Models for predicting the risk of bloodstream infections associated with peripherally inserted central venous catheters: A scoping review
Contact us if these videos are not relevant.
Contact us if these videos are not relevant.
View abstract on PubMed
Summary
This summary is machine-generated.This review analyzed risk models for bloodstream infections linked to peripherally inserted central venous catheters (PICCs). While models show promise, future research must improve study design to enhance clinical applicability.
Area Of Science
- Infection Control
- Medical Informatics
- Clinical Epidemiology
Background
- Peripherally inserted central venous catheters (PICCs) are associated with central line-associated bloodstream infections (CLABSI).
- Understanding and mitigating PICC-CLABSI risk is crucial for patient safety and clinical nursing practice.
Purpose Of The Study
- To conduct a scoping review of risk prediction models for PICC-CLABSI.
- To analyze and summarize existing models to inform clinical nursing practice.
Main Methods
- Scoping review of six bibliographic databases (CNKI, Wanfang, VIP, PubMed, Embase, Web of Science) up to November 5, 2024.
- Independent data extraction and risk of bias assessment using the Prediction model Risk Of Bias Assessment Tool (PROBAST).
Main Results
- Eight studies met inclusion criteria, comprising score models, nomograms, and an ELM model.
- Identified predictors include catheter indwelling time, maintenance, catheter type, parenteral nutrition, diabetes, and malignancy.
- Four models underwent external validation; two assessed goodness of fit, with high risk of bias noted due to heterogeneity.
Conclusions
- PICC-CLABSI risk prediction models demonstrate strong predictive performance.
- Future research should focus on PROBAST framework elements to improve model validation and clinical applicability.
- The goal is to develop low-bias, high-performance, and clinically practical PICC-CLABSI risk prediction models.
Contact us if these videos are not relevant.
Contact us if these videos are not relevant.
Related Concept Videos
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
Healthcare-associated infections (HAIs) occur in a healthcare facility while a person receives care for another ailment. This category also includes work-related infections among healthcare staff.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.