Nontunneled central venous catheter bloodstream infections in pediatric surgery
Central-line–associated bloodstream infections (CLABSIs) are one of the most dangerous complications of central venous catheter (CVC) placement; they contribute significantly to morbidity and mortality, and they are risk factors for increased hospital costs and length of stay.1 Even so, only a few s...
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| Veröffentlicht in: | Infection control and hospital epidemiology 2019-07, Vol.40 (7), p.836-837 |
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| creator | Denina, Marco Curetti, Roberta Garazzino, Silvia Silvestro, Erika Scolfaro, Carlo |
| description | Central-line–associated bloodstream infections (CLABSIs) are one of the most dangerous complications of central venous catheter (CVC) placement; they contribute significantly to morbidity and mortality, and they are risk factors for increased hospital costs and length of stay.1 Even so, only a few studies in the literature have addressed the incidence and risk factors for CLABSIs in pediatric surgical patients. The overall CLABSI rate was 0.02% (6 of 290), or 1.68 CLABSIs per 1,000 catheter days. [...]2 infections were PICC related, with an incidence of 1.70 per 1,000 catheter days, and 4 infections were diagnosed in the presence of nontunneled central lines, with an incidence of 1.66 infections per 1,000 catheter days. Correlation with preschool age may be related to the difficulties in maintaining hygiene in this age group of patients when frequent manipulation and medications by nursing staff are required that could increase central-line infection risk.6 Fever at the moment of insertion is probably due to a transient bacteremia during CVC placement that can lead to catheter colonization by the pathogen. |
| doi_str_mv | 10.1017/ice.2019.107 |
| format | Article |
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The overall CLABSI rate was 0.02% (6 of 290), or 1.68 CLABSIs per 1,000 catheter days. [...]2 infections were PICC related, with an incidence of 1.70 per 1,000 catheter days, and 4 infections were diagnosed in the presence of nontunneled central lines, with an incidence of 1.66 infections per 1,000 catheter days. Correlation with preschool age may be related to the difficulties in maintaining hygiene in this age group of patients when frequent manipulation and medications by nursing staff are required that could increase central-line infection risk.6 Fever at the moment of insertion is probably due to a transient bacteremia during CVC placement that can lead to catheter colonization by the pathogen.</description><identifier>ISSN: 0899-823X</identifier><identifier>EISSN: 1559-6834</identifier><identifier>DOI: 10.1017/ice.2019.107</identifier><identifier>PMID: 31030694</identifier><language>eng</language><publisher>United States: Cambridge University Press</publisher><subject>Adolescent ; Antibiotics ; Bacteremia - epidemiology ; Bacteremia - etiology ; Catheter-Related Infections - epidemiology ; Catheter-Related Infections - etiology ; Catheterization, Central Venous - adverse effects ; Catheters ; Child ; Child, Preschool ; Female ; Fever ; Health risks ; Hospital costs ; Hospitals, Pediatric ; Humans ; Infant ; Infant, Newborn ; Italy ; Male ; Medical instruments ; Nosocomial infections ; Nursing ; Oncology ; Pediatrics ; Prospective Studies ; Risk Factors ; Sepsis ; Surgery ; Surgical Procedures, Operative - statistics & numerical data</subject><ispartof>Infection control and hospital epidemiology, 2019-07, Vol.40 (7), p.836-837</ispartof><rights>2019 by The Society for Healthcare Epidemiology of America. All rights reserved</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c314t-7be03ef5ef4faec00b590c73cb3db34e024cadce16f58607f3305632d198bd883</cites><orcidid>0000-0002-8495-1844</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2787895759/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2787895759?