Articles producció científica> Medicina i Cirurgia

Nationwide study on peripheral-venous-catheter-associated- bloodstream infections in internal medicine departments

  • Dades identificatives

    Identificador: imarina:5131707
    Autors:
    Guembe M, Pérez-Granda MJ, Capdevila JA, Barberán J, Pinilla B, Martín-Rabadán P, Bouza E, NUVE Study Group
    Resum:
    The use of peripheral venous catheters (PVCs) has increased outside intensive care units, as has the rate of PVC-associated-bloodstream infection (PVC-BSI). PVCs are widely used in internal medicine departments (IMDs), but data on the incidence of PVC-BSI and its characteristics in IMDs are scarce.To assess the incidence of PVC-BSI episodes detected in IMDs in Spain.A one-year multi-centre prospective observational cohort study in 14 Spanish IMDs was undertaken. Adult patients admitted with at least one PVC and bacteraemia were included in the study. Demographic and clinical data were provided by local coordinators.Seventy episodes of PVC-BSI were recorded, representing an overall rate of 1.64 PVC-BSI episodes/1000 IMD admissions. The mean age of patients was 67.44 (standard deviation 16.72) years. It was estimated that 25.7% of PVCs were no longer necessary. Staphylococcus aureus was the most frequently isolated micro-organism (41.7%). Phlebitis was clinically evident in 44 (62.9%) episodes, and proved to be an independent predictor of catheter insertion in emergency departments (odds ratio 5.44). The crude and attributable mortality rates were 12.9% and 5.7%, respectively.PVCs carry a significant risk for bacteraemia in Spanish IMDs. Phlebitis is not always clinically evident in patients with bacteraemia in this population. The study findings support the need for educational and interventional preventive measures in both IMDs and emergency departments to reduce the rate of PVC-BSI and associated comorbidities, and costs.Copyright © 2017 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.
  • Altres:

    Autor segons l'article: Guembe M, Pérez-Granda MJ, Capdevila JA, Barberán J, Pinilla B, Martín-Rabadán P, Bouza E, NUVE Study Group
    Departament: Medicina i Cirurgia
    Autor/s de la URV: Castro Salomó, Antoni / Iftimie Iftimie, Simona Mihaela
    Paraules clau: Staphylococcus aureus Prevalence Phlebitis Peripheral-venous-catheter-associated bloodstream infection Peripheral venous catheter Internal medicine departments Bacteraemia prevalence phlebitis peripheral-venous-catheter-associated bloodstream infection peripheral venous catheter internal medicine departments bacteraemia
    Resum: The use of peripheral venous catheters (PVCs) has increased outside intensive care units, as has the rate of PVC-associated-bloodstream infection (PVC-BSI). PVCs are widely used in internal medicine departments (IMDs), but data on the incidence of PVC-BSI and its characteristics in IMDs are scarce.To assess the incidence of PVC-BSI episodes detected in IMDs in Spain.A one-year multi-centre prospective observational cohort study in 14 Spanish IMDs was undertaken. Adult patients admitted with at least one PVC and bacteraemia were included in the study. Demographic and clinical data were provided by local coordinators.Seventy episodes of PVC-BSI were recorded, representing an overall rate of 1.64 PVC-BSI episodes/1000 IMD admissions. The mean age of patients was 67.44 (standard deviation 16.72) years. It was estimated that 25.7% of PVCs were no longer necessary. Staphylococcus aureus was the most frequently isolated micro-organism (41.7%). Phlebitis was clinically evident in 44 (62.9%) episodes, and proved to be an independent predictor of catheter insertion in emergency departments (odds ratio 5.44). The crude and attributable mortality rates were 12.9% and 5.7%, respectively.PVCs carry a significant risk for bacteraemia in Spanish IMDs. Phlebitis is not always clinically evident in patients with bacteraemia in this population. The study findings support the need for educational and interventional preventive measures in both IMDs and emergency departments to reduce the rate of PVC-BSI and associated comorbidities, and costs.Copyright © 2017 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.
    Àrees temàtiques: Saúde coletiva Química Public, environmental & occupational health Odontología Microbiology (medical) Medicine (miscellaneous) Medicina iii Medicina ii Medicina i Interdisciplinar Infectious diseases General medicine Farmacia Engenharias iv Enfermagem Educação física Ciências biológicas iii Ciências biológicas i Ciências agrárias i Biotecnología Biodiversidade
    Accès a la llicència d'ús: https://creativecommons.org/licenses/by/3.0/es/
    ISSN: 01956701
    Adreça de correu electrònic de l'autor: simonamihaela.iftime@urv.cat antoni.castro@urv.cat
    Identificador de l'autor: 0000-0003-0714-8414 0000-0001-5441-6333
    Data d'alta del registre: 2024-09-07
    Versió de l'article dipositat: info:eu-repo/semantics/acceptedVersion
    Enllaç font original: https://www.journalofhospitalinfection.com/article/S0195-6701(17)30390-0/fulltext
    URL Document de llicència: https://repositori.urv.cat/ca/proteccio-de-dades/
    Referència a l'article segons font original: Journal Of Hospital Infection. 97 (3): 260-266
    Referència de l'ítem segons les normes APA: Guembe M, Pérez-Granda MJ, Capdevila JA, Barberán J, Pinilla B, Martín-Rabadán P, Bouza E, NUVE Study Group (2017). Nationwide study on peripheral-venous-catheter-associated- bloodstream infections in internal medicine departments. Journal Of Hospital Infection, 97(3), 260-266. DOI: 10.1016/j.jhin.2017.07.008
    DOI de l'article: 10.1016/j.jhin.2017.07.008
    Entitat: Universitat Rovira i Virgili
    Any de publicació de la revista: 2017
    Tipus de publicació: Journal Publications
  • Paraules clau:

    Infectious Diseases,Medicine (Miscellaneous),Microbiology (Medical),Public, Environmental & Occupational Health
    Staphylococcus aureus
    Prevalence
    Phlebitis
    Peripheral-venous-catheter-associated bloodstream infection
    Peripheral venous catheter
    Internal medicine departments
    Bacteraemia
    prevalence
    phlebitis
    peripheral-venous-catheter-associated bloodstream infection
    peripheral venous catheter
    internal medicine departments
    bacteraemia
    Saúde coletiva
    Química
    Public, environmental & occupational health
    Odontología
    Microbiology (medical)
    Medicine (miscellaneous)
    Medicina iii
    Medicina ii
    Medicina i
    Interdisciplinar
    Infectious diseases
    General medicine
    Farmacia
    Engenharias iv
    Enfermagem
    Educação física
    Ciências biológicas iii
    Ciências biológicas i
    Ciências agrárias i
    Biotecnología
    Biodiversidade
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