Table 2.
Data concerning contaminated epidural catheters.
| Age | Sex | Site | Level | Duration (h) | Dislocation | Pathogen | Comorbidities | Perioperative antibiotics | Punctures | Signs of infection | ||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MG | DM | CS | CT | |||||||||||
| Group 1 (tunneled) |
47 | M | Paramedian | Mid | 147 | CoNS∗ | Yes | No | No | Yes | CPZ¶ (2 g) | 1 x | Ø | |
| 61 | M | Midline | High | 294 | CoNS∗ | Yes | No | No | No | CPZ¶ (2 g) + METRO∗∗ (0.5 g) | 2 x (os) | Ø | ||
| 62 | F | Midline | Mid | 99 | CoNS∗ | Yes | No | No | No | CPZ¶ (2 g) + METRO∗∗ (0.5 g) | 1 x | Ø | ||
| 76 | F | Midline | Mid | 100 | CoNS∗ | Yes | No | No | No | CPZ¶ (2 g) + METRO∗∗ (0.5 g) | 1 x | Ø | ||
| 79 | F | Midline | Mid | 74 | 10 mm out | CoNS∗ | Yes | No | No | Yes | CPZ¶ (2 g) + METRO∗∗ (0.5 g) | 2 x (os) | Ø | |
| 44 | M | Midline | Low | 48 | CoNS∗ | No | No | No | No | CPZ¶ (2 g) | 1 x | Ø | ||
| 36 | M | Midline | Low | 124 | CoNS∗ | Yes | No | No | No | CFTX†† (2 g) | 1 x | Ø | ||
| 61 | M | Midline | High | 101 | STAEPI† | Yes | No | No | No | CPZ¶ (2 g) | 1 x | Ø | ||
|
| ||||||||||||||
| Group 2 (taped) |
55 | M | Midline | Mid | 76 | CoNS∗ | Yes | No | No | No | CPZ¶ (2 g) | 1 x | Ø | |
| 68 | M | Paramedian | Mid | 124 | CoNS∗ | Yes | No | No | No | CPZ¶ (2 g) + METRO∗∗ (0.5 g) | 1 x | Ø | ||
| 78 | F | Midline | Mid | 93 | 30 mm in | CoNS∗ | Yes | Yes | No | No | CPZ¶ (2 g) + METRO∗∗ (0.5 g) | 2 x | Ø | |
| 66 | M | Midline | Mid | 96 | CoNS∗ | Yes | No | No | No | CPZ¶ (2 g) + METRO∗∗ (0.5 g) | 1 x | Ø | ||
| 53 | M | Midline | Mid | 194 | CoNS∗ | Yes | No | No | No | CPZ¶ (2 g) + METRO∗∗ (0.5 g) | 1 x | Ø | ||
| 75 | F | Midline | Mid | 76 | 10 mm out | CoNS∗ | Yes | Yes | No | No | CPZ¶ (2 g) | 1 x | Ø | |
| 71 | M | Midline | Low | 70 | CoNS∗ | Yes | No | No | No | CPZ¶ (2 g) + METRO∗∗ (0.5 g) | 1 x | Ø | ||
| 53 | M | Midline | High | 99 | 20 mm out | STAAUR‡ | Yes | No | No | Yes | CPZ¶ (2 g) + METRO∗∗ (0.5 g) | 1 x | Redness, swelling | |
| 76 | M | Midline | Mid | 190 | CoNS∗ | Yes | Yes | No | No | CPZ¶ (2 g) + METRO∗∗ (0.5 g) | 1 x | Ø | ||
| 83 | F | Paramedian | Low | 148 | CoNS∗ | Yes | No | No | No | CPZ¶ (2 g) + METRO∗∗ (0.5 g) | 1 x | Ø | ||
| 66 | F | Midline | Low | 100 | CoNS∗ | Yes | No | Yes | No | CFTX†† (2 g) | 1 x | Ø | ||
| 61 | M | Paramedian | High | 96 | 90 mm out | CoNS∗ + ENCFIS§ | Yes | No | No | No | CPZ¶ (2 g) | 1 x | Ø | |
| 37 | M | Midline | Mid | 167 | CoNS∗ | No | No | No | No | CPZ¶ (2 g) + METRO∗∗ (0.5 g) | 1 x | Ø | ||
| 53 | M | Midline | Mid | 95 | 20 mm in | CoNS∗ | No | No | Yes | No | CPZ¶ (2 g) + METRO∗∗ (0.5 g) | 1 x | Ø | |
|
| ||||||||||||||
| P= | 0.2 | 0.5 | 0.9 | 0.4 | 0.4 | |||||||||
MG: malignancy; DM: diabetes mellitus; CS: corticosteroids; CT: chemotherapy; ∗CoNS: coagulase-neg. staphylococci; †STAEPI: Staphylococcus epidermidis; ‡STAAUR: Staphylococcus aureus; §ENCFIS: Enterococcus faecalis; ¶CPZ: cephazoline; ∗∗METRO: metronidazole; ††CFTX: ceftriaxone; antibiotics were administered exclusively in the perioperative period. Note that none of the contaminated epidural catheters in the tunneled and only one epidural catheter n the taped group showed clinical signs of infection. Student's t-test, Fisher's exact test, and Mann-Whitney U test were used for statistical testing. Of note, the patient of the taped group with a 90 mm catheter dislodgment showed no signs of insufficient analgesia during rest; however, his visual analogue scale was 5-6 on movement for the first three days.