From: Risk factors for bacterial catheter colonization in regional anaesthesia
Clinical parameter | Removed at step | Removed with an odds-ratio of | Removed with a p-value of | |
---|---|---|---|---|
Sex (female vs. male gender) | 2 | 0.89 | 0.88 | |
Age (per decade) | 12 | 0.84 | 0.34 | |
Body mass index (per unit kg·m-2) | 15 | 0.95 | 0.57 | |
ASA-status III and IV versus I and II | 18 | 1.48 | 0.22 | |
Diabetes mellitus | 7 | 3.72 | 0.99 | |
Cancerous disease | 19 | 0.48 | 0.18 | |
Chronic systemic corticosteroid medication | 20 | 1.89 | 0.13 | |
"immune suppression" (any of the three afore mentioned diseases) | 5 | 1.35 | 0.99 | |
Skin abscess in the past | 3 | 0.74 | 0.87 | |
Infection with other catheter material in the past | 16 | 0.17 | 0.26 | |
Easy perspiration1 | 11 | 2.33 | 0.32 | |
Any of the three afore mentioned factors | 14 | 1.64 | 0.43 | |
Localization of the catheter ("clean" vs. "dirty")2 | 8 | 0.38 | 0.37 | |
Puncture site in the groin | Not removed | 3.39 | 0.004 | |
Epidural catheter vs. peripheral nerve catheter | 17 | 1.24 | 0.11 | |
Disinfection technique (wiping versus spraying) | 9 | 1.88 | 0.50 | |
Number of attempts during catheter placement | 10 | 1.49 | 0.38 | |
Fixation technique (tunneling versus suturing) | 1 | 0.97 | 0.97 | |
Intraoperative corticosteroid medication | 4 | 1.40 | 0.75 | |
Intraoperative single shot antibiotic administration | 6 | 2.34 | 0.47 | |
Postoperative antibiotic therapy (at least 3 days or until removal of the catheter) | Not removed | 0.41 | 0.05 | |
Perioperative antibiotic therapy (intra- & postoperative) | 23 | 0.43 | 0.09 | |
Duration of catheter use (per day) | 21 | 1.17 | 0.16 | |
Accidental disconnection of the catheter | 22 | 0.78 | 0.19 | |
Accidental removal of the catheter dressing (n =) | 15 | 0.50 | 0.37 | |
Intentioned replacements of the catheter dressing (n =) | 13 | 0.83 | 0.31 | |
Removal of the catheter dressing (intentionally or unintentionally; n =) | Not removed | 2.12 | 0.001 |