Risk Factors of Catheter‐Related Bloodstream Infections in Parenteral Nutrition Catheterization

Yılmaz, Gürdal; Köksal, İftihar; Aydın, Kemalettin; Çaylan, Refik; Sucu, Nurgün; Aksoy, Firdevs

doi:10.1177/0148607107031004284

Cited by 93 publications

(81 citation statements)

References 21 publications

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“…Perform hand hygiene before catheter insertion or manipulation (B-II). [30][31][32][33] a. Use an alcohol-based waterless product or antiseptic soap and water.…”

Section: Infrastructure Requirementsmentioning

confidence: 99%

Strategies to Prevent Central Line–Associated Bloodstream Infections in Acute Care Hospitals

Marschall

Mermel

Classen

et al. 2008

Infect. Control Hosp. Epidemiol.

388

251

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Previously published guidelines are available that provide comprehensive recommendations for detecting and preventing healthcare-associated infections. The intent of this document is to highlight practical recommendations in a concise format designed to assist acute care hospitals in implementing and prioritizing their central line–associated bloodstream infection (CLABSI) prevention efforts. Refer to the Society for Healthcare Epidemiology of America/Infectious Diseases Society of America “Compendium of Strategies to Prevent Healthcare-Associated Infections” Executive Summary and Introduction and accompanying editorial for additional discussion.1. Patients at risk for CLABSIs in acute care facilitiesa. Intensive care unit (ICU) population: The risk of CLABSI in ICU patients is high. Reasons for this include the frequent insertion of multiple catheters, the use of specific types of catheters that are almost exclusively inserted in ICU patients and associated with substantial risk (eg, arterial catheters), and the fact that catheters are frequently placed in emergency circumstances, repeatedly accessed each day, and often needed for extended periods.b. Non-ICU population: Although the primary focus of attention over the past 2 decades has been the ICU setting, recent data suggest that the greatest numbers of patients with central lines are in hospital units outside the ICU, where there is a substantial risk of CLABSI.2. Outcomes associated with hospital-acquired CLABSIa. Increased length of hospital stayb. Increased cost; the non-inflation-adjusted attributable cost of CLABSIs has been found to vary from $3,700 to $29,000 per episode

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“…Perform hand hygiene before catheter insertion or manipulation (B-II). [30][31][32][33] a. Use an alcohol-based waterless product or antiseptic soap and water.…”

Section: Infrastructure Requirementsmentioning

confidence: 99%

Strategies to Prevent Central Line–Associated Bloodstream Infections in Acute Care Hospitals

Marschall

Mermel

Classen

et al. 2008

Infect. Control Hosp. Epidemiol.

388

251

View full text Add to dashboard Cite

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“…In a previous study performed in our hospital evaluating total parenteral nutrition catheters, Yilmaz et al identified coagulasenegative staphylococci as the most common agent, followed by S. aureus, P. aeruginosa, and Acinetobacter spp., with a level of 3.2% for Enterococcus spp. (19). The high MRSA and E. faecalis levels in our study may be explained by greater staphylococcal and enterococcal colonization due to the advanced age of our patients.…”

Section: Discussionmentioning

confidence: 57%

An examination of healthcare-associated infections in elderly patients

İskender¹,

Yılmaz²,

Köksal³

2017

Turk J Med Sci

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Background/aim: Healthcare-associated infections (HCAIs) are increasing due to the growing numbers of elderly people requiring long-term care and immunosuppressive therapies. The purpose of this study was to examine HCAIs occurring in elderly inpatients in our hospital. Materials and methods:This study prospectively investigated HCAIs developing in all patients hospitalized over a 1-year period. Diagnosis was based on Centers for Disease Control criteria. The results were subjected to statistical analysis between patients aged over and under 65.Results: A total of 24,692 patients were evaluated and 894 HCAIs were identified. Of these infections, 214 were seen in patients aged 65 or over. The rate of HCAIs in elderly patients was 15.1, compared to 2.9 in the under-65 patient group (P < 0.001). Seventy-nine (36.9%) infections in elderly patients were urinary system infections, 60 (28.0%) were bacteremia, 43 (20.1%) were pneumonia, 29 (13.6%) were surgical site infections, and 3 (1.4%) were other infections. Forty-three of the 187 elderly patients followed with a diagnosis of HCAI died. Seventeen patients had mortality attributable to HCAI. Conclusion:Awareness that HCAIs seen in the elderly have different clinical and microbiological characteristics than those of other patients, and the appropriate precautions being taken, will reduce the problems that may result from these diseases with high mortality and morbidity.

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“…Asimismo, Aguilella 17 observó que existe un aumento del riesgo de infección a medida que aumenta el número de días, puesto que primero se produce la colonización del CVC y luego la bacteriemia, lo que sugiere un tiempo de latencia antes de manifestarse clínicamente la infección; esto coincide con nuestros resultados ya que existe una correlación de Pearson positiva entre el número de dias de exposición y el porcentaje de ITS. De esta manera, nuestros datos sugieren que limitar la duración de la NPT es una forma de prevenir las ITS/CVC y que se deben asegurar esfuerzos para evaluar periódicamente el posible cambio a nutrición enteral 18 . Artículo Original…”

Section: Discussionunclassified

Los días de exposición a nutrición parenteral aumentan el riesgo de bacteriemia asociada a catéter venoso central

Vergara

Véliz

Fíca

2016

Rev. chil. infectol.

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Risk Factors of Catheter‐Related Bloodstream Infections in Parenteral Nutrition Catheterization

Cited by 93 publications

References 21 publications

Strategies to Prevent Central Line–Associated Bloodstream Infections in Acute Care Hospitals

Strategies to Prevent Central Line–Associated Bloodstream Infections in Acute Care Hospitals

An examination of healthcare-associated infections in elderly patients

Los días de exposición a nutrición parenteral aumentan el riesgo de bacteriemia asociada a catéter venoso central

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