Table 2

Pattern of bacterial growth on epidural catheters

Patient no.Number of CFU cultured fromDuration of epidural, hours
Extracorporeal segmentSkin swabSubcutaneous segmentTip segment
EC1SkSw1SC1SC2SC3T1T2T3
2316.50000000173
8016.6600000076.5
110≥416500000073.5
1203332000000101
141532.7000000069
180≥416500000074
1700<8.30000099
10≥416500<8.316.70077
130≥416500025.00080
27000000<8.3073
290≥41650<8.3000<8.372
70000000<8.376
90000000<8.370
400000041.7096
3000000025.073
5*≥4165≥41651774.3158.391.6Diagnosed as positive and evaluated in clinical lab96
  • Values indicate numbers of CFU or in situ duration (hours). No growth is indicated as 0 CFU. Lower detection limit 8.3 CFU. Upper detection limit 4165 CFU. The average duration of epidural therapy in non-colonized patients was 95 hours (range: 72–171 hours) (data not shown).

  • Many diagnostic microbiology laboratories define at least 100 CFU in quantitativestudies as a threshold indicating colonization.

  • *Patient with superficial infection.

  • CFU, colony-forming units; EC1, extracorporeal catheter segment; SC1, subcutaneous catheter segment 1 (superficial); SC2, subcutaneous catheter segment 2; SC3, subcutaneous catheter segment 3 (deep); SkSw1, skin swab; T1, catheter tip segment 1; T2, catheter tip segment 2; T3, catheter tip segment 3 (utmost tip in epidural space).