Conclusion
In summary, we report a E-BSI incidence of 2.7%. Further research is
needed to continue to evaluate the incidence and factors such as
prophylactic antimicrobials, duration of support, and site and location
of cannulation that contribute to E-BSI and its effect on morbidity and
mortality. Future directions would include expanding data collection to
VA-ECMO to identify differences in risk factors and outcomes compared to
the VV-ECMO.
- Seidelman JL, Lewis SS, Huslage K, et al. To Be a CLABSI or Not to Be
a CLABSI-That is the Question: The Epidemiology of BSI in a Large ECMO
Population. Infect Control Hosp Epidemiol . 2018;39(3):362-365.
- Na SJ, Chung CR, Choi HJ, et al. Blood Stream Infection in Patients on
Venovenous Extracorporeal Membrane Oxygenation for Respiratory
Failure. Infect Control Hosp Epidemiol . 2018;39(7):871-874.
- Farrell D, MacLaren G, Schlapbach LJ. Infections on Extracorporeal
Life Support in Adults and Children-A Survey of International Practice
on Prevention, Diagnosis, and Treatment. Pediatr Crit Care Med .
2019;20(7):667-671.
- Haneke F, Schildhauer TA, Schlebes AD, Strauch JT, Swol J. Infections
and Extracorporeal Membrane Oxygenation: Incidence, Therapy, and
Outcome. ASAIO J . 2016;62(1):80-86.
- Juthani BK, Macfarlan J, Wu J, Misselbeck TS. Incidence of nosocomial
infections in adult patients undergoing extracorporeal membrane
oxygenation. Heart Lung . 2018;47(6):626-630.
- Selçuk ÜN, Sargın M, Baştopçu M, et al. Microbiological Spectrum of
Nosocomial ECMO Infections in a Tertiary Care Center. Braz J
Cardiovasc Surg . 2021;36(3):338-345
- Menaker J, Galvagno S, Rabinowitz R, et al. Epidemiology of blood
stream infection in adult extracorporeal membrane oxygenation
patients: A cohort study. Heart Lung . 2019;48(3):236-239.
- Thomas G, Hraiech S, Cassir N, et al. Venovenous extracorporeal
membrane oxygenation devices-related colonisations and infections.Ann Intensive Care . 2017;7(1):111.