Lower risk of peripheral venous catheter-related bloodstream infection by hand insertion

被引：6

作者：

Buetti, Niccolo ^{[1
,2
,3
,4
]}

Abbas, Mohamed ^{[1
,2
,3
,5
]}

Pittet, Didier ^{[1
,2
,3
]}

Chraiti, Marie-Noelle ^{[1
,2
,3
]}

Sauvan, Valerie ^{[1
,2
,3
]}

De Kraker, Marlieke E. A. ^{[1
,2
,3
]}

Boisson, Matthieu ^{[1
,2
,3
]}

Teixeira, Daniel ^{[1
,2
,3
]}

Zingg, Walter ^{[1
,2
,3
,6
]}

Harbarth, Stephan ^{[1
,2
,3
]}

机构：

[1] Univ Geneva Hosp, Infect Control Program, Rue Gabrielle Perret Gentil 4, CH-1205 Geneva, Switzerland

[2] Univ Geneva Hosp, WHO Collaborating Ctr Patient Safety, Rue Gabrielle Perret Gentil 4, CH-1205 Geneva, Switzerland

[3] Fac Med, Serv PCI, Rue Gabrielle Perret Gentil 4, CH-1205 Geneva, Switzerland

[4] Univ Paris, INSERM, IAME, UMR 1137, F-75018 Paris, France

[5] Imperial Coll London, MRC Ctr Global Infect Dis Anal, London, England

[6] Univ Hosp Zurich, Dept Infect Dis & Hosp Epidemiol, Zurich, Switzerland

来源：

ANTIMICROBIAL RESISTANCE AND INFECTION CONTROL | 2022年 / 11卷 / 01期

基金：

欧盟第七框架计划; 瑞士国家科学基金会;

关键词：

Peripheral venous catheters; Bloodstream infections; Catheter; Catheter-infection; Insertion site; INTRAVENOUS CATHETERS;

D O I：

10.1186/s13756-022-01117-8

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Introduction Little is known about the bloodstream infection (BSI) risk associated with short-term peripheral venous catheters (PVCs) and no large study investigated the insertion site-related risk for PVC-BSI. Methods We performed a cohort study at the University of Geneva Hospitals using the prospective hospital-wide BSI surveillance database. We analyzed the association between insertion site and risk of PVC-BSI on the upper extremity using univariable and multivariable marginal Cox models. Results Between 2016 and 2020, utilization of 403 ' 206 peripheral venous catheters were prospectively recorded in a 2000-bed hospital consortium with ten sites. Twenty-seven percent of PVC (n = 109 ' 686) were inserted in the hand. After adjustment for confounding factors, hand insertion was associated with a decreased PVC-BSI risk (adjusted hazard ratio [HR] 0.42, 95% CI 0.18-0.98, p = 0.046) compared to more proximal insertion sites. In a sensitivity analysis for PVCs with >= 3 days of dwell time, we confirmed a decreased PVC-BSI risk after hand insertion (HR 0.37, 95% CI 0.15-0.93, p = 0.035). Conclusion Hand insertion should be considered for reducing PVC infections, especially for catheters with an expected dwell time of more than 2 days.

引用

页数：6

共 13 条

[1]

Alexandrou Evan, 2018, J Hosp Med, V13, DOI 10.12788/jhm.3039

[2]

[Anonymous], 2017, CDC GUIDELINES PREVE

[3] Comparison of Routine Replacement With Clinically Indicated Replacement of Peripheral Intravenous Catheters [J].