Articles producció científica> Medicina i Cirurgia

Decreased Mortality among Patients with Catheter-Related Bloodstream Infections at Catalan Hospitals (2010-2019)

  • Identification data

    Identifier: imarina:9262337
  • Authors:

    Badia-Cebada L
    Peñafiel J
    López-Contreras J
    Pomar V
    Martínez JA
    Santana G
    Cuquet J
    Montero MM
    Hidalgo-López C
    Andrés M
    Gimenez M
    Quesada MD
    Vaqué M
    Iftimie S
    Gudiol C
    Pérez R
    Coloma A
    Marron A
    Barrufet P
    Marimon M
    Lérida A
    Clarós M
    Ramírez-Hidalgo MF
    Garcia Pardo G
    Martinez MJ
    Chamarro EL
    Jiménez-Martínez E
    Hornero A
    Limón E
    López M
    Calbo E
    Pujol M
    Gasch O
  • Others:

    Author, as appears in the article.: Badia-Cebada L; Peñafiel J; López-Contreras J; Pomar V; Martínez JA; Santana G; Cuquet J; Montero MM; Hidalgo-López C; Andrés M; Gimenez M; Quesada MD; Vaqué M; Iftimie S; Gudiol C; Pérez R; Coloma A; Marron A; Barrufet P; Marimon M; Lérida A; Clarós M; Ramírez-Hidalgo MF; Garcia Pardo G; Martinez MJ; Chamarro EL; Jiménez-Martínez E; Hornero A; Limón E; López M; Calbo E; Pujol M; Gasch O
    Department: Medicina i Cirurgia
    URV's Author/s: Iftimie Iftimie, Simona Mihaela
    Keywords: Risk-factors Mortality Intervention programme Intervention program Healthcare-associated infection Catheter-related bloodstream infections Catheter-related bloodstream infection surveillance prevention multimodal intervention microbiology intervention programme impact icu healthcare-associated infection costs catheter-related bloodstream infection care
    Abstract: The incidence of catheter-related bloodstream infections (CRBSI) has fallen over the last decade, especially in intensive care units (ICUs).To assess the existence of concomitant trends in outcomes and to analyse the current risk factors for mortality.A multicentre retrospective cohort study was conducted at 24 Catalan hospitals participating in the Surveillance of healthcare associated infections in Catalonia (VINCat). All hospital-acquired CRBSI episodes diagnosed from January 2010 to December 2019 were included. A common protocol including epidemiological, clinical and microbiological data was prospectively completed. Mortality at 30 days after bacteraemia onset was analysed using the Cox regression model.Over the study period, 4,795 episodes of CRBSI were diagnosed. Among them, 75% were acquired in conventional wards and central venous catheters were the most frequently involved (61%). The 30-day mortality rate was 13.8%, presenting a significant downward trend over the study period: from 17.9% in 2010 to 10.6% in 2019 (HR 0.95 [0.92-0.98]). The multivariate analysis identified age (HR 1.03 [1.02-1.04]), femoral catheter (HR 1.78 [1.33-2.38]), medical ward acquisition (HR 2.07 [1.62-2.65] and ICU acquisition (HR 3.45 [2.7-4.41]), S. aureus (HR 1.59 [1.27-1.99]) and Candida sp. (HR 2.19 [1.64-2.94]) as risk factors for mortality while the mortality rate associated with episodes originating in peripheral catheters was significantly lower (HR 0.69 [0.54-0.88]).Mortality associated with CRBSI has fallen in recent years but remains high. Intervention programs should focus especially on ICUs and medical wards, where incidence and mortality rates are highest.Copyright © 2022 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
    Author's mail: simonamihaela.iftime@urv.cat
    Author identifier: 0000-0003-0714-8414
    Record's date: 2024-07-20
    Papper version: info:eu-repo/semantics/acceptedVersion
    Link to the original source: https://www.journalofhospitalinfection.com/article/S0195-6701(22)00151-7/fulltext#%20
    Licence document URL: http://repositori.urv.cat/ca/proteccio-de-dades/
    Papper original source: Journal Of Hospital Infection. 126 70-77
    APA: Badia-Cebada L; Peñafiel J; López-Contreras J; Pomar V; Martínez JA; Santana G; Cuquet J; Montero MM; Hidalgo-López C; Andrés M; Gimenez M; Quesada MD (2022). Decreased Mortality among Patients with Catheter-Related Bloodstream Infections at Catalan Hospitals (2010-2019). Journal Of Hospital Infection, 126(), 70-77. DOI: 10.1016/j.jhin.2022.05.009
    Article's DOI: 10.1016/j.jhin.2022.05.009
    Entity: Universitat Rovira i Virgili
    Journal publication year: 2022
    Publication Type: Journal Publications
  • Keywords:

    Infectious Diseases,Medicine (Miscellaneous),Microbiology (Medical),Public, Environmental & Occupational Health
    Risk-factors
    Mortality
    Intervention programme
    Intervention program
    Healthcare-associated infection
    Catheter-related bloodstream infections
    Catheter-related bloodstream infection
    surveillance
    prevention
    multimodal intervention
    microbiology
    intervention programme
    impact
    icu
    healthcare-associated infection
    costs
    catheter-related bloodstream infection
    care
    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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