TABLE 4.
Infectious workup, culture data, and antibiotic therapy
| Factor | Distal Catheter Location | p Value | |
|---|---|---|---|
| Peritoneum | Atrium | ||
| No. of cases | 25 | 18 | |
| Culture data | |||
| Positive CSF cultures | 1 (4%) | 1 (6%) | >0.99 |
| Corynebacterium accolens | 1 (100%) | 0 (0%) | |
| Mixed gram-positive species | 0 (0%) | 1 (100%) | |
| Positive distal catheter cultures | 4 (20%) | 4 (31%) | 0.68 |
| Mixed coagulase-negative staphylococcus | 0 (0%) | 1 (25%) | |
| Escherichia coli | 0 (0%) | 2 (50%) | |
| Enterococcus faecalis | 1 (25%) | 0 (0%) | |
| Enterobacter cloacae | 1 (25%) | 0 (0%) | |
| Haemophilus influenzae | 1 (25%) | 0 (0%) | |
| Trichophyton tonsurans | 1 (25%) | 0 (0%) | |
| Candida albicans | 0 (0%) | 1 (25%) | |
| Positive cultures (other) | 3 (13%)* | 4 (22%)† | 0.44 |
| Antibiotics started w/in 24 hrs | 23 (92%) | 18 (100%) | 0.50 |
| Planned antibiotic stop date | 0.26 | ||
| Prior to internalization | 2 (8%) | 3 (17%) | |
| After internalization, before discharge | 13 (52%) | 7 (39%) | |
| After discharge | 5 (20%) | 8 (44%) | |
| Missing | 5 (20%) | 0 (0%) | |
| Antibiotic-impregnated catheter at reinternalization | 21 (84%) | 12 (67%) | 0.28 |
| Antibiotic duration after externalization (days) | 13.00 (7.00–21.00) (n = 23) | 16.00 (8.00–20.00) (n = 17) | 0.53 |
| Infectious disease consultation | 8 (32%) | 7 (39%) | 0.75 |
Values are presented as number (%) of cases or median (IQR) unless otherwise indicated.
*
Abdominal culture with Trichophyton tonsurans; blood culture with Staphylococcus capitis; urine culture with Pseudomonas aeruginosa.
†
Abdominal culture with Proteus mirabilis, Klebsiella pneumoniae, and Escherichia coli; urine culture with Escherichia coli, urine culture with Pseudomonas aeruginosa, orthopedic external fixation wound culture with Enterobacter cloacae.