Nationwide study on peripheral-venous-catheter-associated-bloodstream infections in internal medicine departments

Guembe, María; Pérez‐Granda, María Jesús; Capdevila, J.A.; Barberán, José; Pinilla, Blanca; Martín‐Rabadán, Pablo; Bouza, Emilio; Millán, Jesús; Oteyza, C. Pérez de; Muiño, Adriana; Villalba, María; Cuenca, Cantudo; Castaño, J. García; Delgado, Carlos; Zamorano, Sara; Moya-Gómez, Borja; Collado, Javier; Salinas, M.T.; Amat, Alejandro Smithson; Lázaro, Javier Ramos; Sordo, Valentín del Villar; Sánchez, Mercedes Oñaderra; Benach, Á.F.; Vidal, Elisa; Albiach, Laia; Aparicio, J. M.; Arróniz, Ester Sáez de Adana; Pou, J. Casademont i; Solchaga, Virginia Pomar; Castellón, F.E.; Obanos, T.R.; Arberas, María Victoria Egurbide; Arana, Javier Nieto; López, Eloy Girela; Gaviria, A. Zapatero; Clemente, Iván Navas; Ruiz, Pilar Ansaldo; Salomó, A.C.; Iftimie, Simona; Mendes-Castillo, Ana Márcia Chiaradia; Farré, Joan; Lavería, A.O.; Ribera, Melissa Chaves Vieira; Pallarès, Natàlia; Suarez, P Canadas; Piorno, F.J. Cepeda; Andrés, Noemí; Tarazona, Raquel; Zapata, Maruxa; Cerdá, M.A. Costa

doi:10.1016/j.jhin.2017.07.008

Cited by 47 publications

(43 citation statements)

References 28 publications

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“…This change in the epidemiology has been described in several reports regarding CVCRBSI (9-12, 16, 17), but data concerning PVCRBSI are scarce. A recent study by Sato et al described a similar prevalence of Gram-negative infections (35.8%) in the 2010-2015 period (18) while a Spanish nationwide study conducted only in internal medicine departments showed a Gram-negative bacillus prevalence of 11.1% (19).…”

Section: Discussionmentioning

confidence: 88%

Short-Term Peripheral Venous Catheter-Related Bloodstream Infections: Evidence for Increasing Prevalence of Gram-Negative Microorganisms from a 25-Year Prospective Observational Study

Ripa

Morata

Rodríguez‐Núñez

et al. 2018

Antimicrob Agents Chemother

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The aim of this study was to describe the etiology and outcome of short-term peripheral venous catheter (PVC)-related bloodstream infections (PVCRBSI) in a 25-year period (1992 to 2016) and to identify predictive factors of Gram-negative PVCRBSI. This was a prospective observational study including all episodes of PVCRBSI. A multivariate logistic regression model adjusted for calendar year was built to explore factors associated with a Gram-negative bacterial etiology. Over the study period, 711 episodes of PVCRBSI were identified. Incidence rate of PVCRBSI increased from 0.06 to 0.13 episodes/1,000 patient-days. A Gram-negative bacterial etiology was demonstrated in 162 (22.8%) episodes. There was a significant increase in the proportion of Gram-negative infections (22.6% in 1992 to 1996 versus 33.2% in 2012 to 2016). Independent predictive factors of Gram-negative PVCRBSI were the following: being in the hospital for more than 7 days with a catheter for more than 3 days (adjusted odds ratio [aOR], 1.80; 95% confidence interval [CI], 1.20 to 2.69), surgery in the previous month (aOR, 2.39; 95% CI, 1.40 to 4.09), and antimicrobial treatment with beta-lactams (aOR, 1.80; 95% CI, 1.16 to 2.78). In conclusion, we reported an increase in the prevalence of Gram-negative PVCRBSI over the last 25 years. Factors associated with a Gram-negative bacterial etiology were being in the hospital for more than 7 days with a catheter for more than 3 days, having undergone surgery, and having received antimicrobial treatment with beta-lactams.

