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Susceptibility of coagulase-negative staphylococcal nosocomial bloodstream isolates to the chlorhexidine/silver sulfadiazine-impregnated central venous catheter
Journal article   Peer reviewed

Susceptibility of coagulase-negative staphylococcal nosocomial bloodstream isolates to the chlorhexidine/silver sulfadiazine-impregnated central venous catheter

Adriana E Rosato, Sandra M Tallent, Michael B Edmond and Gonzalo M.L Bearman
American Journal of Infection Control, Vol.32(8), pp.486-488
2004
DOI: 10.1016/j.ajic.2004.06.002
PMID: 15573055

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Abstract

Nosocomial bloodstream infections (BSIs) are important causes of morbidity and mortality, and coagulase-negative staphylococci (CNS) are the most common pathogens. Second generation, central venous catheters impregnated with chlorhexidine and silver sulfadiazine were recently introduced for the prevention of catheter-related infections and appear to be effective in reducing the incidence of both colonization and catheter related BSI. 1 However, the potential for emergence to biocides has been a concern. A recent study evaluating the in vitro susceptibility of epidemiologically important pathogens found a statistically significant inverse correlation between intensity of chlorhexidine use and the overall susceptibility of all organisms tested to this agent. 2 Because of an increase in the incidence of CNS BSIs in our 12-bed medical intensive care unit (MICU) from 6.6/1000 catheter days in 2000 to 12.7/1000 catheter days in 2003, we evaluated changes in the epidemiology and susceptibility of CNS following the

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