Catheter application, insertion vein and length of ICU stay prior to insertion affect the risk of catheter-related bloodstream infection
Summary Background The Dutch PREZIES surveillance scheme for catheter-related bloodstream infection (CR-BSI) collects data on infection rates and related risk factors. Aim To evaluate risk factors for CR-BSI. Methods Hospitals collected data for intensive care units (ICU) or for the entire hospital....
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| Veröffentlicht in: | The Journal of hospital infection 2012-03, Vol.80 (3), p.238-244 |
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| creator | van der Kooi, T.I.I Wille, J.C van Benthem, B.H.B |
| description | Summary Background The Dutch PREZIES surveillance scheme for catheter-related bloodstream infection (CR-BSI) collects data on infection rates and related risk factors. Aim To evaluate risk factors for CR-BSI. Methods Hospitals collected data for intensive care units (ICU) or for the entire hospital. All short-term central venous catheters (CVC), including Swan-Ganz catheters, present for ≥48 h were surveyed, except in cases when bacteraemia was present at insertion. CVCs were monitored until infection, removal or death for up to 28 days. Data were collected on 3750 CVCs and 29,003 CVC-days. Findings Of the CVCs surveyed, 1.6% [95% confidence interval (CI) 1.2–2.0] resulted in CR-BSI, representing 2.0/1000 CVC-days (95% CI 1.6–2.6). Multi-variate analysis revealed that the length of ICU stay prior to CVC insertion, insertion in the jugular or femoral vein, and use of the CVC to deliver total parenteral nutrition increased the risk of CR-BSI, whereas use of the CVC to deliver antibiotics decreased the risk of CR-BSI. Conclusion Attention to these risks has the potential to reduce the incidence of CR-BSI. |
| doi_str_mv | 10.1016/j.jhin.2011.11.012 |
| format | Article |
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Aim To evaluate risk factors for CR-BSI. Methods Hospitals collected data for intensive care units (ICU) or for the entire hospital. All short-term central venous catheters (CVC), including Swan-Ganz catheters, present for ≥48 h were surveyed, except in cases when bacteraemia was present at insertion. CVCs were monitored until infection, removal or death for up to 28 days. Data were collected on 3750 CVCs and 29,003 CVC-days. Findings Of the CVCs surveyed, 1.6% [95% confidence interval (CI) 1.2–2.0] resulted in CR-BSI, representing 2.0/1000 CVC-days (95% CI 1.6–2.6). Multi-variate analysis revealed that the length of ICU stay prior to CVC insertion, insertion in the jugular or femoral vein, and use of the CVC to deliver total parenteral nutrition increased the risk of CR-BSI, whereas use of the CVC to deliver antibiotics decreased the risk of CR-BSI. Conclusion Attention to these risks has the potential to reduce the incidence of CR-BSI.</description><identifier>ISSN: 0195-6701</identifier><identifier>EISSN: 1532-2939</identifier><identifier>DOI: 10.1016/j.jhin.2011.11.012</identifier><identifier>PMID: 22243832</identifier><language>eng</language><publisher>Kidlington: Elsevier Ltd</publisher><subject>Adolescent ; Adult ; Aged ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Anti-Bacterial Agents - administration & dosage ; Antibiotics ; Bacteremia - epidemiology ; Bacterial diseases ; Bacterial sepsis ; Biological and medical sciences ; Catheter-Related Infections - epidemiology ; Catheterization, Central Venous - adverse effects ; Central venous catheter-related bloodstream infection ; Child ; Child, Preschool ; Emergency and intensive care: metabolism and nutrition disorders. Enteral and parenteral nutrition ; Female ; Femoral Vein ; General aspects ; Hospitals ; Human bacterial diseases ; Human infectious diseases. Experimental studies and models ; Humans ; Incidence ; Infant ; Infection ; Infectious Disease ; Infectious diseases ; Insertion vein ; Intensive care medicine ; Intensive care unit ; Intensive care units ; Intensive Care Units - statistics & numerical data ; Jugular Veins ; Length of Stay ; Male ; medical instruments ; Medical sciences ; Middle Aged ; Mortality ; Netherlands - epidemiology ; Nutrition ; Parenteral Nutrition, Total - methods ; Population Surveillance - methods ; Risk Factors ; Total parenteral nutrition ; Young Adult</subject><ispartof>The Journal of hospital infection, 2012-03, Vol.80 (3), p.238-244</ispartof><rights>The Healthcare Infection Society</rights><rights>2011 The Healthcare Infection Society</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2011 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c505t-193296cbe0dcd232243afc99f0e060543b78dc26187c25085dfe4a2ba97b7ca83</citedby><cites>FETCH-LOGICAL-c505t-193296cbe0dcd232243afc99f0e060543b78dc26187c25085dfe4a2ba97b7ca83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jhin.2011.11.012$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>315,781,785,3551,27929,27930,46000</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=25650930$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22243832$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>van