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,21387,21388,23255,27923,27924,33529,33530,33702,33703,33743,33744,43658,43786,43804,64384,64386,64388,72340,73975,74154,74173</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31030694$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Denina, Marco</creatorcontrib><creatorcontrib>Curetti, Roberta</creatorcontrib><creatorcontrib>Garazzino, Silvia</creatorcontrib><creatorcontrib>Silvestro, Erika</creatorcontrib><creatorcontrib>Scolfaro, Carlo</creatorcontrib><creatorcontrib>Regina Margherita Children’s Hospital Bloodstream Infections Study Group</creatorcontrib><creatorcontrib>the Regina Margherita Children’s Hospital Bloodstream Infections Study Group</creatorcontrib><title>Nontunneled central venous catheter bloodstream infections in pediatric surgery</title><title>Infection control and hospital epidemiology</title><addtitle>Infect Control Hosp Epidemiol</addtitle><description>Central-line–associated bloodstream infections (CLABSIs) are one of the most dangerous complications of central venous catheter (CVC) placement; they contribute significantly to morbidity and mortality, and they are risk factors for increased hospital costs and length of stay.1 Even so, only a few studies in the literature have addressed the incidence and risk factors for CLABSIs in pediatric surgical patients. The overall CLABSI rate was 0.02% (6 of 290), or 1.68 CLABSIs per 1,000 catheter days. [...]2 infections were PICC related, with an incidence of 1.70 per 1,000 catheter days, and 4 infections were diagnosed in the presence of nontunneled central lines, with an incidence of 1.66 infections per 1,000 catheter days. Correlation with preschool age may be related to the difficulties in maintaining hygiene in this age group of patients when frequent manipulation and medications by nursing staff are required that could increase central-line infection risk.6 Fever at the moment of insertion is probably due to a transient bacteremia during CVC placement that can lead to catheter colonization by the pathogen.</description><subject>Adolescent</subject><subject>Antibiotics</subject><subject>Bacteremia - epidemiology</subject><subject>Bacteremia - etiology</subject><subject>Catheter-Related Infections - epidemiology</subject><subject>Catheter-Related Infections - etiology</subject><subject>Catheterization, Central Venous - adverse effects</subject><subject>Catheters</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Female</subject><subject>Fever</subject><subject>Health risks</subject><subject>Hospital costs</subject><subject>Hospitals, Pediatric</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Italy</subject><subject>Male</subject><subject>Medical instruments</subject><subject>Nosocomial infections</subject><subject>Nursing</subject><subject>Oncology</subject><subject>Pediatrics</subject><subject>Prospective Studies</subject><subject>Risk Factors</subject><subject>Sepsis</subject><subject>Surgery</subject><subject>Surgical Procedures, Operative - statistics & numerical data</subject><issn>0899-823X</issn><issn>1559-6834</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNpdkM9LwzAYhoMobk5vnqXgxYOdX5qmSY4y_AXDXRS8lTT9qh1tOpNU2H9vhtODp-974eHl5SHknMKcAhU3rcF5BlTFJA7IlHKu0kKy_JBMQSqVyoy9TciJ92sAEErRYzJhFBgUKp-S1fNgw2gtdlgnBm1wuku-0A6jT4wOHxjQJVU3DLUPDnWftLZBE9rB-vgmG6xbHVxrEj-6d3TbU3LU6M7j2f7OyOv93cviMV2uHp4Wt8vUMJqHVFQIDBuOTd5oNAAVV2AEMxWrK5YjZLnRtUFaNFwWIBrGgBcsq6mSVS0lm5Grn96NGz5H9KHsW2-w67TFuL3MMloIwSllEb38h66H0dm4rsyEFFJxwVWkrn8o4wbvHTblxrW9dtuSQrkTXUbR5U50TCLiF_vSseqx_oN_zbJv72Z59A</recordid><startdate>201907</startdate><enddate>201907</enddate><creator>Denina, Marco</creator><creator>Curetti, Roberta</creator><creator>Garazzino, Silvia</creator><creator>Silvestro, Erika</creator><creator>Scolfaro, Carlo</creator><general>Cambridge University Press</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>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>S0X</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-8495-1844</orcidid></search><sort><creationdate>201907</creationdate><title>Nontunneled central venous catheter bloodstream infections in pediatric surgery</title><author>Denina, Marco ; Curetti, Roberta ; Garazzino, Silvia ; Silvestro, Erika ; Scolfaro, Carlo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c314t-7be03ef5ef4faec00b590c73cb3db34e024cadce16f58607f3305632d198bd883</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adolescent</topic><topic>Antibiotics</topic><topic>Bacteremia - epidemiology</topic><topic>Bacteremia - etiology</topic><topic>Catheter-Related Infections - epidemiology</topic><topic>Catheter-Related Infections - etiology</topic><topic>Catheterization, Central Venous - adverse effects</topic><topic>Catheters</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Female</topic><topic>Fever</topic><topic>Health risks</topic><topic>Hospital costs</topic><topic>Hospitals, Pediatric</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Italy</topic><topic>Male</topic><topic>Medical instruments</topic><topic>Nosocomial infections</topic><topic>Nursing</topic><topic>Oncology</topic><topic>Pediatrics</topic><topic>Prospective Studies</topic><topic>Risk Factors</topic><topic>Sepsis</topic><topic>Surgery</topic><topic>Surgical Procedures, Operative - statistics & numerical data</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Denina, Marco</creatorcontrib><creatorcontrib>Curetti, Roberta</creatorcontrib><creatorcontrib>Garazzino, Silvia</creatorcontrib><creatorcontrib>Silvestro, Erika</creatorcontrib><creatorcontrib>Scolfaro, Carlo</creatorcontrib><creatorcontrib>Regina Margherita Children’s Hospital Bloodstream Infections Study Group</creatorcontrib><creatorcontrib>the Regina Margherita Children’s Hospital Bloodstream Infections Study Group</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><jtitle>Infection control and hospital epidemiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Denina, Marco</au><au>Curetti, Roberta</au><au>Garazzino, Silvia</au><au>Silvestro, Erika</au><au>Scolfaro, Carlo</au><aucorp>Regina Margherita Children’s Hospital Bloodstream Infections Study Group</aucorp><aucorp>the Regina Margherita Children’s Hospital Bloodstream Infections Study Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Nontunneled central venous catheter bloodstream infections in pediatric surgery</atitle><jtitle>Infection control and hospital epidemiology</jtitle><addtitle>Infect Control Hosp Epidemiol</addtitle><date>2019-07</date><risdate>2019</risdate><volume>40</volume><issue>7</issue><spage>836</spage><epage>837</epage><pages>836-837</pages><issn>0899-823X</issn><eissn>1559-6834</eissn><abstract>Central-line–associated bloodstream infections (CLABSIs) are one of the most dangerous complications of central venous catheter (CVC) placement; they contribute significantly to morbidity and mortality, and they are risk factors for increased hospital costs and length of stay.1 Even so, only a few studies in the literature have addressed the incidence and risk factors for CLABSIs in pediatric surgical patients. The overall CLABSI rate was 0.02% (6 of 290), or 1.68 CLABSIs per 1,000 catheter days. [...]2 infections were PICC related, with an incidence of 1.70 per 1,000 catheter days, and 4 infections were diagnosed in the presence of nontunneled central lines, with an incidence of 1.66 infections per 1,000 catheter days. Correlation with preschool age may be related to the difficulties in maintaining hygiene in this age group of patients when frequent manipulation and medications by nursing staff are required that could increase central-line infection risk.6 Fever at the moment of insertion is probably due to a transient bacteremia during CVC placement that can lead to catheter colonization by the pathogen.</abstract><cop>United States</cop><pub>Cambridge University Press</pub><pmid>31030694</pmid><doi>10.1017/ice.2019.107</doi><tpages>2</tpages><orcidid>https://orcid.org/0000-0002-8495-1844</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Antibiotics Bacteremia - epidemiology Bacteremia - etiology Catheter-Related Infections - epidemiology Catheter-Related Infections - etiology Catheterization, Central Venous - adverse effects Catheters Child Child, Preschool Female Fever Health risks Hospital costs Hospitals, Pediatric Humans Infant Infant, Newborn Italy Male Medical instruments Nosocomial infections Nursing Oncology Pediatrics Prospective Studies Risk Factors Sepsis Surgery Surgical Procedures, Operative - statistics & numerical data |
| title | Nontunneled central venous catheter bloodstream infections in pediatric surgery |
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