Central Venous Catheter Associated Bloodstream Infection, Critically Ill, Healthcare Associated Infection
Conditions
Brief summary
29.3% of bacteremias in intensive care units (ICU) are linked to vascular devices, with a significant proportion related to central venous catheters, and an influence on both morbility and mortality. It is now accepted that microbiological biofilm plays a key role on both bacterial and fungal development on inner surface of vascular devices but there is yet a lack of clinical relevant data documenting a causal relation between biofilm formation and bacteremias. We assume that a more precise characterization of central venous catheter-deposited biofilm could help us better understand invasive medical device-related healthcare infections in critically ill patients.
Interventions
Dynamic full-field optical coherence tomography analysis of central venous catheter sections to better apprehend strucural characterization of central venous catheter-deposited biofilm
Sponsors
Study design
Eligibility
Inclusion criteria
* Patient or relative informed of the study and having declared their nonobjection * Patient over 18 years of age * Patient exposed to central venous catheter for at least two calendar days
Exclusion criteria
* Patient unable to declare their nonobjection * Patient whose central venous catheter collection is impossible * Patient admitted in ICU with a central venous catheter already in place
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| D-FF-OCT-based biofilm structure type | At Day 0, within 24h following catheter removal | Biofilm structure type (ribbon-shaped or mushroom-shaped), measured with D-FF-OCT |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| D-FF-OCT-based biofilm thickness | At Day 0, within 24h following catheter removal | Biofilm thickness, measured with D-FF-OCT |
| D-FF-OCT-based dynamic signal distribution | At Day 0, within 24h following catheter removal | Biofilm dynamic signal distribution, measured with D-FF-OCT |
Countries
France