Use of Peripheral Parenteral Nutrition Solutions as a Risk Factor for Bacillus cereus Peripheral Venous Catheter-Associated Bloodstream Infection at a Japanese Tertiary Care Hospital: a Case-Control Study
The risk factors are unclear for peripheral venous catheter-associated bloodstream infections (PVCBSIs) caused by Bacillus cereus. We aimed to examine for these risk factors in patients with B. cereus PVCBSI by conducting a 2-year case-control study in a large teaching hospital. We analyzed all adul...
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| Veröffentlicht in: | Japanese Journal of Infectious Diseases 2016, Vol.69(6), pp.531-533 |
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| creator | Sakihama, Tomoko Tokuda, Yasuharu |
| description | The risk factors are unclear for peripheral venous catheter-associated bloodstream infections (PVCBSIs) caused by Bacillus cereus. We aimed to examine for these risk factors in patients with B. cereus PVCBSI by conducting a 2-year case-control study in a large teaching hospital. We analyzed all adult cases of B. cereus PVCBSI (37 patients) and 180 controls who were randomly selected from among patients who had a PVC in place for at least 2 days. Multivariate analysis using a conditional logistic regression model indicated that independent risk factors were use of a peripheral parenteral nutrition (PPN) solution with an adjusted odds ratio (OR) of 88.7 (95% confidence interval [CI], 17.4–451.9), and steroid therapy (adjusted OR, 5.7 [95% CI, 1.3–24.4]). In conclusion, use of PPN solutions or steroids was an independent risk factor for B. cereus PVCBSI. Appropriate use of PPN solutions may help prevent B. cereus PVCBSI. Prospective studies are needed to confirm these results. |
| doi_str_mv | 10.7883/yoken.JJID.2015.489 |
| format | Article |
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We aimed to examine for these risk factors in patients with B. cereus PVCBSI by conducting a 2-year case-control study in a large teaching hospital. We analyzed all adult cases of B. cereus PVCBSI (37 patients) and 180 controls who were randomly selected from among patients who had a PVC in place for at least 2 days. Multivariate analysis using a conditional logistic regression model indicated that independent risk factors were use of a peripheral parenteral nutrition (PPN) solution with an adjusted odds ratio (OR) of 88.7 (95% confidence interval [CI], 17.4–451.9), and steroid therapy (adjusted OR, 5.7 [95% CI, 1.3–24.4]). In conclusion, use of PPN solutions or steroids was an independent risk factor for B. cereus PVCBSI. Appropriate use of PPN solutions may help prevent B. cereus PVCBSI. Prospective studies are needed to confirm these results.</description><identifier>ISSN: 1344-6304</identifier><identifier>EISSN: 1884-2836</identifier><identifier>DOI: 10.7883/yoken.JJID.2015.489</identifier><identifier>PMID: 26902219</identifier><language>eng</language><publisher>Japan: National Institute of Infectious Diseases, Japanese Journal of Infectious Diseases Editorial Committee</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Bacillus cereus ; Bacillus cereus - isolation & purification ; Bacteremia - epidemiology ; Bacteremia - microbiology ; Case-Control Studies ; case-control study ; Catheter-Related Infections - epidemiology ; Catheter-Related Infections - microbiology ; Female ; Gram-Positive Bacterial Infections - epidemiology ; Gram-Positive Bacterial Infections - microbiology ; Hospitals, Teaching ; Humans ; Japan - epidemiology ; Male ; Middle Aged ; Parenteral Nutrition Solutions - adverse effects ; peripheral parenteral nutrition solutions ; peripheral venous catheter-associated bloodstream infection ; risk factor ; Risk Factors ; Tertiary Care Centers ; Young Adult</subject><ispartof>Japanese Journal of Infectious Diseases, 