{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,17]],"date-time":"2025-12-17T08:47:33Z","timestamp":1765961253822,"version":"3.40.5"},"reference-count":24,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2020,6,25]],"date-time":"2020-06-25T00:00:00Z","timestamp":1593043200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Anaesthesiol Scand"],"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Thoracic epidural analgesia is beneficial after major abdominal surgery, though side\u2010effects and complications are rare but potentially devastating. The incidence of catheter\u2010related infection is approximately 5.5%. Several guidelines have been recommended to prevent complications during thoracic epidural catheterization. Tunnelling is often recommended to reduce the incidence of infections and dislocations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective, single\u2010centre analysis of our acute pain service database was performed between 2010 and 2018. The hygiene measures of the German Society of Anaesthesiology have been incorporated in our standard operating protocol since 2009. The procedure remained constant, but the skin disinfectant was changed from propan\u20102\u2010ol to propan\u20102\u2010ol with octenidine in 2014. Tunnelling of catheters was not performed. We analysed the incidence of catheter\u2010related infections (primary endpoint) and effect of the used disinfectant (secondary endpoint).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 2755 patients underwent elective major abdominal surgery with thoracic epidural catheterization. Sixteen patients (0.6%) showed symptoms of mild catheter\u2010related infection. Moderate or severe infections were not observed in any patient. The type of disinfectant did not show any significant effect on the incidence of infection.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The incidence of catheter\u2010related infections was low, and only mild signs of infection were observed. Non\u2010tunnelling could be an alternative to tunnelling, especially if hygiene protocols are followed, and the duration of catheter use is short. A comprehensive database and regular examinations by trained staff are essential for early detection of abnormalities and immediate removal of the catheter, if required.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aas.13650","type":"journal-article","created":{"date-parts":[[2020,6,10]],"date-time":"2020-06-10T19:17:13Z","timestamp":1591816633000},"page":"1312-1318","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Incidence of infection in non\u2010tunnelled thoracic epidural catheters after major abdominal surgery"],"prefix":"10.1111","volume":"64","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1663-5353","authenticated-orcid":false,"given":"Heike","family":"Vogelsang","sequence":"first","affiliation":[{"name":"Department of Anaesthesiology and Intensive Care Medicine Ruhr\u2010University Bochum St. Josef\u2010Hospital Bochum Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"Lang","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Intensive Care Medicine Ruhr\u2010University Bochum St. Josef\u2010Hospital Bochum Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bilal","family":"Cevik","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Intensive Care Medicine Ruhr\u2010University Bochum St. Josef\u2010Hospital Bochum Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5761-9539","authenticated-orcid":false,"given":"Nikolaj M.","family":"Botteck","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Intensive Care Medicine Ruhr\u2010University Bochum St. Josef\u2010Hospital Bochum Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8379-0703","authenticated-orcid":false,"given":"Thomas P.","family":"Weber","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Intensive Care Medicine Ruhr\u2010University Bochum St. Josef\u2010Hospital Bochum Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5184-7450","authenticated-orcid":false,"given":"Jennifer","family":"Herzog\u2010Niescery","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Intensive Care Medicine Ruhr\u2010University Bochum St. Josef\u2010Hospital Bochum Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,6,25]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.290.18.2455"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.143.10.990"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000000237"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0000000000000339"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs5.50171"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-200410000-00021"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/EJA.0000000000000446"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/aas.12702"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0b013e3181c4c7d8"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.12844"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/EJA.0b013e32833f6f6f"},{"key":"e_1_2_8_13_1","first-page":"372","article-title":"Hygiene recommendations for the initiation and continued care of regional anaesthetic procedures \u2013 The 15 \u201cMusts\u201d of the Scientific Working Group Regional Anaesthesia","volume":"47","author":"Morin AM","year":"2006","journal-title":"An\u00e4sth Intensivmed"},{"key":"e_1_2_8_14_1","unstructured":"KerwatK Schulz\u2010St\u00fcbnerS SteinfeldtT et al.S1 Guideline: Hygiene recommendations for regional anaesthesia.AWMF Register2014;001\/014:1\u201017."},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aew026"},{"key":"e_1_2_8_16_1","first-page":"171","article-title":"KRINKO","volume":"60","year":"2017","journal-title":"Bundesgesundheitsbl"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/AAP.0b013e3181c15c70"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0b013e3181c4c7d8"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.12699"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-6576.2006.01239.x"},{"key":"e_1_2_8_21_1","first-page":"34","article-title":"S1\u2010Leitlinie: Hygieneempfehlungen f\u00fcr die Regionalan\u00e4sthesie. 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