Mortality risk factors among non-ICU patients with nosocomial vascular catheter-related bloodstream infections: a prospective cohort study

Saliba, Patrick; Hornero, Ana; Cuervo, Guillermo; Grau, Inmaculada; Jiménez, Enrique Hernández; Garcia, D; Tubau, Fé; Martínez‐Sánchez, Jose M.; Carratalà, Jordi; Pujol, Miquel

doi:10.1016/j.jhin.2017.11.002

Cited by 44 publications

(31 citation statements)

References 26 publications

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“…The use of a knowledge mobilization model could counteract this situation, including strategies to promote fidelity to recommendations, audit and feedback of compliance and health literacy of vascular access, as crucial elements of a multimodal intervention [23]. Such gap is, therefore, a significant threat to patient safety and healthcare efficiency [24,25]. To date, there have been few systematic attempts to measure the adherence to recommendations regarding optimal PIVC care and to mitigate PIVC failures in European hospitals.…”

Section: Introductionmentioning

confidence: 99%

Care of peripheral intravenous catheters in three hospitals in Spain: Mapping clinical outcomes and implementation of clinical practice guidelines

et al. 2020

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Background Peripheral intravenous catheters (PIVCs) are the most widely used invasive devices worldwide. Up to 42% of PIVCs are prematurely removed during intravenous therapy due to failure. To date, there have been few systematic attempts in European hospitals to measure adherence to recommendations to mitigate PIVC failures. Aim To analyse the clinical outcomes from clinical practice guideline recommendations for PIVC care on different hospital types and environments. Methods We conducted an observational study in three hospitals in Spain from December 2017 to April 2018. The adherence to recommendations was monitored via visual inspection in situ evaluations of all PIVCs inserted in adults admitted. Context and clinical characteristics were collected by an evaluation tool, analysing data descriptively. Results 646 PIVCs inserted in 624 patients were monitored, which only 52.7% knew about their PIVC. Regarding PIVC insertion, 3.4% (22/646) patients had at least 2 PIVCs simultaneously. The majority of PIVCs were 20G (319/646; 49.4%) and were secured with transparent polyurethane dressing (605/646; 93.7%). Most PIVCs (357/646; 55.3%) had a free insertion site during the visual inspection at first sight. We identified 342/646 (53%) transparent dressings in optimal conditions (clean, dry, and intact dressing). PIVC dressings in medical wards were much more likely to be in intact conditions than those in surgical wards (234/

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Section: Introductionmentioning

confidence: 99%

Care of peripheral intravenous catheters in three hospitals in Spain: Mapping clinical outcomes and implementation of clinical practice guidelines

et al. 2020

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“…The relative risk of bacteremia associated with the intravascular catheter and total parenteral nutrition is 2.6 times higher than the one not associated with parenteral nutrition [16], and the associated mortality is variable from 13.9 to 18.6% [17].…”

Section: Discussionmentioning

confidence: 96%

Central Lines Infection Incidence and Risk Factors in an Intensive Care Unit, a Retrospective Cohort Study

2019

ARC Journal of Surgery

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The central lines placement are associated with infectious, mechanic and thrombotic complications [2,3]. The associated infections represent serious consequences in morbidity, mortality and hospitalization cost for the patients and their families [4,5]. The objective of this study was to clarify the incidence, risk factors and more frequents pathogens for bacteremia and secondary infections associated with central lines in the medical or surgical patients in the Hospital Angeles Metropolitano in México between 2014 and 2017.

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“…Catheter-related bloodstream infections (CRBSIs) are the main indication for repeated catheter replacements and in themselves carry high morbidity and an estimated 12.5% to 25% mortality. 2,3 Infections are frequently preceded by some form of catheter dysfunction, resulting from intraluminal blockage, a fibrin sheath, catheter tip thrombus or mural thrombus. Once established, CRBSIs are not only medically challenging to manage but are also associated with a large economic burden.…”

Section: Introductionmentioning

confidence: 99%

The novel use of the Haemodialysis reliable outflow graft (HeRo^®) in intestinal failure patients with end-stage vascular access

et al. 2020

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Intestinal failure (IF) patients are dependent on central venous access to receive parenteral nutrition. Longstanding central venous catheters are associated with life-threatening complications including infections and thromboses resulting in multiple line exchanges and the development ofprogressive central venous stenosis or occlusion. The Haemodialysis Reliable Outflow (HeRO) graft is an arterio-venous device that has been successfully used in haemodialysis patients with ‘end-stage vascular access’. We describe a case series of HeRO graft use in patients with IF and end-stage vascular access. Four HeRO grafts were inserted into IF patients with end-stage vascular access to facilitate or support intestinal transplantation. In all patients the HeRO facilitated immediate vascular access, supporting different combinations of parenteral nutrition, intravenous medications, fluids or renal replacement therapy with no bloodstream infections. In a highly complex group of IF patients with central venous stenosis/occlusion limiting conventional venous access or at risk of life-threatening catheter-related complications, a HeRO® graft can be a feasible alternative.

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Mortality risk factors among non-ICU patients with nosocomial vascular catheter-related bloodstream infections: a prospective cohort study

Cited by 44 publications

References 26 publications

Care of peripheral intravenous catheters in three hospitals in Spain: Mapping clinical outcomes and implementation of clinical practice guidelines

Care of peripheral intravenous catheters in three hospitals in Spain: Mapping clinical outcomes and implementation of clinical practice guidelines

Central Lines Infection Incidence and Risk Factors in an Intensive Care Unit, a Retrospective Cohort Study

The novel use of the Haemodialysis reliable outflow graft (HeRo^®) in intestinal failure patients with end-stage vascular access

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Mortality risk factors among non-ICU patients with nosocomial vascular catheter-related bloodstream infections: a prospective cohort study

Cited by 44 publications

References 26 publications

Care of peripheral intravenous catheters in three hospitals in Spain: Mapping clinical outcomes and implementation of clinical practice guidelines

Care of peripheral intravenous catheters in three hospitals in Spain: Mapping clinical outcomes and implementation of clinical practice guidelines

Central Lines Infection Incidence and Risk Factors in an Intensive Care Unit, a Retrospective Cohort Study

The novel use of the Haemodialysis reliable outflow graft (HeRo®) in intestinal failure patients with end-stage vascular access

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The novel use of the Haemodialysis reliable outflow graft (HeRo^®) in intestinal failure patients with end-stage vascular access