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Indwelling time of peripherally inserted central catheters and incidence of bloodstream infections in haematology patients: a cohort study

Caris, M G ; de Jonge, N A ; Punt, H J ; Salet, D M ; de Jong, V M T ; Lissenberg-Witte, B I ; Zweegman, S ; Vandenbroucke-Grauls, C M J E ; van Agtmael, M A ; Janssen, J J W M

Antimicrobial resistance & infection control, 2022-02, Vol.11 (1), p.37-37, Article 37 [Periódico revisado por pares]

England: BioMed Central Ltd

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Título:
Indwelling time of peripherally inserted central catheters and incidence of bloodstream infections in haematology patients: a cohort study
Autor: Caris, M G ; de Jonge, N A ; Punt, H J ; Salet, D M ; de Jong, V M T ; Lissenberg-Witte, B I ; Zweegman, S ; Vandenbroucke-Grauls, C M J E ; van Agtmael, M A ; Janssen, J J W M
Assuntos: Anemia ; Antibiotics ; Aplastic anemia ; Blood ; Care and treatment ; Catheter-Related Infections - prevention & control ; Catheterization ; Catheterization, Central Venous - adverse effects ; Catheters ; Catheters - adverse effects ; Chemotherapy ; CLABSI ; Cohort Studies ; Comparative analysis ; CVC ; Disease control ; Disease prevention ; Drug dosages ; Gram-positive bacteria ; Haematology ; Health aspects ; Hematology ; Hematopoietic Stem Cell Transplantation - adverse effects ; Humans ; Incidence ; Indwelling time ; Infection ; Infections ; Leukemia ; Medical research ; Medicine, Experimental ; Mucositis ; Neutropenia ; Pathogens ; Patients ; PICC ; Retrospective Studies ; Risk factors ; Sepsis - epidemiology ; Stem cell transplantation ; Stem cells ; Steroids ; Surveillance ; Transplantation ; Transplantation, Autologous - adverse effects
É parte de: Antimicrobial resistance & infection control, 2022-02, Vol.11 (1), p.37-37, Article 37
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Descrição: We aimed to assess whether longer indwelling time of peripherally inserted central catheters (PICC) increases risk of central line associated bloodstream infections (CLABSI) in haematology patients. Multicentre retrospective cohort study among haematology patients receiving PICCs between 2013 and 2015. Occurrence of CLABSI based on CDC definitions was assessed. We calculated incidence rates, determined risk factors for CLABSI and used Poisson regression models to assess the risk of developing CLABSI as a function of PICC dwell time. We compared diagnoses and treatment characteristics between 2013-2015 and 2015-2020. 455 PICCs placed in 370 patients were included, comprising 19,063 catheter days. Median indwelling time was 26 days (range 0-385) and CLABSI incidence was 4.0 per 1000 catheter days, with a median time to CLABSI of 33 days (range 18-158). Aplastic anaemia (AA) was associated with an increased risk of CLABSI; patients undergoing autologous stem cell transplantation (SCT) were less likely to develop CLABSI. In the unadjusted analysis, PICCs with an indwelling time of 15-28 days, 29-42 days, 43-56 days and > 56 days each had an increased CLABSI incidence rate ratio of 2.4 (1.2-4.8), 2.2 (0.95-5.0), 3.4 (1.6-7.5) and 1.7 (0.9-3.5), respectively, compared to PICCs in place for < 15 days. However, after adjusting for AA and SCT, there was no significant difference in incidence rates between dwell times (p 0.067). Our study shows that risk of CLABSI does not appear to increase with longer PICC indwelling time. Routine replacement of PICCs therefore is unlikely to prevent CLABSI in this population.
Editor: England: BioMed Central Ltd
Idioma: Inglês

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Indwelling time of peripherally inserted central catheters and incidence of bloodstream infections in haematology patients: a cohort study

Caris, M G ; de Jonge, N A ; Punt, H J ; Salet, D M ; de Jong, V M T ; Lissenberg-Witte, B I ; Zweegman, S ; Vandenbroucke-Grauls, C M J E ; van Agtmael, M A ; Janssen, J J W M

England: BioMed Central Ltd

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