Peripherally Inserted Central Catheters-associated blood stream infections-occurrence, risk factors, and pathogens, a single center study.

IF 0.9 Q4 INFECTIOUS DISEASES Journal of Infection Prevention Pub Date : 2023-07-01 Epub Date: 2023-04-18 DOI:10.1177/17571774231165404

Rajalakshmi Arjun, Vettakkara Kandy Muhammed Niyas, Aswathy Sasidharan, Jeffery Jomes, Manish Kumar Yadav, Suresh Kesavan

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Abstract

Background: Peripherally inserted central catheters (PICCs) are central venous catheters inserted peripherally but terminate in great vessels. PICCs are widely used for patients requiring long-term intravenous therapy in both in-patient and out-patient settings.

Aim: This study was carried out to understand PICC-related complications, specifically infections and causal pathogens, in a tertiary care hospital in Kerala, South India.

Methods: A retrospective analysis of PICC insertions and follow-up during a 9 years period to look at patient demographics and infections related to PICC was carried out.

Results: The overall PICC-related complication rate is 28.1% (4.98 per 1000 PICC days). Commonest complication was thrombosis followed by infection, either PICC-associated bloodstream infection (PABSI) or local infection (LI). PABSI noted in this study was 1.34 per 1000 catheter days. The majority (85%) of PABSI were due to Gram-negative rods. The average duration of PICC days for occurrence of PABSI was 14 days and the majority occurred in in-patients.

Conclusion: Thrombosis and infection were the commonest PICC-related complications. PABSI rate was comparable to that of previous studies.

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外周置入中心导管相关血流感染--发生率、风险因素和病原体，一项单中心研究。

背景：外周置入中心静脉导管（PICC）是一种外周置入但末端位于大血管内的中心静脉导管。目的：本研究旨在了解南印度喀拉拉邦一家三级医院中与 PICC 相关的并发症，特别是感染和致病病原体：方法：对 9 年间的 PICC 插入和随访情况进行回顾性分析，以了解患者的人口统计学特征以及与 PICC 相关的感染情况：结果：与 PICC 相关的总并发症发生率为 28.1%（每 1000 个 PICC 日中有 4.98 例）。最常见的并发症是血栓形成，其次是感染，即 PICC 相关血流感染 (PABSI) 或局部感染 (LI)。本研究发现，每 1000 个导管使用日中有 1.34 例 PABSI。大多数 PABSI（85%）是由革兰氏阴性杆菌引起的。发生 PABSI 的 PICC 天数平均为 14 天，大多数发生在住院病人身上：结论：血栓形成和感染是最常见的 PICC 相关并发症。结论：血栓和感染是最常见的 PICC 相关并发症，PABSI 发生率与之前的研究相当。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Infection Prevention Nursing-Advanced and Specialized Nursing

CiteScore

1.70

自引率

8.30%

发文量

期刊介绍： Journal of Infection Prevention is the professional publication of the Infection Prevention Society. The aim of the journal is to advance the evidence base in infection prevention and control, and to provide a publishing platform for all health professionals interested in this field of practice. Journal of Infection Prevention is a bi-monthly peer-reviewed publication containing a wide range of articles: ·Original primary research studies ·Qualitative and quantitative studies ·Reviews of the evidence on various topics ·Practice development project reports ·Guidelines for practice ·Case studies ·Overviews of infectious diseases and their causative organisms ·Audit and surveillance studies/projects