Risk factors for central venous catheter‐related infections in a neonatal population – systematic review

Rosado, Viviane; Camargos, Paulo Augusto Moreira; Anchieta, Lêni Márcia; Bouzada, Maria Cândida Ferrarez; Oliveira, Gabriela Mafra de; Clemente, Wanessa Trindade; Romanelli, Roberta Maia de Castro

doi:10.1016/j.jpedp.2017.09.007

Cited by 9 publications

(11 citation statements)

References 38 publications

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“…A recent systematic review of risk factors for CLABSI by Rosado et al found that duration of days of central line was a significant risk for CLABSI. 11 However, in our study we could not find a significant correlation with the number of central line days. This could be explained by the fact that our study was conducted during the sustenance phase of an infection control QI, meaning that the CLABSI insertion and maintenance care bundles were being meticulously followed.…”

Section: Discussioncontrasting

confidence: 86%

Feeding Practices, Lines, and Hospital-Acquired Infection during the Sustenance Phase of Infection Control Quality Improvement

Balachander

2020

Journal of Pediatric Infectious Diseases

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Objectives Nosocomial infections are a significant threat to the survival and neurodevelopment of neonates .The present study attempts to correlate enteral feeding practices as measured by nil per oral (NPO days) with bloodstream infection (BSI) rates and central line-associated bloodstream infection (CLABSI) over a period of 2 years and 3 months. Methods This was a prospective observational study done in a tertiary level neonatal intensive care unit (NICU). Data were recorded on the presence of central lines or peripheral intravenous (IV) lines, receipt of intravenous fluids (IVF), total parenteral nutrition (TPN) or IV antibiotics, and mechanical ventilation status. BSI and CLABSI, regarded as sentinel events, were recorded and root cause analysis done. Results A total of 3,448 infants constituting 17,846 patient days with mean gestational age and birth weight of 34.3 ± 3 weeks and 1,868 ± 434 g, respectively were studied. NPO per 1,000 days shows a significant positive correlation with BSI (ρ = 0.513; p = 0.004), CLABSI (ρ = 0.425; p = 0.021), antibiotic days (ρ = 0.7; p < 0.000), IV fluid days (ρ = 0.459; p = 0.014), and central line days (ρ = 0.634; p < 0.001). The IV fluid days showed correlation with BSI (ρ = 0.4, p ≤ 0.03) and CLABSI (ρ = 0.43, p = 0.02). Conclusion BSI in NICU correlates with higher NPO and IV fluid days. Strengthening of enteral feeding practices reduces health care-associated infections.

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Section: Discussioncontrasting

confidence: 86%

Feeding Practices, Lines, and Hospital-Acquired Infection during the Sustenance Phase of Infection Control Quality Improvement

Balachander

2020

Journal of Pediatric Infectious Diseases

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“…Therefore, NICU staffs have attempted to reduce infection rates by using insertion and maintenance protocols to prevent CRBSI I. 1,2 This study aimed to determine the current incidence of CRBSI of our level III NICU, characterized the microbial profile, and then compare the results with other published reports and with a previous similar study performed in our NICU in 2011.…”

Section: Introductionmentioning

confidence: 99%

“…Monitoring infection rates is increasingly regarded as an important contributor to safe and high-quality health care. 2 Very low birth weight (VLBW) infants (birth weight < 1500 g) are vulnerable to infections because of their immature immune systems, frequent contact with hospital personnel, and invasive procedures. CRBSI are the most common type of nosocomial infections in this population.…”

Section: Introductionmentioning

confidence: 99%

Infeção Nosocomial Relacionada com Cateteres Centrais em Unidade de Cuidados Intensivos Neonatais: Estudo Prospetivo

Maximiano

Cunha

Silva

et al. 2021

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INTRODUÇÃO: Os acessos intravasculares são indispensáveis nas unidades de cuidados intensivos neonatais (UCIN) nível III. A monitorização das taxas de infeção é considerada um importante indicador dos cuidados de saúde. O objetivo deste estudoé determinar a incidência atual de infeção associada ao uso de cateter central (CC), comparar os resultados com outras publicações e com um estudo prévio realizado na nossa unidade em 2011.MÉTODOS: Estudo prospetivo realizado de janeiro de 2017 a dezembro de 2019 na UCIN do Hospital de Braga. Incluídos todos os recém-nascidos (RN) com CC colocado na nossa unidade. O diagnóstico microbiológico foi efetuado através de colheita de hemocultura e cultura da ponta do CC.RESULTADOS: Foram colocados 404 CC no total, 138 cateteres umbilicais (CU) e 266 cateteres de inserção percutânea (CIP). A idade gestacional média dos RN foi 30,4 semanas (DP±3,89s), o peso ao nascer médio 1380,03 g (DP±742,68 g), com 76,03% de RN com muito baixo peso. O tempo de permanência médio dos CC foi 11,51 dias (DP±11,08 d). Obtivemos95 culturas positivas da ponta do CC, 25 (26,32%) de CU e 70 (73,68%) de CIP. De 41 hemoculturas colhidas, 9 foram positivas (21,95%), 2 de RN com CU e 7 de RN com CIP. Os Staphylococcus coagulase-negativos foram os micro-organismos mais frequentemente identificados. A taxa de infeção associada ao uso de CC foi 0,5%. A densidade de incidência de contaminação de CC foi 20,43/1000 dias de CC.DISCUSSÃO: Comparativamente ao estudo de 2011, verifica-se uma melhoria significativa na taxa de infeção associada ao uso de CC. A taxa de infeção e os agentes patogénicos identificados são semelhantes aos de outros estudos publicados.

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“…Several risk factors are associated with neonatal sepsis, including low birth weight, prematurity, and use of invasive devices, especially central venous catheters (CVCs). 1,2 The definitive diagnosis of catheter-related bloodstream infection (CRBSI) requires proof that the CVC is the focus of infection. Therefore, the microorganism identified in the peripheral blood culture must be also present in the catheter culture, that is, in blood samples drawn from the catheter or from the CVC tip when the device is removed.…”

mentioning

confidence: 99%

Clinical usefulness of catheter-drawn blood samples and catheter-tip cultures for the diagnosis of catheter-related bloodstream infections in neonates

Ferreira

Camargos

Rosado

et al. 2020

Infect. Control Hosp. Epidemiol.

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Risk factors for central venous catheter‐related infections in a neonatal population – systematic review

Cited by 9 publications

References 38 publications

Feeding Practices, Lines, and Hospital-Acquired Infection during the Sustenance Phase of Infection Control Quality Improvement

Feeding Practices, Lines, and Hospital-Acquired Infection during the Sustenance Phase of Infection Control Quality Improvement

Infeção Nosocomial Relacionada com Cateteres Centrais em Unidade de Cuidados Intensivos Neonatais: Estudo Prospetivo

Clinical usefulness of catheter-drawn blood samples and catheter-tip cultures for the diagnosis of catheter-related bloodstream infections in neonates

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