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What Causes Catheter Infection?

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Posted on Fri, 23 Oct 2015
Question: Hello!!

I was at hospital visiting my grandmother and I saw that nurse was making mistakes during here work – she was putting catheter with physiological liquid to patient without gloves, and after that
she was doing the same without hand disinfection and without gloves. After that I went to general nurse and explained that situation – and that is really wrong and that is a big risk of hospital infection to week patients.

I wanted to ask you does physiological liquid and its catheter and their parts –
Are they in packed in some package before its use, so we can avoid its contact with dirty non disinfected hands of nurse and we can avoid hospital infection with catheter moving in.

And in one of material I was said that –
Most patients undergo intravascular catheter placement at some time during their hospitalization, including ~ 145 million peripheral venous catheters and ~ 3–5 million central venous catheters per annum in the U.S., and ~ 18–25% of these catheters become colonized at some time during the course of their use.

XXXX


So it means it could be transmitted also in other way – no only by incorrect use of them, but what are other way how catheter can become infected ?
From skin – bacteria colonized skin ? Or other way??

Than you
doctor
Answered by Dr. Mahesh Koregol (56 minutes later)
Brief Answer:
Gloves should be worn

Detailed Answer:
Hi,

I understand your concerns about possibility of infection.

You are right. Nurse should wear gloves during such procedure.

Main causes of catheter infection are :

1. Infection from skin. Clolnisation by bacteria.

2. Improper hygienic practice by healthcare professionals like nurses, doctors.

3. Nosocomial infection from atmosphere of hospital.

4. Improper care of catheter while placed.

5. Low immunity of patients.

These are common causes of infection of catheter.

Let me know if you need any more clarification.

Regards
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Mahesh Koregol (28 minutes later)

You missed to answer one of my question –


I wanted to ask you does physiological liquid and its catheter and their parts.
Are they in packed in some package before its use, so we can avoid its contact with dirty non disinfected hands of nurse and we can avoid hospital infection with catheter moving in?

If I m in hospital
If the nurse come in my – chamber (hospital room) and in front of my eyes pack out catheter with disinfected hands and with gloves I m sure that I will avoid infection problems.

Thank you
doctor
Answered by Dr. Mahesh Koregol (11 minutes later)
Brief Answer:
Yes

Detailed Answer:
Hi

You are right.

Catheter, fluid and spare parts are sterile and come in sterile packs which are fully hygienic.

You can request your nurse to open the pack the pack in front of you with gloved hands and then clean the area of inserting catheter with antiseptic like alcohol.

Let me know if you need any more clarification.

Regards

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Mahesh Koregol (25 hours later)
A qestion about one of your answers !

Infection trasmison posiblity -

3. Nosocomial infection from atmosphere of hospital.

As i know in hopitals there are air filtr system that try to desinfect air !!
of cores posibility is !

But for example MRSA air trasmisopn i think is low !!

And what kind of infection can travel by air - like tubercalosis ?
doctor
Answered by Dr. Mahesh Koregol (2 hours later)
Brief Answer:
Nosocomial infection

Detailed Answer:
Hi,

I didn't mean airborne infection alone.

Infection from bedding, walls, rooms, etc...also forms a part of it. Airborne infection like tuberculosis are not significant but contaminated hospital sources and facilities spreading infection is a worry.

Let me know if you need any more help.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Mahesh Koregol (2 hours later)
so the what did you XXXXXXX by this answer ?

3. Nosocomial infection from atmosphere of hospital.

what kind of infection ?
atmosphere of hospital - you mean some wind blows and that bacteria gets on skin after that get on site of catheter and could infect you !!

but i thin this risk is low !

isnt it ?
doctor
Answered by Dr. Mahesh Koregol (9 hours later)
Brief Answer:
Infection from even contacts

Detailed Answer:
Hi,

I meant infection that can be caused if the linen, trays, or any equipment which has any contact with other patients and used in common with all patients.

