Risk factors for central venous catheter-related bloodstream infections

Our study aimed to identify the risk factors playing a role in central venous catheter-related bloodstream infections (CR-BSI) in a tertiary large volume university hospital. The current prospective clinical trial was conducted in a university hospital with 1400 beds. All demographic data, length of...

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Bibliographic Details
Published inLe infezioni in medicina Vol. 27; no. 3; p. 258
Main Authors Bekçibaşi, Muhammed, Dayan, Saim, Aslan, Emel, Kortak, Mehmet Zeki, Hoşoğlu, Salih
Format Journal Article
LanguageEnglish
Published Italy 01.09.2019
Subjects
Adolescent
Adult
Age Factors
Aged
Aged, 80 and over
Anti-Bacterial Agents - therapeutic use
Catheter-Related Infections - epidemiology
Catheter-Related Infections - etiology
Catheter-Related Infections - prevention & control
Catheterization, Central Venous - adverse effects
Catheterization, Central Venous - methods
Catheterization, Central Venous - statistics & numerical data
Central Venous Catheters - adverse effects
Central Venous Catheters - statistics & numerical data
Female
Hospitals, University
Humans
Incidence
Length of Stay
Male
Middle Aged
Multivariate Analysis
Prospective Studies
Risk Factors
Tertiary Care Centers
Turkey
Young Adult
Turkey
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Summary:Our study aimed to identify the risk factors playing a role in central venous catheter-related bloodstream infections (CR-BSI) in a tertiary large volume university hospital. The current prospective clinical trial was conducted in a university hospital with 1400 beds. All demographic data, length of hospital stay, coexisting diseases, features of catheters used, invasive diagnostic and therapeutic procedures and all antibiotics used in patients with CVCs were recorded. A total of 356 CVCs inserted in 281 patients were followed up for 5667 catheter days. The mean duration of catheterization was recorded as 15.9±12.7days. CR-BSI was detected in 46 (12.9%) patients. The incidence of CR-BSI was found to be 8.12 in 1000 catheter days. Advanced age and longer duration of catheterization were found to be independent risk factors for the development of CR-BSI in multivariate analysis. Coagulase-negative staphylococci (15.2%), Candida spp (13%) and Klebsiella pneumoniae (13%) were the agents most frequently isolated.
ISSN:1124-9390