2016, Vol.69(6), pp.531-533</ispartof><rights>Authors</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c590t-7d5df95eaaf480909a25bf0f3e2bdef685a1f84030265a75d179069a843a50463</citedby><cites>FETCH-LOGICAL-c590t-7d5df95eaaf480909a25bf0f3e2bdef685a1f84030265a75d179069a843a50463</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,1881,4022,27921,27922,27923</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26902219$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sakihama, Tomoko</creatorcontrib><creatorcontrib>Tokuda, Yasuharu</creatorcontrib><title>Use of Peripheral Parenteral Nutrition Solutions as a Risk Factor for Bacillus cereus Peripheral Venous Catheter-Associated Bloodstream Infection at a Japanese Tertiary Care Hospital: a Case-Control Study</title><title>Japanese Journal of Infectious Diseases</title><addtitle>Jpn J Infect Dis</addtitle><description>The risk factors are unclear for peripheral venous catheter-associated bloodstream infections (PVCBSIs) caused by Bacillus cereus. We aimed to examine for these risk factors in patients with B. cereus PVCBSI by conducting a 2-year case-control study in a large teaching hospital. We analyzed all adult cases of B. cereus PVCBSI (37 patients) and 180 controls who were randomly selected from among patients who had a PVC in place for at least 2 days. Multivariate analysis using a conditional logistic regression model indicated that independent risk factors were use of a peripheral parenteral nutrition (PPN) solution with an adjusted odds ratio (OR) of 88.7 (95% confidence interval [CI], 17.4–451.9), and steroid therapy (adjusted OR, 5.7 [95% CI, 1.3–24.4]). In conclusion, use of PPN solutions or steroids was an independent risk factor for B. cereus PVCBSI. Appropriate use of PPN solutions may help prevent B. cereus PVCBSI. Prospective studies are needed to confirm these results.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Bacillus cereus</subject><subject>Bacillus cereus - isolation & purification</subject><subject>Bacteremia - epidemiology</subject><subject>Bacteremia - microbiology</subject><subject>Case-Control Studies</subject><subject>case-control study</subject><subject>Catheter-Related Infections - epidemiology</subject><subject>Catheter-Related Infections - microbiology</subject><subject>Female</subject><subject>Gram-Positive Bacterial Infections - epidemiology</subject><subject>Gram-Positive Bacterial Infections - microbiology</subject><subject>Hospitals, Teaching</subject><subject>Humans</subject><subject>Japan - epidemiology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Parenteral Nutrition Solutions - adverse effects</subject><subject>peripheral parenteral nutrition solutions</subject><subject>peripheral venous catheter-associated bloodstream infection</subject><subject>risk factor</subject><subject>Risk Factors</subject><subject>Tertiary Care Centers</subject><subject>Young Adult</subject><issn>1344-6304</issn><issn>1884-2836</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkVFv0zAQxyMEYmPwCZCQH3lJcZzYdXjbAmOtJpjYxqt1Tc7UmxsH23nod9yHmtOWCiTbd7J-97-z_1n2vqCzuZTlp617xH62XC6-zBgt-KyS9YvstJCyypksxcuUl1WVi5JWJ9mbEB4oZZwX9HV2wkRNGSvq0-zpPiBxmtygN8MaPVhyAx77uEu_j9GbaFxPbp0dpyQQSIv8NOGRXEIbnSc67QtojbVjIC16TOEfuV_Yu3TTQFxjUs3PQ3CtgYgdubDOdSF6hA1Z9BrbXSuIqcESBugxzXaHPhrw2yTgkVy5MJgI9nNCGgiYN66P3llyG8du-zZ7pcEGfHeIZ9n95de75iq__vFt0Zxf5y2vacznHe90zRFAV5LWtAbGV5rqEtmqQy0kh0LLipaUCQ5z3hXzmooaZFUCp5Uoz7KPe93Buz8jhqg2JrRobRo5vVUVkgnBZcVYQss92noXgketBm826T2qoGqyUe1sVJONarJRJRtT1YdDg3G1we5Y89e3BCz2wEOI8BuPAKTPai0eREWtxHT8J35k2jV4hX35DGkEuLM</recordid><startdate>2016</startdate><enddate>2016</enddate><creator>Sakihama, Tomoko</creator><creator>Tokuda, Yasuharu</creator><general>National Institute of Infectious Diseases, Japanese Journal of Infectious Diseases Editorial Committee</general><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>2016</creationdate><title>Use of Peripheral Parenteral Nutrition Solutions as a Risk Factor for Bacillus cereus Peripheral Venous Catheter-Associated Bloodstream Infection at a Japanese Tertiary Care Hospital: a Case-Control Study</title><author>Sakihama, Tomoko ; Tokuda, Yasuharu</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c590t-7d5df95eaaf480909a25bf0f3e2bdef685a1f84030265a75d179069a843a50463</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Bacillus cereus</topic><topic>Bacillus cereus - isolation & purification</topic><topic>Bacteremia - epidemiology</topic><topic>Bacteremia - microbiology</topic><topic>Case-Control Studies</topic><topic>case-control study</topic><topic>Catheter-Related Infections - epidemiology</topic><topic>Catheter-Related Infections - microbiology</topic><topic>Female</topic><topic>Gram-Positive Bacterial Infections - epidemiology</topic><topic>Gram-Positive Bacterial Infections - microbiology</topic><topic>Hospitals, Teaching</topic><topic>Humans</topic><topic>Japan - epidemiology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Parenteral Nutrition Solutions - adverse effects</topic><topic>peripheral parenteral nutrition solutions</topic><topic>peripheral venous catheter-associated bloodstream infection</topic><topic>risk factor</topic><topic>Risk Factors</topic><topic>Tertiary Care Centers</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sakihama, Tomoko</creatorcontrib><creatorcontrib>Tokuda, Yasuharu</creatorcontrib><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>Japanese Journal of Infectious Diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sakihama, Tomoko</au><au>Tokuda, Yasuharu</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Use of Peripheral Parenteral Nutrition Solutions as a Risk Factor for Bacillus cereus Peripheral Venous Catheter-Associated Bloodstream Infection at a Japanese Tertiary Care Hospital: a Case-Control Study</atitle><jtitle>Japanese Journal of Infectious Diseases</jtitle><addtitle>Jpn J Infect Dis</addtitle><date>2016</date><risdate>2016</risdate><volume>69</volume><issue>6</issue><spage>531</spage><epage>533</epage><pages>531-533</pages><issn>1344-6304</issn><eissn>1884-2836</eissn><abstract>The risk factors are unclear for peripheral venous catheter-associated bloodstream infections (PVCBSIs) caused by Bacillus cereus. We aimed to examine for these risk factors in patients with B. cereus PVCBSI by conducting a 2-year case-control study in a large teaching hospital. We analyzed all adult cases of B. cereus PVCBSI (37 patients) and 180 controls who were randomly selected from among patients who had a PVC in place for at least 2 days. Multivariate analysis using a conditional logistic regression model indicated that independent risk factors were use of a peripheral parenteral nutrition (PPN) solution with an adjusted odds ratio (OR) of 88.7 (95% confidence interval [CI], 17.4–451.9), and steroid therapy (adjusted OR, 5.7 [95% CI, 1.3–24.4]). In conclusion, use of PPN solutions or steroids was an independent risk factor for B. cereus PVCBSI. Appropriate use of PPN solutions may help prevent B. cereus PVCBSI. Prospective studies are needed to confirm these results.</abstract><cop>Japan</cop><pub>National Institute of Infectious Diseases, Japanese Journal of Infectious Diseases Editorial Committee</pub><pmid>26902219</pmid><doi>10.7883/yoken.JJID.2015.489</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adult Aged Aged, 80 and over Bacillus cereus Bacillus cereus - isolation & purification Bacteremia - epidemiology Bacteremia - microbiology Case-Control Studies case-control study Catheter-Related Infections - epidemiology Catheter-Related Infections - microbiology Female Gram-Positive Bacterial Infections - epidemiology Gram-Positive Bacterial Infections - microbiology Hospitals, Teaching Humans Japan - epidemiology Male Middle Aged Parenteral Nutrition Solutions - adverse effects peripheral parenteral nutrition solutions peripheral venous catheter-associated bloodstream infection risk factor Risk Factors Tertiary Care Centers Young Adult |
| title | Use of Peripheral Parenteral Nutrition Solutions as a Risk Factor for Bacillus cereus Peripheral Venous Catheter-Associated Bloodstream Infection at a Japanese Tertiary Care Hospital: a Case-Control Study |
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