Catheter-related infection in Irish intensive care units diagnosed with HELICS criteria: a multi-centre surveillance study
Summary Background Catheter-related infection (CRI) surveillance is advocated as a healthcare quality indicator. However, there is no national CRI surveillance programme or standardized CRI definitions in Irish intensive care units (ICUs). Aim To examine the feasibility of multi-centre CRI surveilla...
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| Veröffentlicht in: | The Journal of hospital infection 2013-03, Vol.83 (3), p.238-243 |
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| container_title | The Journal of hospital infection |
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| creator | Conrick-Martin, I Foley, M Roche, F.M Fraher, M.H Burns, K.M Morrison, P Healy, M Power, M.W Fitzpatrick, F Phelan, D Walshe, C.M |
| description | Summary Background Catheter-related infection (CRI) surveillance is advocated as a healthcare quality indicator. However, there is no national CRI surveillance programme or standardized CRI definitions in Irish intensive care units (ICUs). Aim To examine the feasibility of multi-centre CRI surveillance in nine Irish ICUs, using Hospitals in Europe Link for Infection Control through Surveillance (HELICS) definitions (CRI 1, CRI 2 and CRI 3). Methods All non-tunnelled central venous catheters (CVCs) inserted in patients aged >18 years with an ICU stay ≥48 h were included over a three-month study period. Findings Feasibility was demonstrated by the 99.5% return rate for study forms. Data on 1209 CVCs in 614 patients over 7587 CVC-days showed 17 episodes of CRI, representing a national rate of 2.2 per 1000 CVC-days [95% confidence interval (CI) 1.2–3.3]. Rates of CRI 1, CRI 2 and CRI 3 were 0.13 (95% CI 0.00–0.39), 0.79 (95% CI 0.16–1.42) and 1.39 (95% CI 0.60–2.17) per 1000 CVC-days, respectively. CRI was associated with length of ICU stay ( P |
| doi_str_mv | 10.1016/j.jhin.2012.11.020 |
| format | Article |
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However, there is no national CRI surveillance programme or standardized CRI definitions in Irish intensive care units (ICUs). Aim To examine the feasibility of multi-centre CRI surveillance in nine Irish ICUs, using Hospitals in Europe Link for Infection Control through Surveillance (HELICS) definitions (CRI 1, CRI 2 and CRI 3). Methods All non-tunnelled central venous catheters (CVCs) inserted in patients aged >18 years with an ICU stay ≥48 h were included over a three-month study period. Findings Feasibility was demonstrated by the 99.5% return rate for study forms. Data on 1209 CVCs in 614 patients over 7587 CVC-days showed 17 episodes of CRI, representing a national rate of 2.2 per 1000 CVC-days [95% confidence interval (CI) 1.2–3.3]. Rates of CRI 1, CRI 2 and CRI 3 were 0.13 (95% CI 0.00–0.39), 0.79 (95% CI 0.16–1.42) and 1.39 (95% CI 0.60–2.17) per 1000 CVC-days, respectively. CRI was associated with length of ICU stay ( P < 0.001), number of CVCs inserted ( P < 0.001) and total number of CVC-days per patient ( P < 0.001). CRI was higher in CVCs inserted in operating theatres (incident rate ratio 3.9, 95% CI 1.3–11.5; P = 0.02) compared with CVCs inserted in ICUs. Participant feedback reported minimal difficulty with surveillance implementation, and data collection required approximately 1 h per patient per week. Conclusion The study demonstrated that multi-centre ICU surveillance using HELICS CRI definitions was practical, feasible and provided clinically relevant information. CRI surveillance in ICUs, although labour intensive, is recommended to reduce CRI and allow ongoing evaluation of processes aimed at CRI reduction.</description><identifier>ISSN: 0195-6701</identifier><identifier>EISSN: 1532-2939</identifier><identifier>DOI: 10.1016/j.jhin.2012.11.020</identifier><identifier>PMID: 23394814</identifier><language>eng</language><publisher>Kidlington: Elsevier Ltd</publisher><subject>Adult ; Aged ; Biological and medical sciences ; Catheter-related infection ; Catheter-Related Infections - diagnosis ; Catheter-Related Infections - epidemiology ; Central venous catheters ; Epidemiological Monitoring ; Female ; General aspects ; Human infectious diseases. Experimental studies and models ; Humans ; Infectious Disease ; Infectious diseases ; Intensive care ; Intensive Care Units ; Ireland - epidemiology ; Male ; Medical sciences ; Middle Aged ; Nosocomial infection ; Prevalence</subject><ispartof>The Journal of hospital infection, 2013-03, Vol.83 (3), p.238-243</ispartof><rights>The Healthcare Infection Society</rights><rights>2012 The Healthcare Infection Society</rights><rights>2014 INIST-CNRS</rights><rights>Copyright © 2012 