About: Venovenous extracorporeal membrane oxygenation devices-related colonisations and infections

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An Entity of Type : schema:ScholarlyArticle, within Data Space : wasabi.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
title	Venovenous extracorporeal membrane oxygenation devices-related colonisations and infections
Creator	Forel, Jean-Marie Papazian, Laurent Roch, Antoine Adda, Mélanie Cassir, Nadim Dizier, Stéphanie Guervilly, Christophe Hraiech, Sami Klasen, Fanny Lehingue, Samuel Rambaud, Romain Thomas, Guillemette Wiramus, Sandrine
source	PMC
abstract	BACKGROUND: Nosocomial infections occurring during extracorporeal membrane oxygenation (ECMO) support have already been reported, but few studied infections directly related to ECMO devices. This study aims to evaluate the rate of both colonisations and infections related to ECMO devices at the time of ECMO removal. RESULTS: We included all consecutive adult patients treated with venovenous ECMO (VV-ECMO) for at least 48 h during a 34-month study. At the time of ECMO removal, blood cultures, swab cultures on insertion cannula site and intravascular cannula extremity cultures were systematically performed. Each ECMO device was classified according to the infectious status into three groups: (1) uninfected/uncolonised ECMO device, (2) ECMO device colonisation and (3) ECMO device infection. Ninety-nine patients underwent 103 VV-ECMO, representing 1472 ECMO days. The ECMO device infection rate was 9.7% (10 events), including 7 ECMO device-related bloodstream infections (6.8%). The ECMO device colonisation rate was 32% (33 events). No difference was observed between the three groups, regarding days of mechanical ventilation, ICU length of stay, ICU mortality and in-hospital mortality. We observed a longer ECMO duration in the ECMO device colonisation group as compared to the uninfected/uncolonised ECMO device group [12 (9–20 days) vs. 5 days (5–16 days), respectively, p < 0.05]. CONCLUSIONS: At the time of ECMO removal, systematic blood culture and intravascular extremity cannula culture may help to diagnose ECMO device-related infection. We reported a quite low infection rate related to ECMO device. Further studies are needed to evaluate the benefits of systematic strategies of cannula culture at the time of ECMO removal. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s13613-017-0335-9) contains supplementary material, which is available to authorized users.
has issue date	2017-11-07(xsd:dateTime)
bibo:doi	10.1186/s13613-017-0335-9
bibo:pmid	29116464
has license	cc-by
sha1sum (hex)	63ca71f987fa20004f824fec44356ff98185e0c6
schema:url	https://doi.org/10.1186/s13613-017-0335-9
resource representing a document's title	Venovenous extracorporeal membrane oxygenation devices-related colonisations and infections
has PubMed Central identifier	PMC5676570
has PubMed identifier	29116464
schema:publication	Ann Intensive Care
resource representing a document's body	covid:63ca71f987fa20004f824fec44356ff98185e0c6#body_text
is schema:about of	named entity 'ECMO' named entity 'devices' named entity 'membrane oxygenation' named entity 'ECMO' named entity 'colonisations' named entity 'ECMO' named entity 'nosocomial infections' named entity 'reference group' named entity 'ECMO' named entity 'blood culture' named entity 'cannulation' named entity 'ECMO' named entity 'ECMO' named entity 'ECMO' named entity 'CVC' named entity 'central line' named entity 'central venous catheter' named entity 'cannula' named entity 'cannula' named entity 'ARDS' named entity 'ECMO' named entity 'ECMO' named entity 'cannula' named entity 'infection' named entity 'ECMO' named entity 'ECMO' named entity 'micro-organism' named entity 'culture results' named entity 'ECMO' named entity 'cannulation' named entity 'ICU' named entity 'paediatric' named entity 'central venous catheter' named entity 'ECMO' named entity 'cannulae' named entity 'ICU' named entity '1, 2' named entity 'infection' named entity 'plasma' named entity 'clinician' named entity 'central venous catheter' named entity 'VAP' named entity 'ventilator' named entity 'Microorganisms' named entity 'ECMO' named entity 'ECMO' named entity 'ECMO' named entity 'ECMO' named entity 'ICU' named entity 'observational study' named entity 'infection' named entity 'ECMO' named entity 'acute respiratory distress syndrome' named entity 'chocolate agar' named entity 'ECMO' named entity 'ECMO' named entity 'bloodstream infection' named entity 'bloodstream infections' named entity 'bloodstream infection' named entity 'ECMO' named entity 'ECMO' named entity 'catheter' named entity 'septic shock' named entity 'ECMO' named entity 'plasma' named entity 'surgical site infection' named entity 'microbial' named entity 'blood culture' named entity 'mechanical ventilation'

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