Catheter-related infection in gastrointestinal fistula patients

doi:10.3748/wjg.v10.i9.1345

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World Journal of Gastroenterology

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1007-9327

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Clinical Research

World J Gastroenterol. May 1, 2004; 10(9): 1345-1348
Published online May 1, 2004. doi: 10.3748/wjg.v10.i9.1345

Catheter-related infection in gastrointestinal fistula patients

Ge-Fei Wang, Jian-An Ren, Jun Jiang, Cao-Gan Fan, Xin-Bo Wang, Jie-Shou Li

Ge-Fei Wang, School of Medicine, Nanjing University, Nanjing, 210093, Jiangsu Province, China

Jian-An Ren, Jun Jiang, Cao-Gan Fan, Xin-Bo Wang, Jie-Shou Li, Department of General Surgery, Jinling Hospital, Clinical School of Nanjing University, Nanjing 210002, Jiangsu Province, China

Author contributions: All authors contributed equally to the work.

Correspondence to: Dr. Ge-Fei Wang, School of Medicine, Nanjing University, 27 Hankou Road, Nanjing, 210093, Jiangsu Province, China. wang_gefei@hoitmail.com

Telephone: +86-25-4825110 Fax: +86-25-4803956

Received: August 6, 2003
Revised: September 20, 2003
Accepted: October 7, 2003
Published online: May 1, 2004

Abstract

AIM: To study the incidence, bacterial spectrum and drug sensitivity of catheter-related infection (CRI) in gastrointestinal fistula patients.

METHODS: A total of 216 patients with gastrointestinal fistulae during January 1998 to April 2001 were studied retrospectively. Two hundred and sixteen catheters of the 358 central venous catheters used in 216 gastrointestinal fistula patients were sent for microbiology analysis.

RESULTS: Ninety-five bacteria were cultivated in 88 catheters (24.6%). There were 54 Gram-negative bacteria (56.8%), 35 Gram-positive bacteria (36.8%), and 6 fungi (6.4%). During the treatment of CRI, 20 patients changed to use antibiotics or antifungal, and all patients were cured. The mean time of catheters used was 16.9 ± 13.0 d.

CONCLUSION: CRI is still the common complication during total parenteral nutrition (TPN) treatment in patients with gastrointestinal fistulae, and Gram-negative bacteria are the main pathogens, and bacterial translocation is considered the common reason for CRI.

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