Characteristics of venous‐venous extracorporeal membrane oxygenation related bloodstream infections
Joseph Wang, Cason Christensen, Aleem Siddique, H. Houston Merritt, Kelly Cawcutt
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.