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Biotech / Medical : XOMA. Bull or Bear? -- Ignore unavailable to you. Want to Upgrade?


To: Tharos who wrote (6395)6/1/1998 2:43:00 PM
From: aknahow  Respond to of 17367
 
Tharos, to some disinfectants are a big joke. For XOMA back in the real world the problem of the spread of bacteria due to catheters is a real problem and addressed in at least one of its patents. This is a real and costly problem.


Consequences of Intravascular Catheter Sepsis

Arnow PM, Quimosing EM, Beach M.

Clin Infect Dis. 1993;16:778-84.

Intravascular (IV) catheter sepsis is a widely recognized complication of IV therapy or monitoring, but little
emphasis has been placed on the morbidity and cost associated with this infection. To assess the consequences of
IV catheter sepsis, we examined the medical records of 94 patients with 102 episodes of IV catheter sepsis due to
percutaneously inserted catheters. Major complications occurred in 33 (32%) of the episodes and included septic
shock (12 episodes), sustained sepsis (12), suppurative thrombophlebitis (7), metastatic infection (5),
endocarditis (2), and arteritis (2). One patient died due to sepsis, and hospital stay was clearly prolonged in 15
episodes. The risk of major complications was highest in episodes of IV catheter sepsis caused by Candida,
Pseudomonas aeruginosa, Staphylococcus aureus, or multiple pathogens, and the most severe complications
were usually caused by S. aureus. The hospital cost of IV catheter sepsis was assessed by reviewing medical and
billing records to identify extra medical care and then multiplying charges for that care by the appropriate
cost-to-charge ratio. The average cost per episode, adjusted to 1991 dollars, was $3,707 for all episodes and
$6,064 for episodes caused by S. aureus. The morbidity and cost associated with IV catheter sepsis warrant
substantial efforts to minimize the incidence of this complication and especially to prevent cases due to S. aureus.

Abstracted by permission from Clinical Infectious Diseases. 1993;16:778-84.
c1993 University of Chicago.