Changing pattern of pathogens causing broviac catheter-related bacteraemias in children with cancer

The incidence of pathogens causing catheter-related bacteraemias in children undergoing antineoplastic chemotherapy with or without bone marrow transplantation at G. Gaslini Children's Hospital, Genoa, Italy, was analysed by comparing data from a retrospective study (1985–1988) with that obtained from a prospective one (1989–1992). In both periods catheter-related bacteraemias one (1989–1992). In both periods cathete-rrelated bacteraemias were more frequent in non-neutropenic than in neutropenic patients. Among catheter-unrelated bacteraemias the pattern of infecting pathogens remained unchanged between the study periods, with Gram-positive bacteria remaining the predominant pathogens. Conversely, among catheter-related bacteraemias, the incidence of Gram-negative bacilli increased significantly from 3 to 38%, and that of Gram-positive bacteria fell from 63 to 32% ( P = 0·001, X 2 test for heterogeneity).