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M. Kanaa, M.J. Wright, J.A.T. Sandoe 

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Presentation on theme: "M. Kanaa, M.J. Wright, J.A.T. Sandoe "— Presentation transcript:

1 Examination of tunnelled haemodialysis catheters using scanning electron microscopy 
M. Kanaa, M.J. Wright, J.A.T. Sandoe  Clinical Microbiology and Infection  Volume 16, Issue 6, Pages (June 2010) DOI: /j x Copyright © 2010 European Society of Clinical Infectious Diseases Terms and Conditions

2 FIG. 1 Scanning electron microscopy images of Staphylococcus epidermidis (a and b) and Escherichia coli (c and d) biofilm-containing polyvinyl chloride catheters at 1000× (a and c) and × (b and d). Clinical Microbiology and Infection  , DOI: ( /j x) Copyright © 2010 European Society of Clinical Infectious Diseases Terms and Conditions

3 FIG. 2 Bacteria (arrows, left) and possible bacterial micro-colonies (dashed arrows, right) on the endoluminal surface of an explanted Tesio catheter that was culture–positive for Streptococcus sanguinis (heparin lock). Clinical Microbiology and Infection  , DOI: ( /j x) Copyright © 2010 European Society of Clinical Infectious Diseases Terms and Conditions

4 FIG. 3 Endoluminal surface of an Arrow catheter removed from a patient with methicillin-sensitive Staphylococcus aureus catheter-related bloodstream infection showing a cluster of cocci buried within a fibrous-looking network (heparin lock). Clinical Microbiology and Infection  , DOI: ( /j x) Copyright © 2010 European Society of Clinical Infectious Diseases Terms and Conditions

5 FIG. 4 Endoluminal surface of a negative-culture explanted Tesio catheter covered with coccus-shaped cells (heparin lock). Clinical Microbiology and Infection  , DOI: ( /j x) Copyright © 2010 European Society of Clinical Infectious Diseases Terms and Conditions

6 FIG. 5 A culture-negative explanted Tesio catheter showing cocci and probably extracellular polymeric substances on the endoluminal surface (heparin lock). Clinical Microbiology and Infection  , DOI: ( /j x) Copyright © 2010 European Society of Clinical Infectious Diseases Terms and Conditions

7 FIG. 6 Two culture-negative Tesio catheters covered by adherent biological material but no identifiable bacteria (both catheters were locked with EDTA). Clinical Microbiology and Infection  , DOI: ( /j x) Copyright © 2010 European Society of Clinical Infectious Diseases Terms and Conditions


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