Risk factors for central venous catheter–related bloodstream infections after gastrointestinal surgery

Wu, Shuchao; Ren, Shuhua; Zhao, Haoyu; Jin, Huicheng; Xv, Lihui; Qian, Shenxian; Wang, Shuying

doi:10.1016/j.ajic.2017.01.007

Cited by 15 publications

(22 citation statements)

References 5 publications

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“…Of interest, a single-center study from southwestern China also showed that male gender was independently associated with carbapenem-heteroresistant E. coli infection [29], which contradicts what has been demonstrated before that 60 % of E. coli bacteremia occur in females [30]. Further, another recent study from China also revealed male gender as an independent risk factor for catheter-related BSI [31]. Historically, the influence of sexual dimorphism in bacterial infection was underappreciated.…”

Section: Discussionmentioning

confidence: 99%

Prospective multi-center evaluation on risk factors, clinical characteristics and outcomes due to carbapenem resistance in Acinetobacter baumannii complex bacteraemia: experience from the Chinese Antimicrobial Resistance Surveillance of Nosocomial Infections (CARES) Network

Liu

Wang

Zhao

et al. 2020

Journal of Medical Microbiology

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Introduction. Increasing evidence demonstrates unfavourable outcomes in bloodstream infections (BSI) due to the carbapenemresistant Acinetobacter baumannii complex (CRAB).Aim. To investigate the differences in risk factors, clinical characteristics and outcomes in patients with A. baumannii complex BSI stratified by carbapenem resistance, a prospective multi-center study was conducted.Methodology. Information was collected in a predefined form. A total of 317 cases was included for comparison between CRAB BSI vs. carbapenem-susceptible A. baumannii complex (CSAB) BSI. Among these cases, 229 cases were defined as CRAB BSI and 88 cases as CSAB BSI.Results. Univariable analysis showed that male gender, underlying neurologic disease, prior carbapenems exposure, intensive care unit (ICU) stay, presence of central venous catheter, endotracheal intubation, tracheotomy, Foley catheter, nasogastric intubation, lower respiratory tract infections and catheter-related infections were more prevalent in CRAB BSI. Only male gender, prior carbapenems exposure and presence of endotracheal intubation persisted as independent risk factors for acquiring CRAB BSI. Patients with CRAB BSI displayed unfavourable outcomes characterized by failure of pathogen clearance, continuous fever, disease aggravation and higher incidence of 30-day all-cause mortality. Multivariate analysis demonstrated carbapenem resistance as an independent risk factor for 30-day all-cause mortality.Conclusion. Our findings reveal the epidemiological differences between CRAB BSI and CSAB BSI in a Chinese cohort. Our data suggest that carbapenem resistance has a significant impact on mortality for patients with A. baumannii complex BSI, further strengthening the importance of active prevention and control strategies for the spread of CRAB in Chinese hospitals.

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Section: Discussionmentioning

confidence: 99%

Prospective multi-center evaluation on risk factors, clinical characteristics and outcomes due to carbapenem resistance in Acinetobacter baumannii complex bacteraemia: experience from the Chinese Antimicrobial Resistance Surveillance of Nosocomial Infections (CARES) Network

Liu

Wang

Zhao

et al. 2020

Journal of Medical Microbiology

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“…Emergency surgery, already described in the adult population, can be associated with an increased risk of CLABSI, likely caused by rapid but incompletely sterile CVC insertion. 5 The study has several limitations. It was performed in a single center, and only clinical CLABSIs were observed.…”

Section: Discussionmentioning

confidence: 98%

Nontunneled central venous catheter bloodstream infections in pediatric surgery

Denina

Curetti

Garazzino

et al. 2019

Infect. Control Hosp. Epidemiol.

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To the Editor-In most cases, pediatric patients that have undergone invasive surgery need a central venous line to allow nutritional and therapeutic support before, during, and/or after the procedure. Central-line-associated bloodstream infections (CLABSIs) are one of the most dangerous complications of central venous catheter (CVC) placement; they contribute significantly to morbidity and mortality, and they are risk factors for increased hospital costs and length of stay. 1 Even so, only a few studies in the literature have addressed the incidence and risk factors for CLABSIs in pediatric surgical patients.

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“…The central venous catheters can produce an infection by three routes, intraluminal, extraluminal and bloodstream. The incidence in patients submitted to gastrointestinal surgical procedures is 5.6 for every 1000 days/catheter [18,1].…”

Section: Discussionmentioning

confidence: 99%

“…The use of a covered antibiotic catheter reduces the bloodstream infections in a significant way [3,18]. The catheter covered with chlorine and silver sulfadiazine only diminish the risk of infection in the first 48 hours after installation [29].…”

Section: Discussionmentioning

confidence: 99%

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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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Risk factors for central venous catheter–related bloodstream infections after gastrointestinal surgery

Cited by 15 publications

References 5 publications

Prospective multi-center evaluation on risk factors, clinical characteristics and outcomes due to carbapenem resistance in Acinetobacter baumannii complex bacteraemia: experience from the Chinese Antimicrobial Resistance Surveillance of Nosocomial Infections (CARES) Network

Prospective multi-center evaluation on risk factors, clinical characteristics and outcomes due to carbapenem resistance in Acinetobacter baumannii complex bacteraemia: experience from the Chinese Antimicrobial Resistance Surveillance of Nosocomial Infections (CARES) Network

Nontunneled central venous catheter bloodstream infections in pediatric surgery

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

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