Concentration of microorganisms in part of remote central venous catheters during neutropenia in patients with aggressive and indolent course of malignant lymphomas
The comparative characteristics of microorganisms isolated from the blood of patients with malignant lymphomas and remote central venous catheter fragments of varying degrees of bacterial contamination. The spectrum and frequency of isolation of microorganisms from blood to clinically significant (>15 cells / ml colony-forming units) and insignificant (<15 cells / ml colony-forming units) titer, the ratio of the number of shares of strains of microorganisms isolated in the study of blood. Thus, in patients with malignant lymphomas with indolent course of infection with central venous catheter S. epidermidis. frequently occurs in clinically insignificant titer, whereas the growth of S. aureus and Candida spp. often observed in clinically significant titer. The connection between the etiology of bacteremia and microorganisms colonizing the central venous catheter in patients with malignant lymphomas and long-standing central venous catheter. Identified the most significant infectious complications and the condition of patients with malignant lymphomas held after chemotherapy during neutropenia, affecting the course of the disease and mortality, as well as for determining the scope and priority of ongoing proactive intensive care. We confirmed the position of the prevalence of patients with hematological malignancies Gram-positive bacteria of the gram-negative microorganisms in the total group, as well as the fact that the colonization of the surface of a central venous catheter is not always the primary cause of bacteraemia and common infectious complications in patients with malignant lymphoma after chemotherapy conducted during neutropenia.