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Section: Discussionmentioning

confidence: 88%

Short-Term Peripheral Venous Catheter-Related Bloodstream Infections: Evidence for Increasing Prevalence of Gram-Negative Microorganisms from a 25-Year Prospective Observational Study

Ripa

Morata

Rodríguez‐Núñez

et al. 2018

Antimicrob Agents Chemother

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“…Therefore, patients who remain on PVC for longer than the routine indwelling time might be more susceptible to infection. To our knowledge, although the incidence of infection is very low, the literature indicates that once the infection occurs, the patient's hospital stay will be prolonged, and mortality can even occur (Guembe et al, ; Sato et al, ).…”

Section: Introductionmentioning

confidence: 99%

“…Some studies have reported that increased dwell time may increase the risk of PVC failure in adult patients (Cicolini, Manzoli, et al, 2014a;Mermel, 2017;Sato et al, 2017), while some studies have also indicated there was no association between catheter dwell time and phlebitis (Braga et al, 2018), and catheter-related infections (Guembe et al, 2017). These inconsistent findings may be related to various confounding factors.…”

Section: Introductionmentioning

confidence: 99%

Catheter dwell time and risk of catheter failure in adult patients with peripheral venous catheters

Wei

Yue

et al. 2019

Journal of Clinical Nursing

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Aims and objectives To explore whether the risk of peripheral venous catheters failure remained constant throughout catheter use in adult patients. Background Peripheral venous catheters, widely used in adult patients, may have a critical threshold dwell time associated with increased risk of catheter failure. Design Prospective, observational study. We have complied with the STROBE checklist of items. Methods This study was conducted from July–October 2018 in Hunan, China. Data on patient factors, catheter factors and catheter failure events were collected. Poisson regression was used to assess the effect of catheter dwell time on catheter failure while adjusting for other variables. Results A total of 1,477 patients were included in the analysis. There were 854 cases (57.8%) of catheter failure. The median dwell time to catheter failure was 52 hr (interquartile range: 36–73 hr). The incidence rate of catheter failure significantly increased by 1.1%/h in the first 38 hr after catheter insertion. From 39–149 hr, the incidence rate significantly decreased, and at >149 hr, there was no significant change in the incidence rate. Meanwhile, factors such as vascular quality and infused drugs showed having an impact on catheter failure events. Conclusions The risk of catheter failure may not remain constant throughout the dwell time. The results suggest that nurses should assess the insertion site frequently in the first 38 hr. Relevance to clinical practice The significant increase in the risk of catheter failure per hour may warrant close and frequent inspection of insertion site during the first 38 hr.

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“…fluids and medications are effectively administered to patients where oral administration may be difficult or contraindicated. However, PIVCs are not without complications, with infective complications such as phlebitis and Staphylococcus aureus bacteraemia (SAB) . Reports indicate that PIVCs contribute to nearly 25% of all healthcare‐associated SAB cases, with 39.6% of these PIVC inserted in the ED .…”

Section: Introductionmentioning

confidence: 99%

Human factor‐designed multimodal intervention reduces the rate of unused peripheral intravenous cannula insertion

Egerton-Warburton

McAllan

Ramanan

et al. 2018

Emerg Medicine Australasia

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Nationwide study on peripheral-venous-catheter-associated-bloodstream infections in internal medicine departments

Cited by 47 publications

References 28 publications

Short-Term Peripheral Venous Catheter-Related Bloodstream Infections: Evidence for Increasing Prevalence of Gram-Negative Microorganisms from a 25-Year Prospective Observational Study

Short-Term Peripheral Venous Catheter-Related Bloodstream Infections: Evidence for Increasing Prevalence of Gram-Negative Microorganisms from a 25-Year Prospective Observational Study

Catheter dwell time and risk of catheter failure in adult patients with peripheral venous catheters

Human factor‐designed multimodal intervention reduces the rate of unused peripheral intravenous cannula insertion

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