Previous peripherally inserted central catheter (PICC) placement as a risk factor for PICC-associated bloodstream infections - 22/09/20
Résumé |
Background |
Peripherally inserted central catheter (PICC) -associated bloodstream infection (BSI) is a concern.
Methods |
A case-control study was conducted to assess risk factors for PICC-associated BSI.
Results |
A total of 1,215 cases and 31,874 catheter days were analyzed. In total, 54 cases of PICC-associated BSI were detected giving an infection rate of 1.69 per 1,000 catheter-days. The most frequently isolated pathogens were coagulase-negative staphylococci (26%), followed by Enterococcus species (22%), Candida species (17%), and Staphylococcus aureus (11%). Multivariable analysis identified the significant risk factors for PICC-associated BSI as a prior PICC placement (odds ratio [OR], 2.48; 95% confidence interval [CI], 1.36-4.53), medical department admission (OR, 1.89; 95% CI, 1.03-3.46), and older age (OR, 1.03; 95% CI, 1.00-1.05). With increasing frequency of previous PICC placement, the rates of PICC-associated BSI increased: 3.5% (31/883) without previous placement, 7.6% (13/171) in once, and 9.9% (9/32) in twice or more.
Discussion |
The previous PICC placement was an independent risk factor for PICC-associated BSI and the risk proportionally rose with the increasing frequency of prior PICC placement.
Conclusions |
Patients with repeatedly inserted PICC should be managed more carefully for prevention and should be monitored for the development of PICC-associated BSI.
Le texte complet de cet article est disponible en PDF.Highlights |
• | A case-control study was conducted to assess risk factors for PICC-associated BSI. |
• | A total of 54 PICC-associated BSIs was detected among 1,215 PICC inserted cases. |
• | Prior PICC placement was an independent risk factor for BSI. |
• | The risk proportionally rose with the increasing frequency of prior PICC placement. |
• | Patients with repeatedly inserted PICC should be managed more carefully. |
Key Words : Bacteremia, Intravascular device, Complication, Previous PICC placement
Plan
| Funding: No financial support was provided relevant to this article. |
|
| Conflicts of interest: There are no potential conflicts of interest relevant to this article to report. |
Vol 48 - N° 10
P. 1166-1170 - octobre 2020 Retour au numéro
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