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participating institutions:
Johns Hopkins University AIDS Service, New York State DOH AIDS Institute, The CORE Center, Cook County Hospital



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Nosocomial Bacteremia in HIV Patients: The Role of Peripheral Venous Catheters [O Lambotte, et al. Infect Control Hosp Epidemiol 2000;21:330]: This is a review of bacteremia among 1,499 HIV-infected patients admitted to the Bichat Claude Bernard Hospital in Paris. There were 83 episodes of bacteremia, 40 (48%) were community-acquired, and 43 (52%) were nosocomial. The incidence of nosocomial bacteremia was 29/1,000 hospital admissions. Among 51 blood culture isolates in the nosocomial cases, 40 (78%) were gram-positive cocci, 9 (18%) were GNB, and 2 (4%) were fungi. The major risk for bacteremia was a peripheral venous catheter.
Comment: There are no surprises here regarding the bacteriology or incidence of bacteremia in this population of HIV-infected patients. However, the point emphasized by the authors is the role of peripheral venous catheters during the 48-hours prior to the onset of bacteremia, which the authors conclude "suggest deficiencies in basic hygienic rule." posted 7/3/2000







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