The value of Gram staining of catheter segments for rapid detection of peripheral venous catheter infections

Diagn Microbiol Infect Dis. 2006 Mar;54(3):165-7. doi: 10.1016/j.diagmicrobio.2005.09.006. Epub 2006 Jan 19.

Abstract

Catheter-related bloodstream infections are common in hospitalized patients. Peripheral venous catheters (PVCs) are the most frequently used vascular access devices with usually low reported infection rates. We conducted a study to find the rate of PVC-related infections using semiquantitative (roll plate) and quantitative catheter culture techniques. We found significant growth in 9.5% of the PVCs by quantitative culture, which was predictive of a BSI in 43% of cases, which seems to be the major limitation of the method. We conclude that Gram stain is a fast and reliable diagnostic tool for rapid detection of PVC infection.

Publication types

  • Evaluation Study

MeSH terms

  • Bacteremia / diagnosis*
  • Bacteremia / etiology
  • Bacteremia / microbiology
  • Bacteria / isolation & purification
  • Catheterization, Peripheral / adverse effects*
  • Catheters, Indwelling / adverse effects
  • Catheters, Indwelling / microbiology*
  • Cross Infection / diagnosis*
  • Cross Infection / etiology
  • Gentian Violet*
  • Humans
  • Phenazines*
  • Predictive Value of Tests
  • Prospective Studies

Substances

  • Gram's stain
  • Phenazines
  • Gentian Violet