Use of an Estimation Method to Derive an Appropriate Denominator to Calculate Central Venous Catheter-Associated Bloodstream Infection Rates

1998 ◽  
Vol 19 (1) ◽  
pp. 28-31 ◽  
Author(s):  
Susan Temporado Cookson ◽  
Melanie Ihrig ◽  
Edward M. O'Mara ◽  
Alan I. Hartstein ◽  
William R. Jarvis
Keyword(s):  
Central Venous Catheter ◽  
Bloodstream Infection ◽  
Estimation Method ◽  
Venous Catheter ◽  
Infection Rates ◽  
Central Venous

Use of an Estimation Method to Derive an Appropriate Denominator to Calculate Central Venous Catheter-Associated Bloodstream Infection Rates

1998 ◽  
Vol 19 (1) ◽  
pp. 28-31 ◽  
Author(s):  
Susan Temporado Cookson ◽  
Melanie Ihrig ◽  
Edward M. O'Mara ◽  
Alan I. Hartstein ◽  
William R. Jarvis
Keyword(s):  
Central Venous Catheter ◽  
Bloodstream Infection ◽  
Estimation Method ◽  
Venous Catheter ◽  
Infection Rates ◽  
Central Venous

scholarly journals Influence of insertion site on central venous catheter colonization and bloodstream infection rates

2008 ◽  
Vol 34 (6) ◽  
pp. 1038-1045 ◽  
Author(s):  
John R. Gowardman ◽  
Iain K. Robertson ◽  
Scott Parkes ◽  
Claire M. Rickard
Keyword(s):  
Central Venous Catheter ◽  
Bloodstream Infection ◽  
Insertion Site ◽  
Venous Catheter ◽  
Infection Rates ◽  
Catheter Colonization ◽  
Central Venous

scholarly journals Targeting COVID-19 prevention in hemodialysis facilities is associated with a drastic reduction in central venous catheter-related infections

2020 ◽  
Author(s):  
Marco Heidempergher ◽  
Gianmarco Sabiu ◽  
Maria Antonietta Orani ◽  
Giovanni Tripepi ◽  
Maurizio Gallieni
Keyword(s):  
Central Venous Catheter ◽  
Bloodstream Infection ◽  
Bloodstream Infections ◽  
Venous Catheter ◽  
Chronic Hemodialysis ◽  
Infection Rates ◽  
Exit Site ◽  
Central Venous ◽  
Exit Site Infection ◽  
Catheter Related Bloodstream Infection

Abstract Background In hemodialysis (HD) patients, central venous catheter (CVC) related bloodstream infections are a major cause of morbidity and mortality. Hygienic precautions are a key aspect of dialysis care for infection prevention, but they are not sufficient to completely avoid the occurrence of CVC related infections. During the COVID-19 pandemic, hygienic precautions for preventing viral transmission have been markedly reinforced. We evaluated their effects on CVC-related infection rates. Methods An observational retrospective study was conducted in two hemodialysis units of the same institution treating 215 chronic hemodialysis patients, 71 of whom are currently (33%) using a CVC. In the CVC cohort, we compared data on catheter-related infection rates during the maximum spread of the COVID-19 pandemic in Italy (February to May 2020) with data from the same period of the previous year and with the whole of 2019. Results In 2019, we recorded a catheter-related bloodstream infection (CRBSI) rate of 1.19 (95% CI 0.81–1.68)/1000 days [2.07 (95% CI 1.12–3.52)/1000 days in the Feb-May 2019 period] and a tunnel and exit-site infection rate of 0.82 (95% CI 0.51–1.24)/1000 days [1.04 (95% CI 0.41–2.15)/1000 days in the Feb–May 2019 period]. Infection rates drastically decreased during the COVID-19 pandemic, with just one catheter-related bloodstream infection being recorded. Catheter-related bloodstream infection rates showed a significant reduction to 0.20 (95% CI 0.01–0.9)/1000 days (p < 0.05 and p < 0.005 compared to 2019 and to Feb-May 2019, respectively) and a non-significant reduction in tunnel and exit-site infections to 0.6 (95% CI 0.15–1.6)/1000 days. Conclusions The observed 91% reduction in catheter-related bloodstream infections compared to the same period in 2019 [IRR 0.09 (95% CI 0.002–0.64)] and the 83% reduction compared to the whole of 2019 [IRR 0.17 (95% CI 0.004–1.009)] suggest that a stricter implementation of hygienic precautions in the dialysis setting can markedly improve the problem of CVC-related infections. Graphic abstract

scholarly journals Significant decrease of central venous catheter-associated bloodstream infection rates in 38 German intensive care units

Critical Care ◽  
2008 ◽  
Vol 12 (Suppl 5) ◽  
pp. P7
Author(s):  
Sonja Hansen ◽  
Frank Schwab ◽  
Sandra Schneider ◽  
Dorit Sohr ◽  
Christine Geffers ◽  
...  
Keyword(s):  
Intensive Care ◽  
Central Venous Catheter ◽  
Bloodstream Infection ◽  
Intensive Care Units ◽  
Venous Catheter ◽  
Infection Rates ◽  
Central Venous

scholarly journals Estratégia Multidimensional na Redução de Infeção Associada a Cateter Venoso Central em Pediatria

2016 ◽  
Vol 29 (6) ◽  
pp. 373
Author(s):  
Jorge Rodrigues ◽  
Andrea Dias ◽  
Guiomar Oliveira ◽  
José Farela Neves
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Central Venous Catheter ◽  
Bloodstream Infection ◽  
Pediatric Intensive Care Unit ◽  
Pediatric Intensive Care ◽  
Venous Catheter ◽  
Central Line ◽  
Central Venous ◽  
Group 2

<p><strong>Introduction:</strong> To determine the central-line associated bloodstream infection rate after implementation of central venous catheter-care practice bundles and guidelines and to compare it with the previous central-line associated bloodstream infection rate.<br /><strong>Material and Methods:</strong> A prospective, longitudinal, observational descriptive study with an exploratory component was performed in a Pediatric Intensive Care Unit during five months. The universe was composed of every child admitted to Pediatric Intensive Care Unit who inserted a central venous catheter. A comparative study with historical controls was performed to evaluate the result of the intervention (group 1 <em>versus</em> group 2).<br /><strong>Results:</strong> Seventy five children were included, with a median age of 23 months: 22 (29.3%) newborns; 28 (37.3%) with recent surgery and 32 (43.8%) with underlying illness. A total of 105 central venous catheter were inserted, the majority a single central venous catheter (69.3%), with a mean duration of 6.8 ± 6.7 days. The most common type of central venous catheter was the short-term, non-tunneled central venous catheter (45.7%), while the subclavian and brachial flexure veins were the most frequent insertion sites (both 25.7%). There were no cases of central-line associated bloodstream infection reported during this study. Comparing with historical controls (group 1), both groups were similar regarding age, gender, department of origin and place of central venous catheter insertion. In the current study (group 2), the median length of stay was higher, while the mean duration of central venous catheter (excluding peripherally inserted central line) was similar in both groups. There were no statistical differences regarding central venous catheter caliber and number of lumens. Fewer children admitted to Pediatric Intensive Care Unit had central venous catheter inserted in group 2, with no significant difference between single or multiple central venous catheter.<br /><strong>Discussion:</strong> After multidimensional strategy implementation there was no reported central-line associated bloodstream infection<br /><strong>Conclusions:</strong> Efforts must be made to preserve the same degree of multidimensional prevention, in order to confirm the effective reduction of the central-line associated bloodstream infection rate and to allow its maintenance.</p>

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