 0.43 (0.15–1.24) | 0.053 | 6 (85.7) | 1.06 (1.01–1.11) | 0.180 |
Age, years | 63.2 ± 14.7 | 61.1 ± 12.9 | 1.67 (−4.54–7.87) | 0.562 | 71.6 ± 7.4 | 10.28 (0.48–20.08) | 0.008 |
Age > 60 years old, n (%) | 16 (84.2) | 111 (62.0) | 1.09 (0.43–2.74) | 0.202 | 7 (100) | 0.95 (0.91–0.99) | 0.041 |
BMI, kg·m−2 | 28.6 ± 3.8 | 28.8 ± 4.9 | −0.12 (−2.41–2.16) | 0.820 | 26.4 ± 0.7 | −2.34 (−5.97–1.29) | 0.212 |
BMI > 35 kg·m−2, n (%) | 1 (5.2) | 23 (12.8) | 2.45 (0.34–17.56) | 0.342 | 1 (14.3) | 0.96 (0.93–1.99) | 0.335 |
Neck circumference > 40 cm, n (%) | 2 (10.5) | 32 (17.9) | 1.09 (0.34–3.54) | 0.335 | 2 (28.6) | 1.23 (1.53–9.88) | 0.407 |
Smokers, n (%) | 4 (21.0) | 56 (31.3) | 1.53 (0.53–4.42) | 0.422 | 2 (28.6) | 0.54 (0.13–2.36) | 0.980 |
Cancer, n (%) | 17 (89.5) | 98 (54.7) | 1.48 (1.18–2.29) | 0.022 | 7 (100) | 1.09 (1.04–1.84) | 0.021 |
Diabetes mellitus, n (%) | 6 (31.6) | 38 (21.2) | 0.79 (0.30–2.07) | 0.442 | 2 (28.6) | 0.70 (0.14–3.51) | 0.669 |
COPD/Asthma, n (%) | 4 (21.0) | 28 (16.6) | 1.02 (0.31–3.28) | 0.687 | 2 (28.6) | 1.14 (0.14–9.17) | 0.356 |
Ischemic heart disease, n (%) | 6 (31.6) | 19 (10.6) | 0.31 (0.13–0.74) | 0.019 | 1 (14.3) | 0.96 (0.93–0.99) | 0.884 |
Immunosuppression, n (%) | 0 (0) | 18 (10.0) | 0.89 (0.85–0.94) | 0.128 | 0 (0) | 0.96 (0.93–0.99) | 0.397 |
Chronic kidney disease, n (%) | 0 (0) | 16 (8.9) | 0.89 (0.85–0.94) | 0.153 | 0 (0) | 0.96 (0.93–0.99) | 0.427 |
Cardiac failure, n (%) | 2 (10.5) | 7 (3.9) | 0.85 (0.13–5.67) | 0.240 | 2 (28.6) | 0.28 (0.04–2.11) | 0.002 |
Transplantation, n (%) | 0 (0) | 4 (2.2) | 0.90 (0.86–0.95) | 0.489 | 0 (0) | 0.96 (0.94–0.99) | 0.700 |
Intraoperative bleeding, ml | 200 ± 100 | 198 ± 151 | 2.21 (−66.63–71.05) | 0.961 | 186 ± 56 | −12.73 (−122.55–97.09) | 0.827 |
Duration of surgery, min | 156 ± 62 | 161 ± 67 | 15.98 (−36.73–26.32) | 0.773 | 175 ± 66 | 15.22 (−35.04–65.49) | 0.567 |
Intraoperative vasoactive support, n (%) | 4 (21.0) | 45 (25.9) | 0.80 (0.28–2.29) | 0.840 | 1 (14.3) | 0.50 (0.06–4.05) | 0.925 |
Intraoperative transfusion, n (%) | 0 (0) | 6 (3.3) | 0.90 (0.86–0.94) | 0.420 | 0 (0) | 0.96 (0.94–0.99) | 0.636 |
Resident doctor operator, n (%) | 7 (36.8) | 100 (55.9) | 0.51 (0.21–1.23) | 0.050 | 2 (28.6) | 0.65 (0.15–2.84) | 0.178 |
Left or right internal jugular veins, n (%) | 19 (100) | 159 (88.8) | 1.12 (1.06–1.18) | 0.019 | 7 (100) | 1.04 (1.01–1.07) | 0.369 |
Ultrasound-guided, n (%) | 7 (36.8) | 49 (27.4) | 0.67 (0.28–1.61) | 0.565 | 3 (42.8) | 0.97 (0.19–4.87) | 0.373 |
Cannulation longer than 10 min, n (%) | 3 (15.8) | 28 (16.6) | 1.02 (0.32–3.30) | 0.750 | 1 (14.3) | 0.91 (0.11–7.29) | 0.905 |
Need to change side, n (%) | 3 (15.8) | 11 (6.1) | 0.40 (0.13–1.21) | 0.167 | 0 (0) | 0.96 (0.93–0.99) | 0.460 |
Success after > 2 attempts, n (%) | 2 (10.5) | 31 (17.3) | 0.82 (0.20–3.35) | 0.379 | 2 (28.6) | 1.17 (0.15–9.29) | 0.379 |
Difficulty passing the guide, n (%) | 2 (10.5) | 19 (10.6) | 1.00 (0.25–4.04) | 0.093 | 0 (0) | 0.96 (0.93–0.99) | 0.582 |
Other postoperative complications, n (%) | 0 (0) | 10 (5.0) | 1.11 (1.06–1.16) | 0.293 | 0 (0) | 1.04 (1.01–1.07) | 0.537 |
