Septicemia and Total Parenteral Nutrition: Distinguishing Catheter-Related from other Septic Episodes

James D Dillon, William Schaffner, Charles W. Van Way, H. C. Meng

Research output: Contribution to journalArticle

42 Citations (Scopus)

Abstract

Septic episodes in 122 patients receiving total parenteral nutrition (TPN) were analyzed to determine criteria helpful in distinguishing catheterrelated septicemia from septicemia due to other causes. The five patients (4.1%) with catheter-related septicemia had positive blood and cathetertip cultures with the same organism and no other site of infection with that organism. Four of the six organisms recovered were either Candida or staphylococci. The 14 patients (11.5%) with septicemia due to other causes had positive blood cultures but negative catheter-tip cultures. Another site could be demonstrated to be infected with the same organism and was thought to be the origin of the bacteremic episode. Of the organisms recovered, 83% were gram-negative bacilli or enterococci. The implication of TPN catheters in the genesis of septicemia may be exaggerated in the literature.

Original languageEnglish (US)
Pages (from-to)1341-1344
Number of pages4
JournalJAMA: The Journal of the American Medical Association
Volume223
Issue number12
DOIs
StatePublished - Mar 19 1973

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Total Parenteral Nutrition
Sepsis
Catheters
Enterococcus
Staphylococcus
Candida
Bacillus
Infection

ASJC Scopus subject areas

  • Medicine(all)

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Septicemia and Total Parenteral Nutrition : Distinguishing Catheter-Related from other Septic Episodes. / Dillon, James D; Schaffner, William; Van Way, Charles W.; Meng, H. C.

In: JAMA: The Journal of the American Medical Association, Vol. 223, No. 12, 19.03.1973, p. 1341-1344.

Research output: Contribution to journalArticle

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