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

1 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

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10.1111/jocs.16361

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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",

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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 = "Wiley-Blackwell",

number = "5",

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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

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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

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