I am not talking about catheter alone here. Other that catheter site there can be multiple infection from hospital area where some common equipment, utensils are shared between patients.

I hope I am clear now.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Mahesh Koregol (32 hours later)
one other qestion - how the wound or surgery site should be covered, that it would avoid infection !

it should be covered with gaze ?

the material should be Waterproof ?

can bacteria get through gaze - wound that is covered with water permeable material ?

Or the wound is proper covored with gaze it is ok to avoid infection ?
doctor
Answered by Dr. Mahesh Koregol (31 minutes later)
Brief Answer:
Gauze is good enough

Detailed Answer:
Hi,

There are various dressings like gauze, waterproof dressing etc..

Unless wound is big or prone to getting wet waterproofing is not required.

Its ok for wound to be covered with gauze.

Let me know if you need anymore help.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Mahesh Koregol (58 minutes later)
Thank you !!

what did you mean by wound is prone ?

how to understand it ?
and if surgury site is sewn - and it is not to big it will be covered with gauze !

At hospital doctor will decide what to put on whaterproof dresing or gaze ?
doctor
Answered by Dr. Mahesh Koregol (2 hours later)
Brief Answer:
Gauze is good enough

Detailed Answer:
Hi,

Prone to getting wet means if there is possibility of wound discharging fluid or surrounding wounds discharging fluid contaminating the wound require waterproof dressing or else not necessary.

Small well sewn area is good enough to be covered by gauze. Operating surgeon would decide the best dressing for the wound.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Mahesh Koregol (3 hours later)

For example if the wound is cleaned and covered wit lot of layers of gaze – and if the nurse touch it with non disinfected hands and if the bacteria – HA MRSA touch my gaze it can get through all layers of gaze and infect my wound – or not ?
doctor
Answered by Dr. Mahesh Koregol (5 hours later)
Brief Answer:
No

Detailed Answer:
Hi,

No. If there are layers of gauze. Infection wont travel down all the way.

Let me know if you need more details.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Mahesh Koregol (8 hours later)


Hello !!

One doctor thinks in other way

Here is his answer – doctor, Dr. Divakara, Internal Medicine Specialist
His profile - http://www.healthcaremagic.com/doctors/dr-divakara/68412


Brief Answer:
Number of gauze doesn't makes any difference.

Detailed Answer:
Hi

Yes if the gauze is handled unhygienic way then the gauze gets colonised with bacteria. These bacteria multiply and spread till it reaches the wound. But disinfectant used will avoid contact of bacteria with the wound.

Even waterproof bandages , if handled unhygienic way can get colonised with bacteria.

Hope this information was useful.


Could you please contact him – and make a one statement how the things are


doctor
Answered by Dr. Mahesh Koregol (1 hour later)
Brief Answer:
Hygienically placed dressing is safe but not unhygienically placed dressing

Detailed Answer:
Hi,

What i typed you was possibility of infection after applying bandage in a hygienic way.

If the gauze dressing is applied in a hygienic way and dressing is done, there is less possibility of infection from this gauze where dressing has been done.

Dr. XXXXXXX is right that if the dressing ( gauze or waterproof) is not handled hyginically while placing on the wound, there is possibility of infection. Thats true.

What I said is possibility of infection are less after layers of gauze dressing is done and later possibility of infection entering in it from outside is less.

I hope you are clear now.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Mahesh Koregol

Infertility Specialist

Practicing since :2000

Answered : 3829 Questions

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What Causes Catheter Infection?

Brief Answer: Gloves should be worn Detailed Answer: Hi, I understand your concerns about possibility of infection. You are right. Nurse should wear gloves during such procedure. Main causes of catheter infection are : 1. Infection from skin. Clolnisation by bacteria. 2. Improper hygienic practice by healthcare professionals like nurses, doctors. 3. Nosocomial infection from atmosphere of hospital. 4. Improper care of catheter while placed. 5. Low immunity of patients. These are common causes of infection of catheter. Let me know if you need any more clarification. Regards