Impact of transitioning to antibiotic-impregnated PICCs on blood stream infection rate at a large tertiary institution

2013 ◽  
Vol 24 (4) ◽  
pp. S24 ◽  
Author(s):  
J.J. Stenz ◽  
S. Schwartz ◽  
D.L. Croteau ◽  
T. Campbell
Keyword(s):  
Infection Rate ◽  
Blood Stream Infection ◽  
Blood Stream ◽  
Tertiary Institution

A survey of 554 peripheral intravenous catheters: infection, duration of cannulation and documentation issues

2003 ◽  
Vol 4 (4) ◽  
pp. 21-25 ◽  
Author(s):  
E Creamer ◽  
G McCarthy ◽  
I Tighe ◽  
E Smyth
Keyword(s):  
Infection Rate ◽  
Blood Stream Infection ◽  
Quality Care ◽  
Blood Stream ◽  
Site Infection ◽  
Cannulation Site ◽  
Standard Documentation ◽  
General Wards ◽  
Intravenous Catheters ◽  
Documentation Form

The purpose of this survey was to improve nursing care of patients with peripheral intravenous catheters (PVCs), focusing on duration of cannulation. The survey was conducted in 20 general wards recording data on the duration of cannulation, site-infection, dating of PVC dressing and documentation in nursing notes. Nursing staff were interviewed on duration of the PVC and a documentation form was introduced during the survey. A total of 554 PVCs in 397 patients were surveyed. Duration of cannulation ranged from one to ten days, with 402 (73%) of PVCs removed by day three. The site-infection rate was 28 (5%) with no cases of blood stream infection. Most site infection (20 of 28 (71%)) occurred within the first three days. The duration of cannulation, from interview, was known by nurses in 416 (75%) of cases and documented in 208 (40%) of cases. Eighteen months after its introduction, the PVC documentation form was in use in 19 of 20 wards for 60 (76%) PVCs. While the infection rate was low and nurses were generally aware of the duration of cannulation, inadequate documentation by nursing and medical staff was a cause for concern. Information on PVCs should be included in standard documentation on all wards and in relevant departments to assist nurses and others in the provision of quality care to patients.

Inpatient Peripherally Inserted Central Venous Catheter Complications: Should Peripherally Inserted Central Catheter Lines be Placed in the Intensive Care Unit Setting?

2017 ◽  
Vol 83 (8) ◽  
pp. 925-927 ◽  
Author(s):  
Michael Martyak ◽  
Ishraq Kabir ◽  
Rebecca Britt
Keyword(s):  
Intensive Care Unit ◽  
Interventional Radiology ◽  
Intensive Care ◽  
Infection Rate ◽  
Blood Stream Infection ◽  
Blood Stream ◽  
Central Line ◽  
Complication Rates ◽  
Central Venous ◽  
Icu Patients

Peripherally inserted central venous catheters (PICCs) are now commonly used for central access in the intensive care unit (ICU) setting; however, there is a paucity of data evaluating the complication rates associated with these lines. We performed a retrospective review of all PICCs placed in the inpatient setting at our institution during a 1-year period from January 2013 to December 2013. These were divided into two groups: those placed at the bedside in the ICU and those placed by interventional radiology in non-ICU patients. Data regarding infectious and thrombotic complications were collected and evaluated. During the study period, 1209 PICC line placements met inclusion criteria and were evaluated; 1038 were placed by interventional radiology in non-ICU patients, and 171 were placed at the bedside in ICU patients. The combined thrombotic and central line associated blood stream infection rate was 6.17 per cent in the non-ICU group and 10.53 per cent in the ICU group (P = 0.035). The thrombotic complication rate was 5.88 per cent in the non-ICU group and 7.60 per cent in the ICU group (P = 0.38), whereas the central line associated blood stream infection rate was 0.29 per cent in the non-ICU group and 2.92 per cent in the ICU group (P = 0.002). This study seems to suggest that PICC lines placed at the bedside in the ICU setting are associated with higher complication rates, in particular infectious complications, than those placed by interventional radiology in non-ICU patients. The routine placement of PICC lines in the ICU settings needs to be reevaluated given these findings.

Tunneled hemodialysis catheter care practices and blood stream infection rate in children: results from the SCOPE collaborative

2019 ◽  
Vol 35 (1) ◽  
pp. 135-143
Author(s):  
Olivera Marsenic ◽  
◽  
Jonathan Rodean ◽  
Troy Richardson ◽  
Sarah Swartz ◽  
...  
Keyword(s):  
Infection Rate ◽  
Blood Stream Infection ◽  
Blood Stream ◽  
Hemodialysis Catheter ◽  
Care Practices ◽  
Catheter Care

scholarly journals Long Term Trends in the Occurrence of Nosocomial Blood Stream Infection

2000 ◽  
Vol 11 (1) ◽  
pp. 29-33 ◽  
Author(s):  
Geoffrey Taylor ◽  
Maureen Buchanan-Chell ◽  
Teresa Kirkland ◽  
Margaret McKenzie ◽  
Rhoda Wiens
Keyword(s):  
Infection Rate ◽  
Blood Stream Infection ◽  
Blood Stream ◽  
Common Source ◽  
Coagulase Negative Staphylococci ◽  
University Of Alberta ◽  
Secondary Sources ◽  
Control And Prevention ◽  
Long Term Trends ◽  
The University

OBJECTIVE: To determine trends in the occurrence of nosocomial blood stream infection at the University of Alberta Hospital.METHODS: A prospective survey of nosocomial blood stream infection was conducted; cases from August 1986 to December 1996 were reviewed. Cases were detected by a review of positive blood cultures reported by the microbiology laboratory. Centers for Disease Control and Prevention definitions of nosocomial infection were used to categorize isolates as nosocomial, community acquired or contaminant.RESULTS: There were 2389 cases; primary bacteremia was the most common source (57%), followed by urinary tract, respiratory tract and surgical site sources (10% each). The nosocomial blood steam infection rate rose progressively from 6.0/1000 admissions and 4.59/10,000 patient days in 1986 to 11.2/1000 admissions and 14.31/10,000 days in 1996 (P<0.01); 48% of the total increase in rate occurred between 1995 and 1996. Significant increases occurred between 1986 and 1996 in primary infections (from 3.2 to 7.5/1000 admissions, P<0.01) and infections from all secondary sources (from 2.5 to 3.8/1000 admissions, P=0.01). Coagulase-negative staphylococci (27%),Staphylococcus aureus(19%) and enterococci (9%) were the most common microbial causes. Aerobic Gram-negative bacilli accounted for 28% and candida for 6%. Coagulase-negative staphylococci, enterococci and candida all became more prevalent as causes of infection over the study period.CONCLUSIONS: The nosocomial blood stream infection rate in the hospital has nearly doubled in the past 10 years, largely due to increased primary bacteremia.

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