J Korean Pain Soc.
1995 Nov;8(2):308-311.
Bacteriological Culture of Indwelling Epidural Catheters
- Affiliations
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- 1Neuro-Pain Clinic, Seran General Hospital, Seoul, Korea.
- 2Neuro-Pain Clinic, St. Francisco Hospital, Seoul, Korea.
- 3Neuro-Pain Clinic, Yonsei University Wonju College of Medicine, Wonju, Korea.
Abstract
- The incidence of contamination of epidural catheters used for pain control was investigated. To prevent epidural infection, all patients with epidural catheters had taken amoxacillin 1.5gm/day orally. Of the cultures of catheters catched from 303 patients undergoing continuous epidural catheterization, 5 catheters (1.7%) were found to be contaminated; cervical 1/ 86 (l.2%), thoracic l/27 (3.7%), and lumbar 3/190 (l.6%). Staphylococcus epidermidis was the most common etiologic agent (60%). To prevent epidural infection, sterilization of the skin around the epidural catheter and prophylactic use of broad-spectrum antibiotics are thought to be beneficial.
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