Toward a Change Among the Epidemiology of Catheter-Related Bloodstream Infections in Catalonia
| العنوان: | Toward a Change Among the Epidemiology of Catheter-Related Bloodstream Infections in Catalonia |
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| المؤلفون: | Oriol Gasch, Marta Andrés, Jordi Camara, L’Hospitalet de Llobregat, Dolors Domenech, Emili Jimenez, L'Hospitalet de Llobregat, Anna Marrón, Yolanda Meije, Virginia Pomar, Patrick Saliba, Esther Calbo |
| المصدر: | Infection Control & Hospital Epidemiology. 41:s413-s413 |
| بيانات النشر: | Cambridge University Press (CUP), 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Microbiology (medical), medicine.medical_specialty, Vascular catheter, Epidemiology, business.industry, Catheter, Infectious Diseases, Bloodstream infection, Emergency medicine, medicine, Antimicrobial stewardship, Infection control, Preventable death, business |
| الوصف: | Background: Catheter-related bloodstream infections (CRBSIs) are one of the most frequent causes of heathcare-associated infections and an important cause of preventable death. Central venous catheters (CVC) have been considered the most worrisome origin of CRBSI. Implemented preventive measures at most hospitals and published guidelines for the prevention of vascular catheter infections have focused mostly on CVCs. However, peripherally inserted venous catheters (PIVC)–related bloodstream infections have increased in recent years and are currently among the top 10 patient safety concerns for 2019. Objective: We describe the changes in the epidemiology of catheter-related bloodstream infections among acute-care hospitals reporting at the VINCat program (Infection Control and Antimicrobial Stewardship Catalan Program) from 2008 to 2018. Methods: Data on 55 hospitals in Catalonia reporting all the episodes of CRBSI diagnosed according to standardized definitions during 2008–2018 were used for the analysis. Participating hospitals were classified into 3 groups according to size: group 1 (>500 beds), 9 hospitals; group 2 (500–200 beds), 17 hospitals; and group 3 (P ≤ .05 were considered statistically significant. Results: During the study period, 8,221 nosocomial episodes of CRBSI were diagnosed among the 55 participating hospitals. In total, 37,587,967 hospital stays were counted. The CRBSI rate was 0.22 episodes per 1,000 hospital stays (group 1, 0.28; group 2, 0.15; and group 3, 0.16), following a downward trend from 2008 to 2018 from 0.28 to 0.21 per 1,000 hospital stays (P < .005). Among them, CVC-BSI showed a downward trend (from 610 annual episodes in 2008 to 312 in 2018), and PICVC and PVC showed an upward trend (from 51 and 120 annual episodes in 2008 to 130 and 312 in 2018, respectively). Annual rates of PICVCs and PVCs showed an upward trend, but CVCs showed a downward trend in 2018 (P < .05): 0.09 per 1,000 hospital stays for PICVCs; 0.07 per 1,000 hospital stays for PVCs, and 0.04 episodes per 1,000 hospital stays for CVCs (Fig. 1). Conclusions: PIVC-related bloodstream infections have increased in recent years, whereas bloodstream infections related to CVC have followed a downward trend. Our hospitals should implement preventive measures to specially address the prevention of PICVC infections.Funding: NoneDisclosures: None |
| تدمد: | 1559-6834 0899-823X |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_________::dce848cc67ad24abf05fb0fbe8d0d9aaTest https://doi.org/10.1017/ice.2020.1068Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi...........dce848cc67ad24abf05fb0fbe8d0d9aa |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15596834 0899823X |
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