Clinical epidemiology and outcomes of peripheral venous catheter-related bloodstream infections at a university-affiliated hospital

Pujol, Miquel; Hornero, Ana; Saballs, M.; Argerich, M.J.; Verdaguer, Ricard; Cisnal, M.; Peña, Carmen; Ariza, Javier; Gudiol, Francesc

doi:10.1016/j.jhin.2007.06.017

Cited by 163 publications

(119 citation statements)

References 22 publications

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“…[3][4][5][6] In our department, the incidence of CRBSI in surgical patients from 2004 to 2010 was 0.6% (40 of 6620), virtually the same as reported, and among these cases, gastrectomy patients were the prevalent group, comprising 47.5% (19 of 40). Although some term of intravenous infusion is necessary after gastrectomy until oral intake is sufficient, unnecessary injection therapy should be avoided to reduce the incidence of CRBSI.…”

Section: Discussionsupporting

confidence: 81%

“…5 However, the fact that no cases of CRBSI occurred within a 6-day period in our research indicates that such instances represent special cases, such as severe diabetes mellitus. On this basis, we see no present need at our facility for a greater shortening of intravenous infusion to control CRBSI.…”

Section: Discussioncontrasting

confidence: 50%

“…7 The number of days of intravenous infusion before occurrence of CRBSI differs depending on the place of insertion (longer durations for hospital wards than emergency departments) and type of catheter (longer duration for central venous catheters than peripheral venous catheters), but the reported mean is 3.7 to 15.4 days. 4,5 In this study, all catheters were inserted in a hospital ward or operating room, and the mean period from insertion to CRBSI was 15.3 days; however, the shortest duration was 7 days. This finding suggested that no CRBSI at all would have occurred if intravenous infusion had been completed within 6 days.…”

Section: Discussionmentioning

confidence: 92%

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Effect of Shorter Term of Intravenous Infusion for Reduction of Catheter-Related Bloodstream Infection After Gastrectomy

Kawamura

Tanioka

Kuji

et al. 2013

International Surgery

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After gastrectomy, a longer period of intravenous alimentation is required than for other digestive surgeries, portending a higher risk of catheter-related bloodstream infection (CRBSI). From assessment of CRBSI occurring between 2004 and 2007 (preintervention group), the duration of intravenous infusion between 2008 and 2010 (postintervention group) was changed to shorter-term (6-day) infusion. To verify the effect of changes in injection schedule on the incidence of CRBSI, the occurrence of CRBSI was studied comparatively among preintervention and postintervention cases, excluding cases requiring intravenous infusion preoperatively, and cases requiring long-term intravenous infusion postoperatively due to postoperative complications. The rate of CRBSI in the postintervention group (0%; 0 of 298) was significantly lower than that in the preintervention group (1.7%; 8 of 477; P ¼ 0.026). There was no significant difference between preintervention and postintervention groups in postoperative complications. Six-day infusion decreased the incidence of CRBSI after gastrectomy significantly, without increasing postoperative complications.

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Section: Discussionsupporting

confidence: 81%

Section: Discussioncontrasting

confidence: 50%

Section: Discussionmentioning

confidence: 92%

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Effect of Shorter Term of Intravenous Infusion for Reduction of Catheter-Related Bloodstream Infection After Gastrectomy

Kawamura

Tanioka

Kuji

et al. 2013

International Surgery

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“…Recently several authors [11][12][13] have warned about an increase in the number of infections and bacteremias caused by PVC. These were associated with significant morbidity, mortality and complication rates.…”

mentioning

confidence: 99%

“…PVCs have also been recognized as a source of Staphylococcus aureus bacteremia in 12-50% of all CRBSI [11,15]. They are the cause of considerable morbidity and mortality, prolonged hospital stays and an increased cost [16,17] of up to € 3,700 per episode [2].…”

mentioning

confidence: 99%

COSMOS Study Microbiological Results: Bacterial Colonization and Infection of Long-Term Peripheral Catheters

Strauss¹

2014

Clin Microbial

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BackgroundAs the use of intravenous devices (IVD) has risen so have the number of serious complications, mainly infectious, associated with its use. In fact, IVD are currently the most important independent cause of nosocomial infection in the health care sector [1,2]. Catheter-related infections (CRI) are the leading cause of primary septicemia with a high prevalence leading to increased hospital stays and costs. Furthermore they carry a 3% mortality [3]. Catheter-related infection in peripheral cathetersSpanish data from the program of surveillance of infections in AbstractBackground: Peripheral venous catheters (PVC) have a lower risk of the infection than central venous catheters (CVC), however, their high frequency of use makes PVC a major problem.

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Comparison of Routine Replacement With Clinically Indicated Replacement of Peripheral Intravenous Catheters

et al. 2021

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IMPORTANCE Peripheral intravenous catheters (PVCs) are the most frequently used indwelling devices in hospitals worldwide. Peripheral intravenous catheter bloodstream infections (PVC-BSIs) are rare, but severe and preventable, adverse events. OBJECTIVE To investigate the incidence of PVC-BSIs after changing the policy of routine PVC replacement every 96 hours to clinically indicated replacement. DESIGN, SETTING, AND PARTICIPANTSThis institution-wide, observational cohort study evaluated all patients hospitalized at a large university-affiliated hospital with 10 sites in

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Clinical epidemiology and outcomes of peripheral venous catheter-related bloodstream infections at a university-affiliated hospital

Cited by 163 publications

References 22 publications

Effect of Shorter Term of Intravenous Infusion for Reduction of Catheter-Related Bloodstream Infection After Gastrectomy

Effect of Shorter Term of Intravenous Infusion for Reduction of Catheter-Related Bloodstream Infection After Gastrectomy

COSMOS Study Microbiological Results: Bacterial Colonization and Infection of Long-Term Peripheral Catheters

Comparison of Routine Replacement With Clinically Indicated Replacement of Peripheral Intravenous Catheters

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