Influence of tracheostomy on the incidence of catheter-related bloodstream infection in the catheterization of jugular vein by posterior access

Lorente, Leonardo; Jiménez, Alejandro; Roca, Isabel; Martı́n, Marı́a; Mora, María L.

doi:10.1007/s10096-011-1190-5

Cited by 9 publications

(2 citation statements)

References 11 publications

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“…Our study also points to a shift in the aetiological spectrum of CR‐BSI in recent years. Reports on recent trends in the aetiology of CR‐BSI are scarce [6] and usually refer to particular types of patients or specific types of catheters [17–22]. In our institution, Gram‐positive agents continue to be the main cause of CR‐BSI; however, a significant reduction in the incidence of S. aureus was observed during the study period.…”

Section: Discussionmentioning

confidence: 79%

Evolution and aetiological shift of catheter-related bloodstream infection in a whole institution: the microbiology department may act as a watchtower

Rodríguez‐Créixems

Muñóz

Martín‐Rabadán

et al. 2013

Clinical Microbiology and Infection

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The incidence of central-line-associated bloodstream infection (CLA-BSI) is reported per 1000 days of catheter exposure, mainly in the intensive care unit (ICU), because recording exposure throughout an institution is not always feasible. Confirmation of catheter-related bloodstream infection (CR-BSI) requires specific laboratory testing that identifies the catheter as the source of infection. This information is available in microbiology laboratories and can be assessed using a denominator of 1000 admissions. We evaluated recent trends in the incidence and aetiology of CR-BSI and compared adult ICUs with the remaining areas of the hospital in a retrospective cohort analysis of all confirmed CR-BSIs. During the 8-year study period, we recorded 1208 episodes (8.2% of BSIs) of CR-BSI. After adjusting for the blood cultures drawn, a significant reduction in incidence was observed in adult ICUs (47%), where care bundles had been applied. The reduction was similar irrespective of whether CLA-BSI or CR-BSI was assessed. We recorded a significant reduction in the incidence of Staphylococcus aureus CR-BSI, and a significant increase in the incidence of CR-BSI caused by Enterococcus sp., Gram-negative microorganisms and fungi. The microbiology department may complement CLA-BSI/1000 catheter-days by providing CR-BSI when days of exposure are not available, because both figures are parallel. We demonstrated a significant reduction in the incidence of CR-BSI in recent years in the population admitted to adult ICUs but not in the remaining areas of the hospital. A shift in the aetiological spectrum of CR-BSI may be occurring.

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Section: Discussionmentioning

confidence: 79%

Evolution and aetiological shift of catheter-related bloodstream infection in a whole institution: the microbiology department may act as a watchtower

Rodríguez‐Créixems

Muñóz

Martín‐Rabadán

et al. 2013

Clinical Microbiology and Infection

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“…In addition, we found a lower CRBSI risk in the subclavian venous site with tracheostomy than in femoral venous site [45] . Besides, we found a higher CRBSI risk in internal jugular venous site by posterior access with tracheostomy than without tracheostomy [46] . The guidelines for CRBSI prevention recommend avoid the femoral venous access, and recommended the subclavian venous access rather than jugular or femoral venous accesses to reduce CRBSI risk for non-tunneled CVC placement [11] .…”

Section: Risk Of Crbsi According the Existence Of Tracheostomymentioning

confidence: 49%

Antimicrobial-impregnated catheters for the prevention of catheter-related bloodstream infections

Lorente

2016

WJCCM

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Central venous catheters are commonly used in critically ill patients. Such catheterization may entail mechanical and infectious complications. The interest in catheterrelated infection lies in the morbidity, mortality and costs that it involved. Numerous contributions have been made in the prevention of catheter-related infection and the current review focuses on the possible current role of antimicrobial impregnated catheters to reduce catheter-related bloodstream infections (CRBSI). There is evidence that the use of chlorhexidine-silver sulfadiazine (CHSS), rifampicin-minocycline, or rifampicin-miconazol impregnated catheters reduce the incidence of CRBSI and costs. In addition, there are some clinical circumstances associated with higher risk of CRBSI, such as the venous catheter access and the presence of tracheostomy. Current guidelines for the prevention of CRBSI recommended the use of a CHSS or rifampicin-minocycline impregnated catheter in patients whose catheter is expected to remain in place > 5 d and if the CRBSI rate has not decreased after implementation of a comprehensive strategy to reduce it.

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Prävention von Infektionen, die von Gefäßkathetern ausgehen

2017

Bundesgesundheitsbl

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Influence of tracheostomy on the incidence of catheter-related bloodstream infection in the catheterization of jugular vein by posterior access

Cited by 9 publications

References 11 publications

Evolution and aetiological shift of catheter-related bloodstream infection in a whole institution: the microbiology department may act as a watchtower

Evolution and aetiological shift of catheter-related bloodstream infection in a whole institution: the microbiology department may act as a watchtower

Antimicrobial-impregnated catheters for the prevention of catheter-related bloodstream infections

Prävention von Infektionen, die von Gefäßkathetern ausgehen

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