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c441t-bdf223b997cecdbc40d4c8c7a9ba4f3a370dfd1e719f1906e738e23ff00320843</citedby><cites>FETCH-LOGICAL-c441t-bdf223b997cecdbc40d4c8c7a9ba4f3a370dfd1e719f1906e738e23ff00320843</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S019567011200415X$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=27105600$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23394814$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Conrick-Martin, I</creatorcontrib><creatorcontrib>Foley, M</creatorcontrib><creatorcontrib>Roche, F.M</creatorcontrib><creatorcontrib>Fraher, M.H</creatorcontrib><creatorcontrib>Burns, K.M</creatorcontrib><creatorcontrib>Morrison, P</creatorcontrib><creatorcontrib>Healy, M</creatorcontrib><creatorcontrib>Power, M.W</creatorcontrib><creatorcontrib>Fitzpatrick, F</creatorcontrib><creatorcontrib>Phelan, D</creatorcontrib><creatorcontrib>Walshe, C.M</creatorcontrib><title>Catheter-related infection in Irish intensive care units diagnosed with HELICS criteria: a multi-centre surveillance study</title><title>The Journal of hospital infection</title><addtitle>J Hosp Infect</addtitle><description>Summary Background Catheter-related infection (CRI) surveillance is advocated as a healthcare quality indicator. However, there is no national CRI surveillance programme or standardized CRI definitions in Irish intensive care units (ICUs). Aim To examine the feasibility of multi-centre CRI surveillance in nine Irish ICUs, using Hospitals in Europe Link for Infection Control through Surveillance (HELICS) definitions (CRI 1, CRI 2 and CRI 3). Methods All non-tunnelled central venous catheters (CVCs) inserted in patients aged >18 years with an ICU stay ≥48 h were included over a three-month study period. Findings Feasibility was demonstrated by the 99.5% return rate for study forms. Data on 1209 CVCs in 614 patients over 7587 CVC-days showed 17 episodes of CRI, representing a national rate of 2.2 per 1000 CVC-days [95% confidence interval (CI) 1.2–3.3]. Rates of CRI 1, CRI 2 and CRI 3 were 0.13 (95% CI 0.00–0.39), 0.79 (95% CI 0.16–1.42) and 1.39 (95% CI 0.60–2.17) per 1000 CVC-days, respectively. CRI was associated with length of ICU stay ( P < 0.001), number of CVCs inserted ( P < 0.001) and total number of CVC-days per patient ( P < 0.001). CRI was higher in CVCs inserted in operating theatres (incident rate ratio 3.9, 95% CI 1.3–11.5; P = 0.02) compared with CVCs inserted in ICUs. Participant feedback reported minimal difficulty with surveillance implementation, and data collection required approximately 1 h per patient per week. Conclusion The study demonstrated that multi-centre ICU surveillance using HELICS CRI definitions was practical, feasible and provided clinically relevant information. CRI surveillance in ICUs, although labour intensive, is recommended to reduce CRI and allow ongoing evaluation of processes aimed at CRI reduction.</description><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Catheter-related infection</subject><subject>Catheter-Related Infections - diagnosis</subject><subject>Catheter-Related Infections - epidemiology</subject><subject>Central venous catheters</subject><subject>Epidemiological Monitoring</subject><subject>Female</subject><subject>General aspects</subject><subject>Human infectious diseases. Experimental studies and models</subject><subject>Humans</subject><subject>Infectious Disease</subject><subject>Infectious diseases</subject><subject>Intensive care</subject><subject>Intensive Care Units</subject><subject>Ireland - epidemiology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nosocomial infection</subject><subject>Prevalence</subject><issn>0195-6701</issn><issn>1532-2939</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kkGP0zAQhSMEYrsLf4ADygWJS8KMnTQNQiuhapetVInDgsTNcuwJnZAmi-0UlV-PoxaQOHDy2HrvzejzJMkLhBwBl2-6vNvxkAtAkSPmIOBRssBSikzUsn6cLADrMltWgBfJpfcdAMT38mlyIaSsixUWi-TnWocdBXKZo14HsikPLZnA4xCrdOPY72IRaPB8oNRoR-k0cPCpZf11GH10_OCwS-9utpv1fWocxzDWb1Od7qc-cGZoCNHkJ3cg7ns9mHgJkz0-S560uvf0_HxeJZ9vbz6t77Ltxw-b9fttZooCQ9bYVgjZ1HVlyNjGFGALszKVrhtdtFLLCmxrkSqsW6xhSZVckZBtCyAFrAp5lbw-5T648ftEPqg9e0PzKDROXqGocYlQylkqTlLjRu8dterB8V67o0JQM3PVqZm5mpkrRBWZR9PLc_7U7Mn-sfyGHAWvzgLtje5bFxmw_6urYvMlzEHvTjqKNA5MTnnDFHlZdvFLlB35_3Nc_2M3PQ8cO36jI_lunNwQOStUXihQ9_N2zMuBAqDA8ov8Ba-bthc</recordid><startdate>20130301</startdate><enddate>20130301</enddate><creator>Conrick-Martin, I</creator><creator>Foley, M</creator><creator>Roche, F.M</creator><creator>Fraher, M.H</creator><creator>Burns, K.M</creator><creator>Morrison, P</creator><creator>Healy, M</creator><creator>Power, M.W</creator><creator>Fitzpatrick, F</creator><creator>Phelan, D</creator><creator>Walshe, C.M</creator><general>Elsevier Ltd</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20130301</creationdate><title>Catheter-related infection in Irish intensive care units diagnosed with HELICS criteria: a multi-centre surveillance study</title><author>Conrick-Martin, I ; Foley, M ; Roche, F.M ; Fraher, M.H ; Burns, K.M ; Morrison, P ; Healy, M ; Power, M.W ; Fitzpatrick, F ; Phelan, D ; Walshe, C.M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c441t-bdf223b997cecdbc40d4c8c7a9ba4f3a370dfd1e719f1906e738e23ff00320843</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Catheter-related infection</topic><topic>Catheter-Related Infections - diagnosis</topic><topic>Catheter-Related Infections - epidemiology</topic><topic>Central venous catheters</topic><topic>Epidemiological Monitoring</topic><topic>Female</topic><topic>General aspects</topic><topic>Human infectious diseases. Experimental studies and models</topic><topic>Humans</topic><topic>Infectious Disease</topic><topic>Infectious diseases</topic><topic>Intensive care</topic><topic>Intensive Care Units</topic><topic>Ireland - epidemiology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nosocomial infection</topic><topic>Prevalence</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Conrick-Martin, I</creatorcontrib><creatorcontrib>Foley, M</creatorcontrib><creatorcontrib>Roche, F.M</creatorcontrib><creatorcontrib>Fraher, M.H</creatorcontrib><creatorcontrib>Burns, K.M</creatorcontrib><creatorcontrib>Morrison, P</creatorcontrib><creatorcontrib>Healy, M</creatorcontrib><creatorcontrib>Power, M.W</creatorcontrib><creatorcontrib>Fitzpatrick, F</creatorcontrib><creatorcontrib>Phelan, D</creatorcontrib><creatorcontrib>Walshe, C.M</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of hospital infection</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Conrick-Martin, I</au><au>Foley, M</au><au>Roche, F.M</au><au>Fraher, M.H</au><au>Burns, K.M</au><au>Morrison, P</au><au>Healy, M</au><au>Power, M.W</au><au>Fitzpatrick, F</au><au>Phelan, D</au><au>Walshe, C.M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Catheter-related infection in Irish intensive care units diagnosed with HELICS criteria: a multi-centre surveillance study</atitle><jtitle>The Journal of hospital infection</jtitle><addtitle>J Hosp Infect</addtitle><date>2013-03-01</date><risdate>2013</risdate><volume>83</volume><issue>3</issue><spage>238</spage><epage>243</epage><pages>238-243</pages><issn>0195-6701</issn><eissn>1532-2939</eissn><abstract>Summary Background Catheter-related infection (CRI) surveillance is advocated as a healthcare quality indicator. However, there is no national CRI surveillance programme or standardized CRI definitions in Irish intensive care units (ICUs). Aim To examine the feasibility of multi-centre CRI surveillance in nine Irish ICUs, using Hospitals in Europe Link for Infection Control through Surveillance (HELICS) definitions (CRI 1, CRI 2 and CRI 3). Methods All non-tunnelled central venous catheters (CVCs) inserted in patients aged >18 years with an ICU stay ≥48 h were included over a three-month study period. Findings Feasibility was demonstrated by the 99.5% return rate for study forms. Data on 1209 CVCs in 614 patients over 7587 CVC-days showed 17 episodes of CRI, representing a national rate of 2.2 per 1000 CVC-days [95% confidence interval (CI) 1.2–3.3]. Rates of CRI 1, CRI 2 and CRI 3 were 0.13 (95% CI 0.00–0.39), 0.79 (95% CI 0.16–1.42) and 1.39 (95% CI 0.60–2.17) per 1000 CVC-days, respectively. CRI was associated with length of ICU stay ( P < 0.001), number of CVCs inserted ( P < 0.001) and total number of CVC-days per patient ( P < 0.001). CRI was higher in CVCs inserted in operating theatres (incident rate ratio 3.9, 95% CI 1.3–11.5; P = 0.02) compared with CVCs inserted in ICUs. Participant feedback reported minimal difficulty with surveillance implementation, and data collection required approximately 1 h per patient per week. Conclusion The study demonstrated that multi-centre ICU surveillance using HELICS CRI definitions was practical, feasible and provided clinically relevant information. CRI surveillance in ICUs, although labour intensive, is recommended to reduce CRI and allow ongoing evaluation of processes aimed at CRI reduction.</abstract><cop>Kidlington</cop><pub>Elsevier Ltd</pub><pmid>23394814</pmid><doi>10.1016/j.jhin.2012.11.020</doi><tpages>6</tpages></addata></record> |
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| subjects | Adult Aged Biological and medical sciences Catheter-related infection Catheter-Related Infections - diagnosis Catheter-Related Infections - epidemiology Central venous catheters Epidemiological Monitoring Female General aspects Human infectious diseases. Experimental studies and models Humans Infectious Disease Infectious diseases Intensive care Intensive Care Units Ireland - epidemiology Male Medical sciences Middle Aged Nosocomial infection Prevalence |
| title | Catheter-related infection in Irish intensive care units diagnosed with HELICS criteria: a multi-centre surveillance study |
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