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

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....

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Published in:	The Journal of hospital infection Vol. 97; no. 3; pp. 260 - 266
Main Authors:	Guembe, M., Pérez-Granda, M.J., Capdevila, J.A., Barberán, J., Pinilla, B., Martín-Rabadán, P., Bouza, E., Millán, J., Pérez de Oteyza, C., Muiño, A., Villalba, M., Cuenca, C., Castaño, J.G., Delgado, C.M., Zamorano, S., Gómez, B., Collado, J.M., Salinas, M.T., Amat, A.S., Lázaro, J.R., del Villar Sordo, V., del Valle Sánchez, M., Benach, Á.F., Vidal, E., Albiach, L., Agud Aparicio, J.M., Saéz de Adana Arroniz, E., Casademont i Pou, J., Solchaga, V.P., Castellón, F.E., Obanos, T.R., Egurbide Arberas, M.V., Arana, J.N., López, E.G., Gaviria, A.Z., Clemente, I.N., Ruíz, P.C., Salomó, A.C., Iftimie, S.M., Castillo, A.M., Barberá Farré, J.R., Lavería, A.O., Ribera, M.C., Pallarés, N.B., Suárez, P.C., Cepeda Piorno, F.J., Andrés, N.A., Rodríguez Tarazona, R.E., Rodríguez Zapata, M.M., Costa Cerdá, M.A.
Format:	Journal Article
Language:	English
Published:	England Elsevier Ltd 01-11-2017
Subjects:	Adult Aged Aged, 80 and over Bacteraemia Bacteremia - epidemiology Bacteria - classification Bacteria - isolation & purification Catheter-Related Infections - epidemiology Catheterization, Peripheral - adverse effects Female Hospital Departments Humans Incidence Internal medicine departments Male Middle Aged Peripheral venous catheter Peripheral-venous-catheter-associated bloodstream infection Phlebitis Prevalence Prospective Studies Spain - epidemiology Staphylococcus aureus Young Adult Prevalence Peripheral-venous-catheter-associated bloodstream infection Bacteraemia Phlebitis Peripheral venous catheter Internal medicine departments Staphylococcus aureus
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Summary:	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.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-3 content type line 23 ObjectType-Undefined-2
ISSN:	0195-6701 1532-2939
DOI:	10.1016/j.jhin.2017.07.008