How COVID-19 impacted CAUTI and CLABSI rates in Alabama
The study objective was to quantify infection rate trends for central line–associated bloodstream infections (CLABSIs) and catheter-associated urinary tract infections (CAUTIs) in 89 Alabama hospitals from 2015 to 2021 to analyze how the COVID-19 pandemic impacted health care delivery. Retrospective...
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| Veröffentlicht in: | American journal of infection control 2024-02, Vol.52 (2), p.147-151 |
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| creator | Hyte, Melanie Clark, Cassidy Pandey, Rishika Redden, David Roderick, Melanie Brock, Kenny |
| description | The study objective was to quantify infection rate trends for central line–associated bloodstream infections (CLABSIs) and catheter-associated urinary tract infections (CAUTIs) in 89 Alabama hospitals from 2015 to 2021 to analyze how the COVID-19 pandemic impacted health care delivery.
Retrospective analysis of CLABSI and CAUTI rates, from 89 Alabama hospitals via data from the Alabama Department of Public Health from 2015 to 2021.
Based on our modeling strategies, there was a statistically significant decrease in rates of CAUTIs from 2015 to 2019 at an estimated rate of 7% per year (P = 0.0167) and CLABSIs from 2015 to 2018 at an estimated rate of 13% per year (P |
| doi_str_mv | 10.1016/j.ajic.2023.05.014 |
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Retrospective analysis of CLABSI and CAUTI rates, from 89 Alabama hospitals via data from the Alabama Department of Public Health from 2015 to 2021.
Based on our modeling strategies, there was a statistically significant decrease in rates of CAUTIs from 2015 to 2019 at an estimated rate of 7% per year (P = 0.0167) and CLABSIs from 2015 to 2018 at an estimated rate of 13% per year (P < .001) in these hospitals. In 2020, the CAUTI and CLABSI rates began increasing at a modeled rate of 29% per year (P = .001) and 35% per year (P < .001) respectively.
A review of potential causes for the elevated rate of health care–associated infections illustrated that certain practices may have contributed to increased CAUTI and CLABSI rates. Utilizing staff from noncritical care areas with less experience in health care–associated infection prevention, batching of tasks to conserve personal protective equipment, and a nationwide mental health crisis could have affected infection prevention bundle compliance.
An increase in CAUTIs and CLABSIs was observed during the pandemic, likely due to the large volume of patients requiring advanced medical care and subsequent depleted resources.
•In Alabama hospitals, CAUTI and CLABSI rates were decreasing from 2015 to 2019.•However, CLABSI rates did slightly increase from 2018 to 2019.•In 2020 and 2021, CAUTI and CLABSI rates increased significantly.•Certain practices may have contributed to increased rates of CAUTIs and CLABSIs.</description><identifier>ISSN: 0196-6553</identifier><identifier>ISSN: 1527-3296</identifier><identifier>EISSN: 1527-3296</identifier><identifier>DOI: 10.1016/j.ajic.2023.05.014</identifier><identifier>PMID: 37263421</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Alabama - epidemiology ; Catheter-Related Infections - epidemiology ; Catheter-Related Infections - prevention & control ; COVID-19 - epidemiology ; Cross Infection - epidemiology ; Cross Infection - prevention & control ; Health care–associated infection (HAI) ; Humans ; Infection prevention bundle ; Major ; Pandemics ; Personal Protective Equipment (PPE) ; Retrospective Studies ; Urinary Tract Infections - epidemiology ; Urinary Tract Infections - prevention & control</subject><ispartof>American journal of infection control, 2024-02, Vol.52 (2), p.147-151</ispartof><rights>2023 Association for Professionals in Infection Control and Epidemiology, Inc.</rights><rights>Copyright © 2023 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.</rights><rights>2023 Published by Elsevier Inc. on behalf of Association for Professionals in Infection Control and Epidemiology, Inc. 2023</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c407t-31e22f4e853e7ba4f49c2df56dc494f3ba876647ef8560de7a79bc2f26c60a043</cites><orcidid>0009-0006-9844-4698</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0196655323003814$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,776,780,881,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37263421$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hyte, Melanie</creatorcontrib><creatorcontrib>Clark, Cassidy</creatorcontrib><creatorcontrib>Pandey, Rishika</creatorcontrib><creatorcontrib>Redden, David</creatorcontrib><creatorcontrib>Roderick, Melanie</creatorcontrib><creatorcontrib>Brock, Kenny</creatorcontrib><title>How COVID-19 impacted CAUTI and CLABSI rates in Alabama</title><title>American journal of infection control</title><addtitle>Am J Infect Control</addtitle><description>The study objective was to quantify infection rate trends for central line–associated bloodstream infections (CLABSIs) and catheter-associated urinary tract infections (CAUTIs) in 89 Alabama hospitals from 2015 to 2021 to analyze how the COVID-19 pandemic impacted health care delivery.
