Author, as appears in the article.: Guembe M, Pérez-Granda MJ, Capdevila JA, Barberán J, Pinilla B, Martín-Rabadán P, Bouza E, NUVE Study Group

Department: Medicina i Cirurgia

URV's Author/s: Castro Salomó, Antoni / Iftimie Iftimie, Simona Mihaela

Keywords: 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

Abstract: 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.

Thematic Areas: 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

licence for use: https://creativecommons.org/licenses/by/3.0/es/

ISSN: 01956701

Author's mail: simonamihaela.iftime@urv.cat antoni.castro@urv.cat

Author identifier: 0000-0003-0714-8414 0000-0001-5441-6333

Record's date: 2023-02-18

Papper version: info:eu-repo/semantics/acceptedVersion

Link to the original source: https://www.journalofhospitalinfection.com/article/S0195-6701(17)30390-0/fulltext

Licence document URL: http://repositori.urv.cat/ca/proteccio-de-dades/

Papper original source: Journal Of Hospital Infection. 97 (3): 260-266

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-catheterassociated- bloodstream infections in internal medicine departments. Journal Of Hospital Infection, 97(3), 260-266. DOI: 10.1016/j.jhin.2017.07.008

Article's DOI: 10.1016/j.jhin.2017.07.008

Entity: Universitat Rovira i Virgili

Journal publication year: 2017

Publication Type: Journal Publications