scholarly journals Risk factors for central venous catheter related bloodstream infection: a multicenter study of intensive care unit and haemodialysis unit

2019 ◽  
Vol 47 (1) ◽  
pp. 18-21
Author(s):  
Zeenat Afroz ◽  
Mohammad Jobayer ◽  
Md Ferdous Mian ◽  
Farook Ahamed ◽  
Mizanur Rahman ◽  
...  
Keyword(s):  
Risk Factors ◽  
Central Venous Catheter ◽  
Femoral Vein ◽  
Venous Catheter ◽  
Blood Stream ◽  
Cross Sectional Study ◽  
Central Venous ◽  
College Hospital ◽  
Cross Sectional ◽  
Factors Affecting

The clinical condition of the patient, type of central venous catheter (CVC), site and duration of CVC placement are the factors affecting the risk of infection. The aim of this study was to examine and find out the risk factors of CVC related blood stream infections (CVC-BSI). This cross sectional study was carried out in the Department of Microbiology and Immunology of Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh during the period of July 2011 to June 2012. One hundred patients who were admitted in ICU of BSMMU and ICU and haemodialysis unit of Dhaka Medical College Hospital (DMCH) having central venous catheter, were enrolled in the study. The rate of CVC-BSI was 11% and the incidence was observed to be 11.14/1000 catheter days. Both CVC-BSI and CVC colonization were higher in trilumen than in bilumen central venous catheter. CVC-BSI rate was 12.79% in trilumen whereas there was no CVC-BSI in patient with bilumen catheter. The mean duration from CVC insertion to development of CVC-BSI was 14 days, CVC colonization was 8.41 days and noninfected CVC was 6 days. CVC-BSI and CVC colonization were most common in right femoral vein where CVC-BSI was 18.52% and CVC colonization was 59.26%, whereas no CVC-BSI was found in right internal jugular vein. Risk factors for CVC-BSI included type of CVC, site of CVC placement, duration of catheterization were not found statistically significant in this study. CVC-BSI and CVC colonization were higher in trilumen catheter and rate raised with increased duration of placement and highest number of CVC-BSI and colonization was found in right femoral vein. Bangladesh Med J. 2018 Jan; 47 (1): 18-21

scholarly journals A Novel Objective Approach Towards Physicians' Knowledge and Practice Patterns to Optimize Central Venous Catheter Placement: A Cross-sectional Study

2020 ◽  
Keyword(s):  
Intensive Care ◽  
Central Venous Catheter ◽  
Venous Catheter ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Clinical Practices ◽  
Central Venous ◽  
Cross Sectional ◽  
Study Objective ◽  
Catheter Tip

Study objective: Central venous catheterization is an essential component of intensive care of critically ill patients, and proper positioning of the catheter is essential to prevent position-related complications. This study was conducted by using digital tape measurement to objectively assess clinician preferences for central venous catheter positioning based on specific position levels and landmarks on post-procedural chest radiographs. Design: A cross-sectional study using electronic questionnaire survey. Setting: Single academic teaching hospital participated in this study. Participants: The study enrolled 276 physicians from multiple clinical disciplines. Interventions: None. Measurements: A seven-level reference system labeled on a sample chest radiograph was used to identify the acceptable lower and upper limits and landmarks used to determine the optimal central venous catheter tip position as well as the pattern of clinical practices based on the specialty and level of experience of participants. Main results: Among the 276 respondents, the ratio of cumulative acceptance for the lower and upper catheter tip limit was 62% and 66.3% within a 4-cm range below or above the carina, respectively. Intensive care unit (ICU) physicians showed a greater tendency to choose a catheter tip 4 cm below and 6 cm above the carina (p = 0.004 and 0.002, respectively) as did experienced physicians (p = 0.007 and < 0.001, respectively). The commonest reason for catheter tip withdrawal was arrhythmia (50% of cases). Physicians in the ICU and experienced physicians were more concerned about the risk of cardiac perforation than other respondents (p < 0.001 and < 0.001, respectively). The carina was the most commonly used landmark in 71.7% of all physicians, although 50% of radiologists also used other landmarks. Conclusions: The acceptable limit of the catheter tip is 4 cm above and below the carina (-4 to +4), as determined on chest radiography, without a need for tip adjustment.