Retrospective analysis of CLABSI and CAUTI rates, from 89 Alabama hospitals via data from the Alabama Department of Public Health from 2015 to 2021.
Based on our modeling strategies, there was a statistically significant decrease in rates of CAUTIs from 2015 to 2019 at an estimated rate of 7% per year (P = 0.0167) and CLABSIs from 2015 to 2018 at an estimated rate of 13% per year (P < .001) in these hospitals. In 2020, the CAUTI and CLABSI rates began increasing at a modeled rate of 29% per year (P = .001) and 35% per year (P < .001) respectively.
A review of potential causes for the elevated rate of health care–associated infections illustrated that certain practices may have contributed to increased CAUTI and CLABSI rates. Utilizing staff from noncritical care areas with less experience in health care–associated infection prevention, batching of tasks to conserve personal protective equipment, and a nationwide mental health crisis could have affected infection prevention bundle compliance.
An increase in CAUTIs and CLABSIs was observed during the pandemic, likely due to the large volume of patients requiring advanced medical care and subsequent depleted resources.
•In Alabama hospitals, CAUTI and CLABSI rates were decreasing from 2015 to 2019.•However, CLABSI rates did slightly increase from 2018 to 2019.•In 2020 and 2021, CAUTI and CLABSI rates increased significantly.•Certain practices may have contributed to increased rates of CAUTIs and CLABSIs.</description><subject>Alabama - epidemiology</subject><subject>Catheter-Related Infections - epidemiology</subject><subject>Catheter-Related Infections - prevention & control</subject><subject>COVID-19 - epidemiology</subject><subject>Cross Infection - epidemiology</subject><subject>Cross Infection - prevention & control</subject><subject>Health care–associated infection (HAI)</subject><subject>Humans</subject><subject>Infection prevention bundle</subject><subject>Major</subject><subject>Pandemics</subject><subject>Personal Protective Equipment (PPE)</subject><subject>Retrospective Studies</subject><subject>Urinary Tract Infections - epidemiology</subject><subject>Urinary Tract Infections - prevention & control</subject><issn>0196-6553</issn><issn>1527-3296</issn><issn>1527-3296</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE2LFDEQhoMo7rj6BzxIH710W6l8dUCQcfzYgYE9uOs1pNPVmqE_xqRnxX9vD7MuevFUBfXUW8XD2EsOFQeu3-wrv4-hQkBRgaqAy0dsxRWaUqDVj9kKuNWlVkpcsGc57wHACq2esgthUAuJfMXM1fSz2Fx_3X4ouS3icPBhprbYrG9vtoUfl263fv9lWyQ_Uy7iWKx73_jBP2dPOt9nenFfL9ntp483m6tyd_15u1nvyiDBzKXghNhJqpUg03jZSRuw7ZRug7SyE42vjdbSUFcrDS0Zb2wTsEMdNHiQ4pK9O-cejs1AbaBxTr53hxQHn365yUf372SM39236c5xQNS1tUvC6_uENP04Up7dEHOgvvcjTcfssEYURoOuFxTPaEhTzom6hzsc3Em527uTcndS7kC5Rfmy9OrvDx9W_jhegLdngBZPd5GSyyHSGKiNicLs2in-L_830k6PkQ</recordid><startdate>20240201</startdate><enddate>20240201</enddate><creator>Hyte, Melanie</creator><creator>Clark, Cassidy</creator><creator>Pandey, Rishika</creator><creator>Redden, David</creator><creator>Roderick, Melanie</creator><creator>Brock, Kenny</creator><general>Elsevier Inc</general><general>Published by Elsevier Inc. on behalf of Association for Professionals in Infection Control and Epidemiology, Inc</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><scope>5PM</scope><orcidid>https://orcid.org/0009-0006-9844-4698</orcidid></search><sort><creationdate>20240201</creationdate><title>How COVID-19 impacted CAUTI and CLABSI rates in Alabama</title><author>Hyte, Melanie ; Clark, Cassidy ; Pandey, Rishika ; Redden, David ; Roderick, Melanie ; Brock, Kenny</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c407t-31e22f4e853e7ba4f49c2df56dc494f3ba876647ef8560de7a79bc2f26c60a043</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Alabama - epidemiology</topic><topic>Catheter-Related Infections - epidemiology</topic><topic>Catheter-Related Infections - prevention & control</topic><topic>COVID-19 - epidemiology</topic><topic>Cross Infection - epidemiology</topic><topic>Cross Infection - prevention & control</topic><topic>Health care–associated infection (HAI)</topic><topic>Humans</topic><topic>Infection prevention bundle</topic><topic>Major</topic><topic>Pandemics</topic><topic>Personal Protective Equipment (PPE)</topic><topic>Retrospective Studies</topic><topic>Urinary Tract Infections - epidemiology</topic><topic>Urinary Tract Infections - prevention & control</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hyte, Melanie</creatorcontrib><creatorcontrib>Clark, Cassidy</creatorcontrib><creatorcontrib>Pandey, Rishika</creatorcontrib><creatorcontrib>Redden, David</creatorcontrib><creatorcontrib>Roderick, Melanie</creatorcontrib><creatorcontrib>Brock, Kenny</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><collection>PubMed Central (Full Participant titles)</collection><jtitle>American journal of infection control</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hyte, Melanie</au><au>Clark, Cassidy</au><au>Pandey, Rishika</au><au>Redden, David</au><au>Roderick, Melanie</au><au>Brock, Kenny</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>How COVID-19 impacted CAUTI and CLABSI rates in Alabama</atitle><jtitle>American journal of infection control</jtitle><addtitle>Am J Infect Control</addtitle><date>2024-02-01</date><risdate>2024</risdate><volume>52</volume><issue>2</issue><spage>147</spage><epage>151</epage><pages>147-151</pages><issn>0196-6553</issn><issn>1527-3296</issn><eissn>1527-3296</eissn><abstract>The study objective was to quantify infection rate trends for central line–associated bloodstream infections (CLABSIs) and catheter-associated urinary tract infections (CAUTIs) in 89 Alabama hospitals from 2015 to 2021 to analyze how the COVID-19 pandemic impacted health care delivery.
Retrospective analysis of CLABSI and CAUTI rates, from 89 Alabama hospitals via data from the Alabama Department of Public Health from 2015 to 2021.
Based on our modeling strategies, there was a statistically significant decrease in rates of CAUTIs from 2015 to 2019 at an estimated rate of 7% per year (P = 0.0167) and CLABSIs from 2015 to 2018 at an estimated rate of 13% per year (P < .001) in these hospitals. In 2020, the CAUTI and CLABSI rates began increasing at a modeled rate of 29% per year (P = .001) and 35% per year (P < .001) respectively.
A review of potential causes for the elevated rate of health care–associated infections illustrated that certain practices may have contributed to increased CAUTI and CLABSI rates. Utilizing staff from noncritical care areas with less experience in health care–associated infection prevention, batching of tasks to conserve personal protective equipment, and a nationwide mental health crisis could have affected infection prevention bundle compliance.
An increase in CAUTIs and CLABSIs was observed during the pandemic, likely due to the large volume of patients requiring advanced medical care and subsequent depleted resources.
•In Alabama hospitals, CAUTI and CLABSI rates were decreasing from 2015 to 2019.•However, CLABSI rates did slightly increase from 2018 to 2019.•In 2020 and 2021, CAUTI and CLABSI rates increased significantly.•Certain practices may have contributed to increased rates of CAUTIs and CLABSIs.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>37263421</pmid><doi>10.1016/j.ajic.2023.05.014</doi><tpages>5</tpages><orcidid>https://orcid.org/0009-0006-9844-4698</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Alabama - epidemiology Catheter-Related Infections - epidemiology Catheter-Related Infections - prevention & control COVID-19 - epidemiology Cross Infection - epidemiology Cross Infection - prevention & control Health care–associated infection (HAI) Humans Infection prevention bundle Major Pandemics Personal Protective Equipment (PPE) Retrospective Studies Urinary Tract Infections - epidemiology Urinary Tract Infections - prevention & control |
| title | How COVID-19 impacted CAUTI and CLABSI rates in Alabama |
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