Effect of Admission Type on the Risk of Bloodstream Infections among Critically Ill Patients with Peripherally Inserted Central Catheters in a Tertiary Center in Saudi Arabia

Authors

  • Mohammad M. Al-Shahrani
  • Bander F. Al-Dhafery
  • Hana M. Al-Anezi
  • Sattam S. Al-Russayes
  • Abdulaziz M. Al-Sharydah

Keywords:

PICC, CLABSI, ICU

Abstract

The purpose of the study was to evaluate the association between type of admission (medical versus surgical) with risk of central line associated bloodstream infection (CLABSI) in a university hospital setting. A retrospective analysis was performed on critically ill patients who had peripherally inserted central catheters (PICC) during the period between January 2010 and October 2012. Demographic data, duration of catheterization and type of admission were obtained from patient

References

Cardella JF, Cardella K, Bacci N, Fox PS, Post JH. Cumulative experience with 1,273 peripherally inserted central catheters at a single institution. J VascIntervRadiol, vol 7, pp.5-13, 1996

Walshe LJ, Malak SF, Eagan J, Sepkowitz KA. Complication rates among cancer patients with peripherally inserted central catheters. J ClinOncol, vol. 20, pp.3276-3281, 2002.

Levy I, Bendet M, Samra Z, Shalit I, Katz J. Infectious complications of peripherally inserted central venous catheters in children. Pediatr Infect Dis J, vol. 29, pp. 426-429, 2010.

Fong NI, Holtzman SR, Bettmann MA, Bettis SJ. Peripherally inserted central catheters: outcome as a function of the operator. J VascIntervRadiol, vol. 12, pp.723-729, 2001.

http://www.cdc.gov/nhsn/pdfs/pscmanual/4psc_clabscurrent.pdf1. Accessed [September 26, 2014].

Smith JR, Friedell ML, Cheatham ML, Martin SP, Cohen MJ, Horowitz JD. Peripherally inserted central catheters revisited. Am J Surg, vol. 176, pp. 208-211, 1998.

Abedin S, Kapoor G. Peripherally inserted central venous catheters are a good option for prolonged venous access in children with cancer.Pediatr Blood Cancer, vol. 51, pp. 251-255, 2008.

Safdar N, Maki DG. Risk of catheter-related bloodstream infection with peripherally inserted central venous catheters used in hospitalized patients. Chest, vol.128, pp. 489-95, 2005.

http://www.cdc.gov/hicpac/pdf/guidelines/bsi-guidelines-2011.pdf ,Accessed September 25, 2014

Chopra V , O

Al Raiy B,Fakih MG,Bryan-Nomides N,Hopfner D,Riegel E,Nenninger T,et al.Peripherally inserted central venous catheters in the acute care setting: A safe alternative to high-risk short-term central venous catheters. Am J Infect Control, vol.38, pp. 149-153, 2010.

Weber DJ, Sickbert-Bunnett EE, Brown V, Rutala WA. Comparison of hospital wide surveillance and targeted intensive care unit surveillance of healthcare associated infections. Infect Control HospEpidemiol, vol. 28, pp.1361-1366, 2007.

Aloul B, Adabag AS, Goussous TY, Weinert CR. Medical resident

Taylor RW, Palagiri AV. Central venous catheterization. Crit Care Med, vol. 35, pp. 1390-1396, 2007.

Gunst M, Matsushima K,Vanek S, Gunst R, Shafi S, Frankel H. Peripherally inserted central catheters may lower the incidence of catheter related blood stream infection in patients in surgical intensive care units. Surg Infect (Larchmt) , vol. 12, pp. 279-282, 2011.

Al-Tawfiq JA, Abed MS, Memish ZA. Peripherally inserted central catheter bloodstream infection surveillance rates in an acute care setting in Saudi Arabia. Ann Saudi Med, vol. 32(2), pp. 169-73, 2012.

O

Mermel LA, McCormick RD, Springman SR, Maki DG. The pathogenesis and epidemiology of catheter-related infection with pulmonary artery Swan-Ganz catheters: A prospective study utilizing molecular subtyping. Am J Med, vol. 91, pp. 197s-205s, 1991.

Raad II, Hohn DC, GilbreathBJ.Prevention of central venous catheter-related infections by using maximal sterile barrier precautions during insertion. Infect Control HospEpidemiol, vol. 15, pp. 231-238, 1994.

Maki DG, Ringer M. Evaluation of dressing regimens for prevention of infection with peripheral intravenous catheters: Gauze, a transparent polyurethane dressing, and an iodophor-transparent dressing. JAMA, vol. 258, pp. 2396-2403, 1987.

Hoffmann KK, Weber DJ, Samsa GP, Rutala WA. Transparent polyurethane film as an intravenous catheter dressing: A meta-analysis of the infection risk. JAMA, vol. 267, pp. 2072-2076, 1992.

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Published

2015-10-08

How to Cite

Al-Shahrani, M. M., Al-Dhafery, B. F., Al-Anezi, H. M., Al-Russayes, S. S., & Al-Sharydah, A. M. (2015). Effect of Admission Type on the Risk of Bloodstream Infections among Critically Ill Patients with Peripherally Inserted Central Catheters in a Tertiary Center in Saudi Arabia. International Journal of Sciences: Basic and Applied Research (IJSBAR), 24(3), 257–264. Retrieved from https://www.gssrr.org/index.php/JournalOfBasicAndApplied/article/view/4538

Issue

Vol. 24 No. 3 (2015)

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Articles

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