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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.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Acta Anaesthesiologica Scandinavica
volume
64
issue
2
pages
224 - 231
publisher
Wiley-Blackwell Publishing Ltd
external identifiers
  • pmid:31523802
  • scopus:85074361370
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
2020-01-13 02:24:48
@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 Publishing Ltd},
  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},
}