Previous peripherally inserted central catheter (PICC) placement as a risk factor for PICC-associated bloodstream infections

2020 ◽  
Vol 48 (10) ◽  
pp. 1166-1170
Author(s):  
Kwangmin Kim ◽  
Youngkyun Kim ◽  
Kyong Ran Peck
Keyword(s):  
Risk Factor ◽  
Bloodstream Infections ◽  
Peripherally Inserted Central Catheter ◽  
Central Catheter

Exploring the Risk Factors of Thrombosis and Bloodstream Infections in Peripherally Inserted Central Catheter (PICC) Patients

2019 ◽  
Vol 9 (7) ◽  
pp. 929-934 ◽  
Author(s):  
Zhiping Liu ◽  
Jiangqiong Chen ◽  
Liping Zan ◽  
Hongjie Yi ◽  
Shenglan Ding ◽  
...  
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Bloodstream Infections ◽  
General Information ◽  
Drug Prevention ◽  
Peripherally Inserted Central Catheter ◽  
Central Catheter ◽  
Stratified Care ◽  
The Difference ◽  
Medical Histories

Objective: To analyze the risk factors of thrombosis and associated bloodstream infections in patients with a peripherally inserted central catheter (PICC). Method: A total of 711 patients who received a PICC in our hospital between February and December 2018 were enrolled in this study. Clinically relevant data were collected, including general information, medical histories, laboratory examinations, etc. The 711 patients underwent risk assessments for thrombosis and bloodstream infections to statistically analyze the relevant risk factors. Result: Thirty-three of the 711 patients developed thrombosis, which is a proportion of 4.64%. In addition, ten patients developed bloodstream infections at an infection rate of 1.41%. For patients with different catheter indwelling times, the difference in the proportion of bloodstream infections was statistically significant (p < 0.05). Additionally, the analysis results showed that a difference in the vein-puncture site and the fibrinogen content is a direct risk factor for thrombosis. Moreover, PICC catheter indwelling is a risk factor for bloodstream infections. Conclusion: The nursing staff should adopt targeted and predictive graded-care interventions, including drug prevention and stratified care, to reduce catheter-related thrombosis in patients.

The Influence of an Antimicrobial Peripherally Inserted Central Catheter on Central Line-Associated Bloodstream Infections in a Hospital Environment

2014 ◽  
Vol 19 (3) ◽  
pp. 172-179 ◽  
Author(s):  
Glenell S. Rutkoff
Keyword(s):  
Infection Rate ◽  
Infection Prevention ◽  
Intervention Group ◽  
Cost Savings ◽  
Bloodstream Infections ◽  
Central Line ◽  
Hospital Environment ◽  
Peripherally Inserted Central Catheter ◽  
Central Catheter ◽  
Specific Patient

Abstract Background: Federal agencies such as the Centers for Disease Control and Prevention have mandated reduction of hospital-acquired infections and recommended the use of antimicrobial catheters in clinical settings where central line-associated bloodstream infection (CLABSI) rates have remained high. The Infusion Nurses Society also recommends antimicrobial catheters for specific patient populations. At a California hospital, evidence-based infection prevention strategies for CLABSI prevention had been in effect for several years, but the CLABSI rate remained at an unacceptable level. For this reason, the effect of an antimicrobial peripherally inserted central catheter (PICC) on the incidence of CLABSI was studied. Methods: A quasiexperimental design was used with concurrent data collection on patients in an intervention group who received an antimicrobial PICC. Retrospective data were collected for patients in a nonintervention group who received nonantimicrobial PICCs the previous year. Results: The 257 patients in the nonintervention group experienced 8 CLABSIs with an infection rate of 4.18/1,000 line days. The 260 subjects in the intervention group experienced 1 CLABSI with an infection rate of 0.47/1,000 line days. The decrease in the number of infections per 1,000 line days for the intervention group was statistically significant. Conclusions: The use of an antimicrobial PICC in conjunction with current infection prevention practices resulted in a statistically significant decrease in infection rate, which supports the recommendation for continued use of antimicrobial catheters. Treatment cost savings, which overcame the higher initial cost for the devices, were found to be an additional benefit of using antimicrobial catheters.

