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 journalArticlepeer-review

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 languageEnglish (US)
Pages (from-to)1431-1434
Number of pages4
JournalJournal of Cardiac Surgery
Volume37
Issue number5
DOIs
StatePublished - 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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