Central venous catheter—related blood stream infections: incidence, risk factors, outcome, and associated pathogens

2004 ◽  
Vol 18 (3) ◽  
pp. 304-308 ◽  
Author(s):  
Mandakini Pawar ◽  
Yatin Mehta ◽  
Pawan Kapoor ◽  
Jitendra Sharma ◽  
Abhinav Gupta ◽  
...  
Keyword(s):  
Risk Factors ◽  
Central Venous Catheter ◽  
Venous Catheter ◽  
Blood Stream ◽  
Central Venous ◽  
Blood Stream Infections ◽  
Incidence Risk

Patient and central venous catheter related risk factors for blood stream infections in children receiving chemotherapy

2014 ◽  
Vol 62 (3) ◽  
pp. 471-476 ◽  
Author(s):  
Joanne Yacobovich ◽  
Tal Ben-Ami ◽  
Tameemi Abdalla ◽  
Hannah Tamary ◽  
Gal Goldstein ◽  
...  
Keyword(s):  
Risk Factors ◽  
Central Venous Catheter ◽  
Venous Catheter ◽  
Blood Stream ◽  
Central Venous ◽  
Blood Stream Infections ◽  
Related Risk

scholarly journals Prevalence of central venous catheter salvage in newborn with staphylococcal bloodstream infection

2021 ◽  
Vol 74 (6) ◽  
Author(s):  
Izabela Linha Secco ◽  
Mitzy Tannia Reichembach ◽  
Higor Pacheco Pereira ◽  
Regina Paula Guimarães Vieira Cavalcante da Silva
Keyword(s):  
Blood Culture ◽  
Central Venous Catheter ◽  
Antibiotic Therapy ◽  
Bloodstream Infection ◽  
Neonatal Intensive Care ◽  
Venous Catheter ◽  
Cross Sectional Study ◽  
Central Venous ◽  
Coagulase Negative Staphylococci ◽  
Cross Sectional

ABSTRACT Objectives: to establish the prevalence of salvage of central venous catheters in newborns with bloodstream infection caused by coagulase-negative staphylococci. Methods: retrospective cross-sectional study with 136 newborns admitted to the Neonatal Intensive Care Unit between 2011 and 2017. The total of 143 infection events undergoing antibiotic therapy were evaluated. Results: among the 143 infection events, 39 catheters in which antibiotic therapy was used were saved and in 69 cases, the device was removed. Positive central blood culture and single lumen catheter were factors associated with salvage failure. The probability of salvage decreased with infections diagnosed from 15 days of using the catheter. Negative blood culture raised the chance of salvage by fourfold. Conclusions: the use of antibiotic therapy in the treatment of infections resulted in a low prevalence of salvage of the central venous catheter. The probability of salvage was associated with variables of the device.

Risk Factors of Central Venous Catheter-Related Bloodstream Infection for Continuous Renal Replacement Therapy in Kidney Intensive Care Unit Patients

2018 ◽  
Vol 48 (2) ◽  
pp. 175-182 ◽  
Author(s):  
Shuiqin Cheng ◽  
Shutian Xu ◽  
Jinzhou Guo ◽  
Qunpeng He ◽  
Aijuan Li ◽  
...  
Keyword(s):  
Risk Factors ◽  
Central Venous Catheter ◽  
Jugular Vein ◽  
Femoral Vein ◽  
Venous Catheter ◽  
Central Venous ◽  
Icu Patients ◽  
Indwelling Time ◽  
Catheter Related Bloodstream Infection ◽  
Vein Catheterization

