Table 2. Emergency Department Central Catheter Associated Blood Stream Infections: Clinical Characteristics of 9 cases.
Variable | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 |
---|---|---|---|---|---|---|---|---|---|
Age | 61 | 55 | 51 | 26 | 90 | 46 | 34 | 73 | 52 |
Sex | Female | Male | Female | Male | Male | Female | Male | Female | Female |
CCS Admission Diagnosis | Respiratory Failure | Sepsis | Diabetes w/Complications | Spinal Cord Injury | Chronic Kidney Disease | Sepsis | Acute Renal Failure | Brain Injury | Endocrine Disorder |
Emergency Physician Indication for placement | No Peripheral Access | Shock | No Peripheral Access | Shock | Shock | Shock | Shock | Shock | No Peripheral Access |
Location of ED CVC | Femoral | Internal Jugular | Internal Jugular | Femoral | Subclavian | Subclavian | Subclavian | Femoral | Subclavian |
Ultrasound Assisted | No | Yes | Yes | No | No | No | Yes | No | Yes |
Needle Sticks | 3 | 1 | 1 | 1 | 3 | 2 | 1 | 2 | 1 |
Level of Operator | Resident | Attending | Resident | Resident | Resident | Resident | Resident | Resident | Attending |
Duration of catheter in ED, hours | 9 | 2 | 4 | <1 | 3 | 9 | 7 | 4 | 7 |
Accepting Admitting Unit | Medical Intensive Care Unit | Cardiac Care Unit | Neurologic Intensive Care Unit | Surgical Intensive Care Unit | Medical Intensive Care Unit | General Floor | Medical Intensive Care Unit | Cardiac Care Unit | General Floor |
Duration of ED catheter, days | 4 | 15 | 9 | 12 | 5 | 28 | 9 | 10 | 10 |
LOS | 13 | 68 | 9 | 32 | 11 | 28 | 10 | 10 | 20 |
CLABSI Organism | Streptococcus | Enteroccoccus | MRSA | S. Epidermidis | S. Capitis | S. Epidermidis | C. Albicans | C. Albicans | MRSA |
Outcome | Discharge | Discharge | Discharge | Discharge | Discharge | Death | Discharge | Death | Discharge |
CCS = Clinical Classification Software; CVC = central venous catheter; LOS = length of stay; MRSA = methicillin-resistant Staphylococcus aureus