Impact of number of lumens in central-venous catheters on central-line bloodstream infection (CLABSI) and venous thromboembolism (VTE) risk in patients with acute leukemia

2021 ◽  
pp. 1-3
Author(s):  
Alina Varabyeva ◽  
Christabel Pui-See Lo ◽  
Adamo Brancaccio ◽  
Anthony J. Perissinotti ◽  
Twisha Patel ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Venous Thromboembolism ◽  
Acute Leukemia ◽  
Bloodstream Infections ◽  
Central Line ◽  
Central Venous Catheters ◽  
Peripherally Inserted Central Catheter ◽  
Central Catheter ◽  
Central Venous ◽  
Double Lumen

Abstract This retrospective study was conducted to determine whether the number of peripherally inserted central-catheter lumens affected the rate of central-line associated bloodstream infections (CLABSIs) in adult patients with acute leukemia. The results show that CLABSI rates were not significantly different between patients with triple-lumen or double-lumen PICCs (22.1% vs 23.4%; P = .827).

scholarly journals Analysis of Peripherally Inserted Central Catheter-Related Complications and Causes: a Retrospective Study of 2974 Children Blood Disease Patients in Single Center in China

2020 ◽  
Author(s):  
Li-Xian Chang ◽  
Yu-Wen Chen ◽  
Meng-Chuan Wang ◽  
Su-Yu Zhao ◽  
Min Wang ◽  
...  
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Insertion Site ◽  
Infectious Complications ◽  
Important Risk Factor ◽  
Large Sample Size ◽  
Peripherally Inserted Central Catheter ◽  
Central Catheter ◽  
Single Center ◽  
Blood Disease

Abstract Background: The peripherally inserted central catheter (PICC) has been widely used. However, there is still a lack of large sample size-based relevant risk factor investigation in children with blood diseases in china. Methods: We performed a retrospective, the single-center cohort study of child blood disease patients with PICC insertion. Totally, 2974 patients were enrolled for our study. Results: B-ultrasound plus Seldinger technology significantly improved the success rate of PICC insertion. The most common non-infectious complications were rash, followed by catheter blockage, mechanical phlebitis, and catheter broke. the male, 1-3 years old, Power PICC solo catheter and spring are risk factors for the rash. The power PICC solo catheter was the most important risk factor for catheter blockage. Insertion site under the elbow was the most important risk factor for phlebitis and catheter damage. Conclusion: Our finding first shed new light on the risk factors associated with PICC complications for Chinese blood disease children.

scholarly journals Catheter-related bloodstream infection associated with multiple insertions of the peripherally inserted central catheter in patients with hematological disorders

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Yoshinori Hashimoto ◽  
Rina Hosoda ◽  
Hiromi Omura ◽  
Takayuki Tanaka
Keyword(s):  
Risk Factor ◽  
Bloodstream Infection ◽  
Dwell Time ◽  
High Rate ◽  
Peripherally Inserted Central Catheter ◽  
Central Catheter ◽  
Hematological Disorders ◽  
Patient Cohort ◽  
Multiple Cycles ◽  
Catheter Related Bloodstream Infection

AbstractPatients with hematological disorders are treated with multiple cycles of chemotherapy. As a result, they often require multiple insertions of the peripherally inserted central catheter (PICC) for prolonged periods of time. Although PICCs have been widely used worldwide in various patients, the safety and feasibility of the multiple insertions of the PICC in this population have not been fully verified. We performed a retrospective analysis to clarify the relationship between complications and multiple PICC insertions in patients with hematological disorders who were treated with either chemotherapy or immunotherapy. A total of 651 PICCs were inserted in 261 patients with a median age of 66 years. Acute myeloid leukemia (AML) and non-Hodgkin's lymphoma were the most common diseases in our patient cohort. The total catheter days (CDs) was 29,485 days, with a median catheter duration of 30 days. The rate of catheter-related bloodstream infection (CRBSI) in our patient cohort at high rate of re-insertion was 2.0/1000 CDs. Although multiple PICC insertions were not a risk factor of CRBSI, our findings suggest that a prolonged catheter dwell time may be associated with CRBSI. AML was an important risk factor of CRBSI. While the PICC dwell time depends on the treatment cycle, our findings indicate that it should be limited to approximately 30 days and catheters may be removed and re-inserted as needed.

External validation of the Michigan PICC catheter–associated bloodstream infections score (MPC score) for predicting the risk of peripherally inserted central catheter–associated bloodstream infections: A single-center study in Japan

2021 ◽  
pp. 1-4
Author(s):  
Hirotaka Sakai ◽  
Mitsunaga Iwata ◽  
Teruhiko Terasawa
Keyword(s):  
External Validation ◽  
Bloodstream Infections ◽  
University Hospital ◽  
Case Mix ◽  
Peripherally Inserted Central Catheter ◽  
Medical Patients ◽  
Central Catheter ◽  
Single Center ◽  
Single Center Study ◽  
Center Study

Abstract The Michigan peripherally inserted central catheter–associated bloodstream infection score (MPC score) had been developed for hospitalized medical patients but had not been externally validated. A retrospective analysis of a clinically heterogeneous case-mix in a university hospital cohort in Japan failed to validate its originally reported good performance.

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