Catheter-related Bloodstream Infections: Do We Know All of It?

A, Antoňáková Nemčíková; Bednárovská, E

doi:10.14735/amko2017405

Cited by 4 publications

(4 citation statements)

References 14 publications

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“…Studies have shown that the mortality rate of ICU patients with CRBSI is generally higher than those without CRBSI. 26 The mortality rate of patients with CRBSI was 46.34% in this study, with no difference in different intubation sites (P=0.24).…”

Section: Discussionmentioning

confidence: 49%

“…Multiple studies have demonstrated that the extension of hospital stay is one of the important factors affecting the increased nosocomial infection. 26,32 In this study, patients with CRBSI extended the LOS by a median of 20 days compared with patients without CRBSI. Therefore, the LOS of patients is positively correlated with the occurrence of nosocomial infection, and these two may be mutually causal.…”

mentioning

confidence: 68%

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Incidence Rate, Pathogens and Economic Burden of Catheter-Related Bloodstream Infection: A Single-Center, Retrospective Case-Control Study

Zhang¹,

Wang²,

Sheng³

et al. 2023

IDR

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Purpose Indwelling central venous catheters (CVCs) can cause catheter related bloodstream infection (CRBSI). CRBSI occurring in intensive care unit (ICU) patients may lead to the worse outcomes and extra medical costs. The present study aimed to assess the incidence and incidence density, pathogens and economic burden of CRBSI in ICU patients. Patients and Methods A case-control study was retrospectively carried out in six ICUs of one hospital between July 2013 and June 2018. The Department of Infection Control performed routinely surveillance for CRBSI on these different ICUs. Data of the clinical and microbiological characteristics of patients with CRBSI, the incidence and incidence density of CRBSI in ICUs, the attributable length of stay (LOS), and the costs among patients with CRBSI in ICU were collected and assessed. Results A total of 82 ICU patients with CRBSI were included into the study. The CRBSI incidence density was 1.27 per 1000 CVC-days in all ICUs, in which the highest was 3.52 per 1000 CVC-days in hematology ICU and the lowest was 0.14 per 1000 CVC-days in Special Procurement ICU. The most common pathogen causing CRBSI was Klebsiella pneumoniae (15/82, 16.67%), in which 12 (80%) were carbapenem resistant. Fifty-one patients were successfully matched with control patients. The average costs in the CRBSI group were $ 67,923, which were significantly higher (P < 0.001) than the average costs in the control group. The total average costs attributable to CRBSI were $33, 696. Conclusion The medical costs of ICU patients were closely related to the incidence of CRBSI. Imperative measures are needed to reduce CRBSI in ICU patients.

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Section: Discussionmentioning

confidence: 49%

mentioning

confidence: 68%

Incidence Rate, Pathogens and Economic Burden of Catheter-Related Bloodstream Infection: A Single-Center, Retrospective Case-Control Study

Zhang¹,

Wang²,

Sheng³

et al. 2023

IDR

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“…Although the incidence of CR-BSIs has decreased in the past decade, the mortality rate remains high at 12 to 25% (Antoňáková Němčíková and Bednárovská, 2017). Therefore, CR-BSIs are recognised as a healthcare priority and should not be underestimated.…”

Section: Device Complicationsmentioning

confidence: 99%

‘Pinholes in my arms’: the vicious cycle of vascular access

Kelly

Snowden

2021

Br J Nurs

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Background: Vascular access devices (VADs) are essential for delivery of intravenous therapies. There are notable gaps in the literature regarding a focus on patient experience and meaning-making related to living with a VAD, specifically a central venous access device (CVAD). Aims: To explore how patients make sense of living with a CVAD. Methods: This study followed an interpretive phenomenological analysis (IPA) approach. Purposive sampling was used to identify 11 cancer patients who had a CVAD in situ. One-to-one semi-structured interviews were performed. Interviews were digitally recorded, transcribed and analysed by the lead author. Findings: Four superordinate themes were identified: the self under attack; being rescued/being robbed; protection of others/protection of self; bewilderment and dismay at lack of staff competence. Conclusion: Having a CVAD affects the psychological, social, and personal self and impacts on self-esteem and self-image. Despite this, CVADs are accepted by patients and are eventually ‘embodied’ by them.

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“…2 These devices are associated with around 65% of cases of deep venous thrombosis of the upper limbs, 3 and the incidence of infection is around 1.1-7.5 per 1,000 catheters inserted in cancer patients. 4 The role of vascular ultrasonography in prevention, diagnosis, and ongoing management of these types of situations is illustrated in the cases reported below.…”

Section: Introductionmentioning

confidence: 99%

O papel da ecografia vascular no manejo das complicações associadas ao acesso venoso central para hemodiálise em pacientes oncológicos: relato de dois casos e revisão da literatura

Silva

2018

J. vasc. bras.

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Resumo O implante de cateter venoso central para hemodiálise é comumente realizado em grandes centros e suas complicações estão, por vezes, associadas ao treinamento insuficiente de quem o realiza, mas também às condições clínicas do próprio doente. O presente estudo relata dois casos de intercorrências relacionadas ao uso do cateter de curta permanência para hemodiálise. No primeiro caso, houve inserção inadvertida da cânula na artéria subclávia esquerda e consequente trombose arterial, que foi conduzida conservadoramente, documentando-se uma boa perfusão colateral com ecografia vascular. O segundo caso ilustra o achado incidental de uma trombose venosa séptica central em paciente que havia feito uso do cateter por uma semana, optando-se por tratá-la com antibioticoterapia, anticoagulação plena e controle ecográfico. Em ambos os casos, a intervenção cirúrgica seria de alto risco devido ao prognóstico reservado dos doentes. A ultrassonografia vascular permitiu o monitoramento das situações clínicas e o emprego de terapêutica menos agressiva.

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Catheter-related Bloodstream Infections: Do We Know All of It?

Cited by 4 publications

References 14 publications

Incidence Rate, Pathogens and Economic Burden of Catheter-Related Bloodstream Infection: A Single-Center, Retrospective Case-Control Study

Incidence Rate, Pathogens and Economic Burden of Catheter-Related Bloodstream Infection: A Single-Center, Retrospective Case-Control Study

‘Pinholes in my arms’: the vicious cycle of vascular access

O papel da ecografia vascular no manejo das complicações associadas ao acesso venoso central para hemodiálise em pacientes oncológicos: relato de dois casos e revisão da literatura

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