Korean J Anesthesiol.  1992 Dec;25(6):1188-1194. 10.4097/kjae.1992.25.6.1188.

A Clinical Study of the Bacterial Cultures Obtained from the Epidural Catheters Used in Postoperative Continous Epidural Analgesia

• Yoon JR
• Kim JU
• Lee HW
• Lim HJ
• Chae BK
• Chang SH
• Shin JS

• KMID: 1934112
• DOI: http://doi.org/10.4097/kjae.1992.25.6.1188

Abstract

Epidural anesthesia is a technique of regional anesthesia in which the spinal nerves are blocked as they pass through the epidural space. The current study was conducted to determine the extent of contamination of epidural catheters and to attempt to idntify the factors contributing to contamination. The catheters removed from fifty patients were studied, two cultures were taken from each catheter and the following results were obtained. 1) Catheter tips(20%) in ten cultures and portions of the catheter located in the subcutaneous tissue in nine cultures(18%) were found to be contaminated. 2) Staphylococcus epidermidis was found in eight patients, and staphylococcus aureus and xanthomonas maltophilia were found in two patients each other. 3) In the contaminated populations, no significant difference between the growth rate of organisms and the factors in relation to the duration of catheter implantation, age of the patients and the site of catheter inserition was found.

Keyword

Epidural anesthesia; Bacterial culture; Epidural space; Subcutaneous tissue

MeSH Terms

Analgesia, Epidural*
Anesthesia, Conduction
Anesthesia, Epidural
Catheters*
Epidural Space
Humans
Spinal Nerves
Staphylococcus aureus
Staphylococcus epidermidis
Stenotrophomonas maltophilia
Subcutaneous Tissue