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Interventions to decrease short-term peripheral venous catheter-related bloodstream infections: impact on incidence

P Saliba1, A Hornero1, G Cuervo1

  • 1Department of Infectious Diseases, Bellvitge University Hospital, L'Hospitalet del Llobregat, Barcelona, Spain; Bellvitge Biomedical Research Institute (IDIBELL), Barcelona, Spain.

The Journal of Hospital Infection
|June 22, 2018
PubMed
Summary
This summary is machine-generated.

Implementing surveillance and preventive measures significantly reduced peripheral venous catheter-related bloodstream infections (PVCR-BSIs). This multi-modal strategy also decreased Staphylococcus aureus infections and associated mortality.

Keywords:
Bloodstream infectionCatheter-related bloodstream infectionMortalityPVCR-BSIS. aureus bloodstream infectionShort-term peripheral venous catheter

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Area of Science:

  • Infection Control
  • Patient Safety
  • Healthcare Epidemiology

Background:

  • Short-term peripheral venous catheters are a major source of healthcare-associated infections.
  • Peripheral venous catheter-related bloodstream infections (PVCR-BSIs) are a preventable cause of mortality.
  • Effective interventions are crucial to mitigate infection risks and improve patient outcomes.

Purpose of the Study:

  • To evaluate the effectiveness of interventions aimed at reducing PVCR-BSI incidence and mortality.
  • To assess the impact of a comprehensive strategy on infection rates and patient survival.
  • To analyze trends in PVCR-BSIs and associated pathogens over a 14-year period.

Main Methods:

  • A multi-modal intervention including continuous surveillance, evidence-based preventive measures, staff education, and adherence monitoring.
  • Implementation of guidelines for catheter insertion and maintenance.
  • Utilized Poisson regression to analyze annual incidence trends.

Main Results:

  • PVCR-BSIs decreased significantly from 1.17 to 0.36 episodes per 10,000 patient-days between 2003 and 2016.
  • Staphylococcus aureus-related episodes dropped from 0.70 to 0.14 per 10,000 patient-days.
  • Thirty-day mortality associated with PVCR-BSIs decreased from 0.27 to 0.00 per 10,000 patient-days, with zero cases in 2016.

Conclusions:

  • A sustained reduction in PVCR-BSIs was achieved through surveillance and a multi-modal strategy.
  • The intervention significantly lowered Staphylococcus aureus BSI rates and associated mortality.
  • Regular assessment of adherence to guidelines is key to maintaining infection control.