Background: The incidence of central venous catheter-related bloodstream infection (CRBSI) for continuous renal replacement therapy (CRRT) in kidney intensive care unit (ICU) patients is worthy of particular attention and recently, we analyzed clinical characteristics and risk factors of CRBSI for CRRT in our kidney ICU patients. Methods: To be part of this retrospective study, 1,523 patients who had a central venous catheter (CVC) for CRRT during the period April 2010 to May 2015 in our centre were enrolled. The clinical features and pathogens of CRBSI patients were investigated. Patients who also had CRRT of kidney ICU hospitalization without CRBSI were enrolled in a 1: 2 ratio as control. Risk factors of the CRBSI were analyzed. Results: A total of 57 patients had central venous CRBSI. The incidence of the infection was 3.7%. The mean rate of CRBSI was 3.9 per 1,000 catheter days, and the catheter median indwelling time was 14 (7–30) days. The most common pathogens were Gram-positive bacteria, which were noted in 29 cases (50.9%), followed by Gram-negative bacteria (36.8%). The most common pathogens causing CRBSI were Staphylococcus aureus (10 cases) and sewer enterobacteriaceae (10 cases) followed by Staphylococcus epidermidis (9 cases). CVC insertion sites included internal jugular vein (33 cases) and femoral vein (24 cases), accounting for 2.9% of internal jugular vein catheterization (1,140 cases) and 6.3% of femoral vein catheterization (383 cases) respectively. In total, 16, 20, 7 and 14 cases of CRBSI were noted in Spring, Summer, Autumn and Winter, accounting for 28.1, 35.1, 12.3 and 24.6% respectively. The most common infectious manifestations were chills (68.4%), fever (100%), and septic shock (49.1%). Multivariate analysis showed that catheterization of the femoral vein, long catheter indwelling time, low CD4+ lymphocytes and high acute physiology and chronic health evaluation (APACHE) II scores were independent factors associated with CRBSI. Conclusions: The incidence of CRBSI in our kidney ICU was 3.7%. Central venous CRBSI for CRRT was associated with catheterization of the femoral vein, long catheter indwelling time, compromised immune function and high APACHE II scores. Understanding pathogens and risk factors for central venous CRBSI in kidney ICU can help doctors prevent and treat CRBSI earlier.

scholarly journals Knowledge and behavior of professionals about bundled strategies of central venous catheter

2019 ◽  
Vol 72 (1) ◽  
pp. 50-56
Author(s):  
Bruna Figueiredo Manzo ◽  
Danielle Rodrigues Mariano ◽  
Fernanda Maria Correa Ferreira ◽  
Fernanda Penido Matozinhos ◽  
Delma Aurélia da Silva Simão ◽  
...  
Keyword(s):  
Central Venous Catheter ◽  
Pediatric Intensive Care ◽  
Working Hours ◽  
Venous Catheter ◽  
Cross Sectional Study ◽  
Central Venous ◽  
Cross Sectional ◽  
Spss Software ◽  
Belo Horizonte ◽  
And Behavior

ABSTRACT Objective: To investigate the factors that influence the knowledge and behavior of professionals of neonatal and pediatric units about bundled strategies of insertion of central venous catheter. Method: This is a cross-sectional study, conducted in one neonatal and one pediatric intensive care units in a public hospital in Belo Horizonte, Brazil, from April to July, 2016. The sample consisted of 255 professionals who answered a structured instrument. Descriptive and comparative analyses were made using the SPSS software. Results: The category nursing professional (p = 0.010), working hours of 12×36 scale (p < 0.001), training as a form of acquiring knowledge (p < 0.001) and participation in training programs (p < 0.001) are associated to greater knowledge about the bundle. Regarding behavior, no significant associations were observed. Conclusion: The study showed that there are factors that influence the knowledge about bundled strategies of insertion of central venous catheter, reflecting the need to consider these practices for making more effective educational practices in health care.

scholarly journals Central venous catheter for hemodialysis: incidence of infection and risk factors

2018 ◽  
Vol 71 (3) ◽  
pp. 1115-1121 ◽  
Author(s):  
Alessandra Amaral Schwanke ◽  
Mitzy Tannia Reichembach Danski ◽  
Letícia Pontes ◽  
Solena Ziemer Kusma ◽  
Jolline Lind
Keyword(s):  
Risk Factors ◽  
Central Venous Catheter ◽  
Femoral Vein ◽  
Length Of Hospital Stay ◽  
Venous Catheter ◽  
Infection Rates ◽  
Systematic Observation ◽  
Central Venous ◽  
Final Sample ◽  
Associated Risk Factors

ABSTRACT Objective: To measure the incidence of infection in short-term central venous catheter for hemodialysis and to identify the associated risk factors. Method: Prospective cohort study conducted in a teaching hospital from September 2015 to April 2016. Patients requiring central venous catheter for hemodialysis were included and data was collected through direct and systematic observation of the catheter insertion procedure by the researchers. Results: The final sample consisted of 69 patients, who used 88 catheters. The incidence of infection was 9.1%, and the risk factors were length of hospital stay and insertion of the catheter in the left femoral vein. Conclusion: The observation of the actions performed during the insertion of the catheter made it possible to identify the risk factors associated with infection, and the research protocol may have contributed to the reduction of infection rates.

Sign in / Sign up

Export Citation Format

Share Document