Outcome of Escherichia coli and/or Klebsiella bloodstream infection in children with central venous catheters

Infect Control Hosp Epidemiol. 2007 Nov;28(11):1308-10. doi: 10.1086/521659. Epub 2007 Sep 18.

Abstract

We conducted a retrospective cohort study of children with catheter-associated bloodstream infections (BSIs) due to Escherichia coli and/or Klebsiella. Risk factors for poor outcome (ie, death or recurrence of infection) were receipt of mechanical ventilation (adjusted odds ratio [aOR], 4.6 [95% confidence interval {CI}, 1.39-16.30]) and receipt of total parenteral nutrition (aOR, 3.5 [95% CI, 1.1-10.8]). A significant proportion of children with catheter-associated BSI were treated successfully without catheter removal.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Anti-Bacterial Agents / therapeutic use*
  • Catheterization, Central Venous / adverse effects*
  • Child
  • Child, Preschool
  • Cohort Studies
  • Escherichia coli Infections / blood
  • Escherichia coli Infections / etiology*
  • Escherichia coli Infections / therapy
  • Escherichia coli*
  • Female
  • Hospital Mortality
  • Humans
  • Infant
  • Infant, Newborn
  • Klebsiella Infections / blood
  • Klebsiella Infections / etiology*
  • Klebsiella Infections / therapy
  • Male
  • Parenteral Nutrition, Total
  • Recurrence
  • Respiration, Artificial
  • Sepsis / etiology*
  • Sepsis / microbiology
  • Sepsis / therapy
  • Treatment Outcome

Substances

  • Anti-Bacterial Agents