Sepsis & infection

Characteristics and outcomes of ECMO cannula-related infections: a European multicenter retrospective study

Ann Intensive CarePublished Retrospective cohort study

Authors' conclusion

ECMO-CRIs are frequently associated with BSI and frequently polymicrobial. Duration of antimicrobial treatment for ECMO-CRI ≤ 8 days does not seem to be associated with an increased risk of recurrence or death, as compared to longer treatment.

Study context

Population
ICU patients with ECMO cannula-related infection (clinical suspicion plus positive bacterial sample of ECMO-cannulation site), 12 European ICUs
Participants
109 patients · 12 European ICUs
Exposure
Antibiotic course ≤ 8 days vs > 8 days
Outcome
ECMO-CRI characteristics and outcomes
Methodological detailsmulticentre
  • Multicentre

Main finding

As reported in the abstract

Concomitant positive blood culture with same pathogen

78

Polymicrobial episodes

42%

ICU mortality

51%

Observational data: associations, not effects.

Secondary outcomes

Infection recurrence

Recurrence rate
13%

Risk factors for death

Concomitant bloodstream infection with same pathogen and septic shock

Antibiotic duration and outcome

Similar infection recurrence rate and outcomes (incl. mortality) with ≤ 8 days vs > 8 days

Original publication

Characteristics and outcomes of ECMO cannula-related infections: a European multicenter retrospective study. Ann Intensive Care. Published 20 March 2025. doi:10.1186/s13613-025-01446-y

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