Catheter-related infections : A Scandinavian observational study on the impact of a simple hygiene insertion bundle
Thorarinsdottir, Hulda LU ; Rockholt, Mika LU ; Klarin, Bengt LU ; Broman, Marcus LU ; Fraenkel, Carl-Johan LU and Kander, Thomas LU
(2020)
In Acta Anaesthesiologica Scandinavica
64(2).
p.224-231
- Abstract
BACKGROUND: Catheter-related infections (CRIs) and catheter-related bloodstream infections (CRBSIs) are among the most frequent hospital acquired infections. CRI/CRBSI studies in Scandinavian cohorts are scarce. The primary aim of this study was to investigate the CRI/CRBSI incidence and the association between potential risk factors, including the introduction of a simple hygiene insertion bundle and CRIs at a large university hospital in Sweden.
METHODS: We retrospectively included all patients aged 12 and above who received a central venous catheter (CVC) or a central dialysis catheter during a two-year period, one year before and one year after the implementation of a simple hygiene insertion bundle. Microbiological data,... (More)
BACKGROUND: Catheter-related infections (CRIs) and catheter-related bloodstream infections (CRBSIs) are among the most frequent hospital acquired infections. CRI/CRBSI studies in Scandinavian cohorts are scarce. The primary aim of this study was to investigate the CRI/CRBSI incidence and the association between potential risk factors, including the introduction of a simple hygiene insertion bundle and CRIs at a large university hospital in Sweden.
METHODS: We retrospectively included all patients aged 12 and above who received a central venous catheter (CVC) or a central dialysis catheter during a two-year period, one year before and one year after the implementation of a simple hygiene insertion bundle. Microbiological data, including catheter tip cultures and blood cultures, were merged with CVC insertion data.
RESULTS: A total of 1,722 catheter insertions in 1,428 patients were included. CRI and CRBSI incidence were 1.86/1,000 and 0.62/1,000 catheter days, respectively. In a multivariable regression model, the implementation of a simple hygiene insertion bundle was the independent factor most strongly associated with significantly lower CRI-incidence (95% Confidence Interval (CI) of Odds Ratio (OR) 0.23 - 0.92, p = 0.029). Choosing multiple lumen catheters was associated with increasing CRI-incidence (95% CI of OR 1.11-2.39, p = 0.013).
CONCLUSION: The incidence of catheter-related infections and catheter-related bloodstream infections in this Scandinavian cohort was low. The implementation of a simple hygiene insertion bundle seems to be an effective intervention for reducing catheter-related infections. The use of multiple-lumen catheters is associated with increased risk of catheter-related infections.
(Less)
- author
- Thorarinsdottir, Hulda
LU
; Rockholt, Mika
LU
; Klarin, Bengt
LU
; Broman, Marcus
LU
; Fraenkel, Carl-Johan
LU
and Kander, Thomas
LU
- organization
-
- Clinical Research in Anaesthesia and Intensive Care Medicine (research group)
- Health care related infections in seriously and critically ill patients (research group)
- Anesthesiology and Intensive Care
- Anaesthesiology and Intensive Care Medicine (research group)
- Infection Medicine (BMC)
- Clinical Microbiology, Malmö (research group)
- publishing date
- 2020
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Acta Anaesthesiologica Scandinavica
- volume
- 64
- issue
- 2
- pages
- 224 - 231
- publisher
- Wiley-Blackwell
- external identifiers
-
- scopus:85074361370
- pmid:31523802
- ISSN
- 0001-5172
- DOI
- 10.1111/aas.13477
- language
- English
- LU publication?
- yes
- id
- 3ad8efab-cf40-4feb-a485-d30fb1e2a405
- date added to LUP
- 2019-09-21 13:35:08
- date last changed
- 2021-04-06 02:25:16
@article{3ad8efab-cf40-4feb-a485-d30fb1e2a405,
abstract = {<p>BACKGROUND: Catheter-related infections (CRIs) and catheter-related bloodstream infections (CRBSIs) are among the most frequent hospital acquired infections. CRI/CRBSI studies in Scandinavian cohorts are scarce. The primary aim of this study was to investigate the CRI/CRBSI incidence and the association between potential risk factors, including the introduction of a simple hygiene insertion bundle and CRIs at a large university hospital in Sweden.</p><p>METHODS: We retrospectively included all patients aged 12 and above who received a central venous catheter (CVC) or a central dialysis catheter during a two-year period, one year before and one year after the implementation of a simple hygiene insertion bundle. Microbiological data, including catheter tip cultures and blood cultures, were merged with CVC insertion data.</p><p>RESULTS: A total of 1,722 catheter insertions in 1,428 patients were included. CRI and CRBSI incidence were 1.86/1,000 and 0.62/1,000 catheter days, respectively. In a multivariable regression model, the implementation of a simple hygiene insertion bundle was the independent factor most strongly associated with significantly lower CRI-incidence (95% Confidence Interval (CI) of Odds Ratio (OR) 0.23 - 0.92, p = 0.029). Choosing multiple lumen catheters was associated with increasing CRI-incidence (95% CI of OR 1.11-2.39, p = 0.013).</p><p>CONCLUSION: The incidence of catheter-related infections and catheter-related bloodstream infections in this Scandinavian cohort was low. The implementation of a simple hygiene insertion bundle seems to be an effective intervention for reducing catheter-related infections. The use of multiple-lumen catheters is associated with increased risk of catheter-related infections.</p>},
author = {Thorarinsdottir, Hulda and Rockholt, Mika and Klarin, Bengt and Broman, Marcus and Fraenkel, Carl-Johan and Kander, Thomas},
issn = {0001-5172},
language = {eng},
number = {2},
pages = {224--231},
publisher = {Wiley-Blackwell},
series = {Acta Anaesthesiologica Scandinavica},
title = {Catheter-related infections : A Scandinavian observational study on the impact of a simple hygiene insertion bundle},
url = {http://dx.doi.org/10.1111/aas.13477},
doi = {10.1111/aas.13477},
volume = {64},
year = {2020},
}