der Kooi, T.I.I</creatorcontrib><creatorcontrib>Wille, J.C</creatorcontrib><creatorcontrib>van Benthem, B.H.B</creatorcontrib><title>Catheter application, insertion vein and length of ICU stay prior to insertion affect the risk of catheter-related bloodstream infection</title><title>The Journal of hospital infection</title><addtitle>J Hosp Infect</addtitle><description>Summary Background The Dutch PREZIES surveillance scheme for catheter-related bloodstream infection (CR-BSI) collects data on infection rates and related risk factors. Aim To evaluate risk factors for CR-BSI. Methods Hospitals collected data for intensive care units (ICU) or for the entire hospital. All short-term central venous catheters (CVC), including Swan-Ganz catheters, present for ≥48 h were surveyed, except in cases when bacteraemia was present at insertion. CVCs were monitored until infection, removal or death for up to 28 days. Data were collected on 3750 CVCs and 29,003 CVC-days. Findings Of the CVCs surveyed, 1.6% [95% confidence interval (CI) 1.2–2.0] resulted in CR-BSI, representing 2.0/1000 CVC-days (95% CI 1.6–2.6). Multi-variate analysis revealed that the length of ICU stay prior to CVC insertion, insertion in the jugular or femoral vein, and use of the CVC to deliver total parenteral nutrition increased the risk of CR-BSI, whereas use of the CVC to deliver antibiotics decreased the risk of CR-BSI. Conclusion Attention to these risks has the potential to reduce the incidence of CR-BSI.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Anti-Bacterial Agents - administration & dosage</subject><subject>Antibiotics</subject><subject>Bacteremia - epidemiology</subject><subject>Bacterial diseases</subject><subject>Bacterial sepsis</subject><subject>Biological and medical sciences</subject><subject>Catheter-Related Infections - epidemiology</subject><subject>Catheterization, Central Venous - adverse effects</subject><subject>Central venous catheter-related bloodstream infection</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Emergency and intensive care: metabolism and nutrition disorders. Enteral and parenteral nutrition</subject><subject>Female</subject><subject>Femoral Vein</subject><subject>General aspects</subject><subject>Hospitals</subject><subject>Human bacterial diseases</subject><subject>Human infectious diseases. Experimental studies and models</subject><subject>Humans</subject><subject>Incidence</subject><subject>Infant</subject><subject>Infection</subject><subject>Infectious Disease</subject><subject>Infectious diseases</subject><subject>Insertion vein</subject><subject>Intensive care medicine</subject><subject>Intensive care unit</subject><subject>Intensive care units</subject><subject>Intensive Care Units - statistics & numerical data</subject><subject>Jugular Veins</subject><subject>Length of Stay</subject><subject>Male</subject><subject>medical instruments</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Netherlands - epidemiology</subject><subject>Nutrition</subject><subject>Parenteral Nutrition, Total - methods</subject><subject>Population Surveillance - methods</subject><subject>Risk Factors</subject><subject>Total parenteral nutrition</subject><subject>Young Adult</subject><issn>0195-6701</issn><issn>1532-2939</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFksuKFDEUhoMoTs_oC7iQbMRZWG2SqtQFRJDGy8CAC511SKVO2elJJ22SHug38LE9odsLLkYIJITv_09y_kPIM86WnPH29Wa5WVu_FIzzJS7GxQOy4LIWlRjq4SFZMD7Iqu0YPyPnKW0YY3gvH5MzIURT97VYkB8rndeQIVK92zlrdLbBv6LWJ4jlSO_Aeqr9RB34b3lNw0yvVjc0ZX2gu2hDpDn8het5BpMpetJo023BzalCFcHpDBMdXQhTyhH0FpWFR-UT8mjWLsHT035Bbj68_7r6VF1__ni1enddGclkrvhQi6E1I7DJTKIu_9CzGYaZAWuZbOqx6ycjWt53RkjWy2mGRotRD93YGd3XF-Tl0XcXw_c9pKy2NhlwTnsI-6QG0fZ9y9H3_6TosA4rnpf3khw7j09ig0RUHFETQ0oRZoVN3Op4QEiVVNVGlVRVSVXhwlRR9Pzkvx-3MP2W_IoRgRcnQCej3Ry1Nzb94WQrMXqG3JsjB9jhOwtRJWPBG5hsxBjUFOz973j7j9w463Fo3C0cIG3CPnrMTnGVhGLqS5m_Mn4cG9A0XVv_BDUP1eM</recordid><startdate>20120301</startdate><enddate>20120301</enddate><creator>van der Kooi, T.I.I</creator><creator>Wille, J.C</creator><creator>van Benthem, B.H.B</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>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>7X8</scope><scope>7T2</scope><scope>7U1</scope><scope>7U2</scope><scope>C1K</scope></search><sort><creationdate>20120301</creationdate><title>Catheter application, insertion vein and length of ICU stay prior to insertion affect the risk of catheter-related bloodstream infection</title><author>van der Kooi, T.I.I ; Wille, J.C ; van Benthem, B.H.B</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c505t-193296cbe0dcd232243afc99f0e060543b78dc26187c25085dfe4a2ba97b7ca83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Anti-Bacterial Agents - administration & dosage</topic><topic>Antibiotics</topic><topic>Bacteremia - epidemiology</topic><topic>Bacterial diseases</topic><topic>Bacterial sepsis</topic><topic>Biological