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INFECTION RISKS RELATED TO
YANKAUER SUCTION CATHETERS
Background1
Healthcare-associated pneumonia (HAP) is a significant challenge
for healthcare providers.
 Mortality rates of 20% to 33% have been reported for
hospital-associated pneumonia.
 Hospital-associated pneumonia has been shown to increase
ICU stay by 4.3 to 6.1 days.
 Ventilator-associated pneumonia (VAP) increased the direct
costs of a patient stay by $40,000.
Although the etiology of HAP has many causes, the CDC has
identified colonized devices as risk factors1
:
 Pathogens causing HAP, such as gram-negative bacilli and
Staphylococcus aureus are ubiquitous in healthcare settings.
 Procedures such as tracheal suctioning increase the
opportunity for cross-colonization.
 Endotracheal suction catheters can introduce
microorganisms into a patients lower respiratory tract.
Colonization rates of Yankauer suction catheters
Two studies have evaluated the contamination rates of Yankauer
suction catheters. Both found high rates of bacterial colonization.
ORDERING INFORMATION
Product # Description and Units/Case
HOL-211-100 iSO-LINE Holster
100 Units/Case
HOL-212-100 iSO-LINE Holster
& Standard Yankauer
100 Units/Case
94% 80%
Yankauer catheters
with potential
pathogens
for VAP2
Yankauer
catheters with
pathogens3
References:
1. Tablan OC, et al. Guidelines for preventing health-care-associated pneumonia,
2003: recommendations of the CDC and the Healthcare Infection Control Practices
Advisory Committee. MMWR Recomm Rep. 2004;53(RR-3):1-36.
2. Sole ML, et al. Bacterial growth in secretions and on suctioning equipment of
orally intubated patients: a pilot study. Am J Crit Care. 2002;11(2):141-149.
3. Brown M, et al. Colonization of Yankauer suction catheters with pathogenic
organisms. Am J Infect Control. 2005;33(8):483-485.
SOLE 2002:
Gram-positive bacteria
Staphylococcus aureus
(not drug resistant)
S aureus
(methicillin resistant)
Streptococcus
Gram-negative bacteria
Klebsiella
Acinetobacter
Pseudomonas
Proteus
Escherichia coli
Enterobacter
Yeast
BROWN 2005:
Candida series
Enteric gram-negative rods
Staphylococcus
(coagulese-negative)
MRSA
Staphylococcus
(methicillin-resistant)
Viridans streptococci
Enterococcus
(vancomycin-sensitive)
VRE
Bacteria present in Yankauer suction
catheters included MRSA and VRE
Pathogens identified across studies
included both MRSA and VRE
On a shelf
Yankauer suction catheters were commonly stored on shelves,
hanging freely, and on patient beds2,3
70%
60%
50%
40%
30%
20%
10%
0%
Designated
holder
Equipment
top
Hanging
freely
Patient bed Floor
66%
55%
30%
21%
5%
13%
10%

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iapyx Iso line Yankauer Holster

  • 1. INFECTION RISKS RELATED TO YANKAUER SUCTION CATHETERS Background1 Healthcare-associated pneumonia (HAP) is a significant challenge for healthcare providers. Mortality rates of 20% to 33% have been reported for hospital-associated pneumonia. Hospital-associated pneumonia has been shown to increase ICU stay by 4.3 to 6.1 days. Ventilator-associated pneumonia (VAP) increased the direct costs of a patient stay by $40,000. Although the etiology of HAP has many causes, the CDC has identified colonized devices as risk factors1 : Pathogens causing HAP, such as gram-negative bacilli and Staphylococcus aureus are ubiquitous in healthcare settings. Procedures such as tracheal suctioning increase the opportunity for cross-colonization. Endotracheal suction catheters can introduce microorganisms into a patients lower respiratory tract. Colonization rates of Yankauer suction catheters Two studies have evaluated the contamination rates of Yankauer suction catheters. Both found high rates of bacterial colonization. ORDERING INFORMATION Product # Description and Units/Case HOL-211-100 iSO-LINE Holster 100 Units/Case HOL-212-100 iSO-LINE Holster & Standard Yankauer 100 Units/Case 94% 80% Yankauer catheters with potential pathogens for VAP2 Yankauer catheters with pathogens3
  • 2. References: 1. Tablan OC, et al. Guidelines for preventing health-care-associated pneumonia, 2003: recommendations of the CDC and the Healthcare Infection Control Practices Advisory Committee. MMWR Recomm Rep. 2004;53(RR-3):1-36. 2. Sole ML, et al. Bacterial growth in secretions and on suctioning equipment of orally intubated patients: a pilot study. Am J Crit Care. 2002;11(2):141-149. 3. Brown M, et al. Colonization of Yankauer suction catheters with pathogenic organisms. Am J Infect Control. 2005;33(8):483-485. SOLE 2002: Gram-positive bacteria Staphylococcus aureus (not drug resistant) S aureus (methicillin resistant) Streptococcus Gram-negative bacteria Klebsiella Acinetobacter Pseudomonas Proteus Escherichia coli Enterobacter Yeast BROWN 2005: Candida series Enteric gram-negative rods Staphylococcus (coagulese-negative) MRSA Staphylococcus (methicillin-resistant) Viridans streptococci Enterococcus (vancomycin-sensitive) VRE Bacteria present in Yankauer suction catheters included MRSA and VRE Pathogens identified across studies included both MRSA and VRE On a shelf Yankauer suction catheters were commonly stored on shelves, hanging freely, and on patient beds2,3 70% 60% 50% 40% 30% 20% 10% 0% Designated holder Equipment top Hanging freely Patient bed Floor 66% 55% 30% 21% 5% 13% 10%