Investigation of the case numbers of catheter-related bloodstream infection overestimated by the central line-associated bloodstream infection surveillance definition

Chen, Xihn-Xuh; Lo, Yi-Chu; Su, Lin‐Hui; Chang, Chin-Lu

doi:10.1016/j.jmii.2014.03.006

Cited by 20 publications

(12 citation statements)

References 25 publications

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“…In 20% of all registered CRBSIs, practical obstacles or missing information ruled out a definitive CRBSI diagnosis. Some studies may underestimate the CRBSI incidence by excluding cases with missing information from their analysis . The strict microbiological CRBSI criteria presuppose a blood culture positivity of 100%, which is not to be expected, and even in cases with severe infectious septicemia, around 30% are found to be culture negative .…”

Section: Discussionmentioning

confidence: 99%

Catheter‐Related Bloodstream Infections in Adults Receiving Home Parenteral Nutrition: Substantial Differences in Incidence Comparing a Strict Microbiological to a Clinically Based Diagnosis

Tribler

Brandt

Hvistendahl

et al. 2017

J Parenter Enteral Nutr

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Section: Discussionmentioning

confidence: 99%

Catheter‐Related Bloodstream Infections in Adults Receiving Home Parenteral Nutrition: Substantial Differences in Incidence Comparing a Strict Microbiological to a Clinically Based Diagnosis

Tribler

Brandt

Hvistendahl

et al. 2017

J Parenter Enteral Nutr

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“…This is one of the most important findings of this study: why are those high‐risk patients not included in prospective surveillance programs? . Furthermore, a study investigating the associations between adherence of CVC guidelines and patient outcomes is highly warranted.…”

Section: Discussionmentioning

confidence: 99%

Current practices used for the prevention of central venous catheter‐associated infection in hematopoietic stem cell transplantation recipients: a survey from the Infectious Diseases Working Party and Nurses' Group of EBMT

Snarski

Mank

Iacobelli

et al. 2015

Transplant Infectious Dis

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“…Healthcare-acquired P . aeruginosa infections primarily included endotracheal intubation-associated pneumonia, central venous catheterization-associated bloodstream infection, infections after trauma and invasive surgery, and other types of infections [ 26 , 27 , 29 – 31 ]; endotracheal intubation-associated P . aeruginosa pneumonia accounted for the majority of HAIs (91/112, 81.25%).…”

Section: Discussionmentioning

confidence: 99%

The Effect of Infection Control Nurses on the Occurrence of Pseudomonas aeruginosa Healthcare-Acquired Infection and Multidrug-Resistant Strains in Critically-Ill Children

Liu

et al. 2015

PLoS ONE

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BackgroundHealthcare-acquired Pseudomonas aeruginosa (P. aeruginosa) infections in the Pediatric Intensive Care Unit (PICU), which have a high incidence, increase treatment costs and mortality, and seriously threaten the safety of critically ill children. It is essential to seek convenient and effective methods to control and prevent healthcare-acquired infections (HAIs). This research was conducted to study the effect of infection control nurses on the occurrence of P. aeruginosa HAIs and multi-drug resistance (MDR) strains in PICU.MethodsThe clinical data was divided into two groups, with the age ranging from 1 month to 14 years. One group of the critically ill patients(N = 3,722) was admitted to PICU from 2007 to 2010, without the management of infection control nurses. The other group of the critically ill patients (N = 3,943) was admitted to PICU from 2011 to 2013, with the management of infection control nurses. Compare the mortality, morbidity and the incidence of acquired P. aeruginosa infections to evaluate the effect of infection control nurses.ResultsAfter implementation of the post of infection control nurses, the patient's overall mortality fell from 4.81% to 3.73%. Among the patients with endotracheal intubation more than 48 hours, the incidence of endotracheal intubation-related pneumonia decreased from 44.6% to 34.32%. The mortality of patients with endotracheal intubation decreased from 16.96% to 10.17%, and the morbidity of HAIs with P. aeruginosa decreased from 1.89% to 1.07%. The mutual different rate (MDR) dropped from 67.95% to 44.23%. There were remarkable differences in these rates between the two groups (p<0.05).ConclusionImplementing the post of infection control nurses is associated with effectively reducing the HAI rate, especially the incidence and morbidity of P. aeruginosa HAIs, reducing PICU mortality, improving P. aeruginosa drug resistance.

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Investigation of the case numbers of catheter-related bloodstream infection overestimated by the central line-associated bloodstream infection surveillance definition

Cited by 20 publications

References 25 publications

Catheter‐Related Bloodstream Infections in Adults Receiving Home Parenteral Nutrition: Substantial Differences in Incidence Comparing a Strict Microbiological to a Clinically Based Diagnosis

Catheter‐Related Bloodstream Infections in Adults Receiving Home Parenteral Nutrition: Substantial Differences in Incidence Comparing a Strict Microbiological to a Clinically Based Diagnosis

Current practices used for the prevention of central venous catheter‐associated infection in hematopoietic stem cell transplantation recipients: a survey from the Infectious Diseases Working Party and Nurses' Group of EBMT

The Effect of Infection Control Nurses on the Occurrence of Pseudomonas aeruginosa Healthcare-Acquired Infection and Multidrug-Resistant Strains in Critically-Ill Children

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