and medical sciences</topic><topic>Catheter-Related Infections - epidemiology</topic><topic>Catheterization, Central Venous - adverse effects</topic><topic>Central venous catheter-related bloodstream infection</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Emergency and intensive care: metabolism and nutrition disorders. Enteral and parenteral nutrition</topic><topic>Female</topic><topic>Femoral Vein</topic><topic>General aspects</topic><topic>Hospitals</topic><topic>Human bacterial diseases</topic><topic>Human infectious diseases. Experimental studies and models</topic><topic>Humans</topic><topic>Incidence</topic><topic>Infant</topic><topic>Infection</topic><topic>Infectious Disease</topic><topic>Infectious diseases</topic><topic>Insertion vein</topic><topic>Intensive care medicine</topic><topic>Intensive care unit</topic><topic>Intensive care units</topic><topic>Intensive Care Units - statistics & numerical data</topic><topic>Jugular Veins</topic><topic>Length of Stay</topic><topic>Male</topic><topic>medical instruments</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Mortality</topic><topic>Netherlands - epidemiology</topic><topic>Nutrition</topic><topic>Parenteral Nutrition, Total - methods</topic><topic>Population Surveillance - methods</topic><topic>Risk Factors</topic><topic>Total parenteral nutrition</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>van der Kooi, T.I.I</creatorcontrib><creatorcontrib>Wille, J.C</creatorcontrib><creatorcontrib>van Benthem, B.H.B</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>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>MEDLINE - Academic</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><collection>Environmental Sciences and Pollution Management</collection><jtitle>The Journal of hospital infection</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>van der Kooi, T.I.I</au><au>Wille, J.C</au><au>van Benthem, B.H.B</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Catheter application, insertion vein and length of ICU stay prior to insertion affect the risk of catheter-related bloodstream infection</atitle><jtitle>The Journal of hospital infection</jtitle><addtitle>J Hosp Infect</addtitle><date>2012-03-01</date><risdate>2012</risdate><volume>80</volume><issue>3</issue><spage>238</spage><epage>244</epage><pages>238-244</pages><issn>0195-6701</issn><eissn>1532-2939</eissn><abstract>Summary Background The Dutch PREZIES surveillance scheme for catheter-related bloodstream infection (CR-BSI) collects data on infection rates and related risk factors. Aim To evaluate risk factors for CR-BSI. Methods Hospitals collected data for intensive care units (ICU) or for the entire hospital. All short-term central venous catheters (CVC), including Swan-Ganz catheters, present for ≥48 h were surveyed, except in cases when bacteraemia was present at insertion. CVCs were monitored until infection, removal or death for up to 28 days. Data were collected on 3750 CVCs and 29,003 CVC-days. Findings Of the CVCs surveyed, 1.6% [95% confidence interval (CI) 1.2–2.0] resulted in CR-BSI, representing 2.0/1000 CVC-days (95% CI 1.6–2.6). Multi-variate analysis revealed that the length of ICU stay prior to CVC insertion, insertion in the jugular or femoral vein, and use of the CVC to deliver total parenteral nutrition increased the risk of CR-BSI, whereas use of the CVC to deliver antibiotics decreased the risk of CR-BSI. Conclusion Attention to these risks has the potential to reduce the incidence of CR-BSI.</abstract><cop>Kidlington</cop><pub>Elsevier Ltd</pub><pmid>22243832</pmid><doi>10.1016/j.jhin.2011.11.012</doi><tpages>7</tpages></addata></record> |
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| subjects | Adolescent Adult Aged Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Anti-Bacterial Agents - administration & dosage Antibiotics Bacteremia - epidemiology Bacterial diseases Bacterial sepsis Biological and medical sciences Catheter-Related Infections - epidemiology Catheterization, Central Venous - adverse effects Central venous catheter-related bloodstream infection Child Child, Preschool Emergency and intensive care: metabolism and nutrition disorders. Enteral and parenteral nutrition Female Femoral Vein General aspects Hospitals Human bacterial diseases Human infectious diseases. Experimental studies and models Humans Incidence Infant Infection Infectious Disease Infectious diseases Insertion vein Intensive care medicine Intensive care unit Intensive care units Intensive Care Units - statistics & numerical data Jugular Veins Length of Stay Male medical instruments Medical sciences Middle Aged Mortality Netherlands - epidemiology Nutrition Parenteral Nutrition, Total - methods Population Surveillance - methods Risk Factors Total parenteral nutrition Young Adult |
| title | Catheter application, insertion vein and length of ICU stay prior to insertion affect the risk of catheter-related bloodstream infection |
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