Microbiological pattern of arterial catheters in the intensive care unit

L Zhang; K S Sriprakash; David J McMillan; J R Gowardman; B Patel; C M Rickard

doi:10.1186/1471-2180-10-266

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Microbiological pattern of arterial catheters in the intensive care unit

Journal article

Open access

Peer reviewed

Microbiological pattern of arterial catheters in the intensive care unit

L Zhang, K S Sriprakash, David J McMillan, J R Gowardman, B Patel and C M Rickard

BMC Microbiology, Vol.10, 266

2010

DOI: https://doi.org/10.1186/1471-2180-10-266

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Abstract

Background: Intravascular catheter related infection (CRI) is one of the most serious nosocomial infections. Diagnostic criteria include a positive culture from the catheter tip along with blood, yet in many patients with signs of infection, current culture techniques fail to identify pathogens on catheter segments. We hypothesised that a molecular examination of the bacterial community on short term arterial catheters (ACs) would improve our understanding of the variety of organisms that are present in this niche environment and would help develop new methods for the diagnosis of CRI. Results: The whole bacterial community presenting on all ACs was evaluated by molecular methods, i.e., a strategy of whole community DNA extraction, PCR amplification followed by cloning and 16S rDNA sequence analysis. Ten ACs were removed from patients suspected of CRI and 430 clones from 5 "colonised" and 5 "uncolonised" (semi-quantitative method) AC libraries were selected for sequencing and subsequent analysis. A total of 79 operational taxonomic units (OTUs) were identified at the level of 97% similarity belonging to six bacterial divisions. An average of 20 OTUs were present in each AC, irrespective of colonisation status. Conventional culture failed to reveal the majority of these bacteria. Conclusions: There was no significant difference in the bacterial diversity between the 'uncolonised' and 'colonised' ACs. This suggests that vascular devices cultured conventionally and reported as non infective may at times potentially be a significant source of sepsis in critically ill patients. Alternative methods may be required for the accurate diagnosis of CRI in critically ill patients.

Details

Title: Microbiological pattern of arterial catheters in the intensive care unit
Authors: L Zhang (Author) - Griffith University
K S Sriprakash (Author) - Queensland Institute of Medical Research
David J McMillan (Author) - Queensland Institute of Medical Research
J R Gowardman (Author) - Griffith University
B Patel (Author) - Griffith University
C M Rickard (Author) - Griffith University
Publication details: BMC Microbiology, Vol.10, 266; 9
Publisher: BioMed Central Ltd.
Date published: 2010
DOI: 10.1186/1471-2180-10-266
ISSN: 1471-2180
Copyright note: Copyright © 2010 Zhang et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Organisation Unit: University of the Sunshine Coast, Queensland; School of Health and Sport Sciences - Legacy; School of Science, Technology and Engineering; Centre for Bioinnovation
Language: English
Record Identifier: 99450395602621
Output Type: Journal article

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Web Of Science research areas: Microbiology

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