Characteristics of venous-venous extracorporeal membrane oxygenation related bloodstream infections

Joseph Wang; Cason Christensen; Aleem Siddique; Helen Mari Merritt; Kelly Cawcutt

doi:10.1111/jocs.16361

Characteristics of venous-venous extracorporeal membrane oxygenation related bloodstream infections

Joseph Wang, Cason Christensen, Aleem Siddique, Helen Mari Merritt, Kelly Cawcutt

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

Abstract

Background: Infectious complications have been shown to increase the morbidity of venous-venous extracorporeal membrane oxygenation (VV-ECMO) population, including the use of right ventricular assist devices. Aim: We aimed to evaluate our VV-ECMO population for ECMO related bloodstream infections (E-BSI) and characteristics that affect risk and overall outcomes. Methods: A retrospective chart review of adult patients (>18 years of age)supported with VV ECMO was conducted. Demographic data as well as antimicrobial use and presecence of bacteremia was collected. Results: We report a low infection rate of 2.7%. Conclusions: We postulate our low BSI rate may be due to our use of perioperative antimicrobials as well as a majority of our cannulations occurring in the operating room. We do not routinely utilize prophylactic antimicrobials on ECMO. Further investigation into trends, risks, and outcomes related to E-BSI is needed.

Original language	English (US)
Pages (from-to)	1431-1434
Number of pages	4
Journal	Journal of cardiac surgery
Volume	37
Issue number	5
DOIs	https://doi.org/10.1111/jocs.16361
State	Published - May 2022

Keywords

ECMO
antibiotics
bloodstream infection
clinical characteristics
risk factors

ASJC Scopus subject areas

Surgery
Pulmonary and Respiratory Medicine
Cardiology and Cardiovascular Medicine

Access to Document

10.1111/jocs.16361

Cite this

@article{813e6e327ce04c2c97d3ff8130168dc0,

title = "Characteristics of venous-venous extracorporeal membrane oxygenation related bloodstream infections",

abstract = "Background: Infectious complications have been shown to increase the morbidity of venous-venous extracorporeal membrane oxygenation (VV-ECMO) population, including the use of right ventricular assist devices. Aim: We aimed to evaluate our VV-ECMO population for ECMO related bloodstream infections (E-BSI) and characteristics that affect risk and overall outcomes. Methods: A retrospective chart review of adult patients (>18 years of age)supported with VV ECMO was conducted. Demographic data as well as antimicrobial use and presecence of bacteremia was collected. Results: We report a low infection rate of 2.7%. Conclusions: We postulate our low BSI rate may be due to our use of perioperative antimicrobials as well as a majority of our cannulations occurring in the operating room. We do not routinely utilize prophylactic antimicrobials on ECMO. Further investigation into trends, risks, and outcomes related to E-BSI is needed.",

keywords = "ECMO, antibiotics, bloodstream infection, clinical characteristics, risk factors",

author = "Joseph Wang and Cason Christensen and Aleem Siddique and Merritt, {Helen Mari} and Kelly Cawcutt",

note = "Publisher Copyright: {\textcopyright} 2022 Wiley Periodicals LLC.",

year = "2022",

month = may,

doi = "10.1111/jocs.16361",

language = "English (US)",

volume = "37",

pages = "1431--1434",

journal = "Journal of cardiac surgery",

issn = "0886-0440",

publisher = "John Wiley and Sons Inc.",

number = "5",

}

TY - JOUR

T1 - Characteristics of venous-venous extracorporeal membrane oxygenation related bloodstream infections

AU - Wang, Joseph

AU - Christensen, Cason

AU - Siddique, Aleem

AU - Merritt, Helen Mari

AU - Cawcutt, Kelly

PY - 2022/5

Y1 - 2022/5

N2 - Background: Infectious complications have been shown to increase the morbidity of venous-venous extracorporeal membrane oxygenation (VV-ECMO) population, including the use of right ventricular assist devices. Aim: We aimed to evaluate our VV-ECMO population for ECMO related bloodstream infections (E-BSI) and characteristics that affect risk and overall outcomes. Methods: A retrospective chart review of adult patients (>18 years of age)supported with VV ECMO was conducted. Demographic data as well as antimicrobial use and presecence of bacteremia was collected. Results: We report a low infection rate of 2.7%. Conclusions: We postulate our low BSI rate may be due to our use of perioperative antimicrobials as well as a majority of our cannulations occurring in the operating room. We do not routinely utilize prophylactic antimicrobials on ECMO. Further investigation into trends, risks, and outcomes related to E-BSI is needed.

AB - Background: Infectious complications have been shown to increase the morbidity of venous-venous extracorporeal membrane oxygenation (VV-ECMO) population, including the use of right ventricular assist devices. Aim: We aimed to evaluate our VV-ECMO population for ECMO related bloodstream infections (E-BSI) and characteristics that affect risk and overall outcomes. Methods: A retrospective chart review of adult patients (>18 years of age)supported with VV ECMO was conducted. Demographic data as well as antimicrobial use and presecence of bacteremia was collected. Results: We report a low infection rate of 2.7%. Conclusions: We postulate our low BSI rate may be due to our use of perioperative antimicrobials as well as a majority of our cannulations occurring in the operating room. We do not routinely utilize prophylactic antimicrobials on ECMO. Further investigation into trends, risks, and outcomes related to E-BSI is needed.

KW - ECMO

KW - antibiotics

KW - bloodstream infection

KW - clinical characteristics

KW - risk factors

UR - http://www.scopus.com/inward/record.url?scp=85125191428&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85125191428&partnerID=8YFLogxK

U2 - 10.1111/jocs.16361

DO - 10.1111/jocs.16361

M3 - Article

C2 - 35218091

AN - SCOPUS:85125191428

SN - 0886-0440

VL - 37

SP - 1431

EP - 1434

JO - Journal of cardiac surgery

JF - Journal of cardiac surgery

IS - 5

ER -

Characteristics of venous-venous extracorporeal membrane oxygenation related bloodstream infections

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this