Dataset Information

Lower risk of peripheral venous catheter-related bloodstream infection by hand insertion.

ABSTRACT:

Introduction

Little is known about the bloodstream infection (BSI) risk associated with short-term peripheral venous catheters (PVCs) and no large study investigated the insertion site-related risk for PVC-BSI.

Methods

We performed a cohort study at the University of Geneva Hospitals using the prospective hospital-wide BSI surveillance database. We analyzed the association between insertion site and risk of PVC-BSI on the upper extremity using univariable and multivariable marginal Cox models.

Results

Between 2016 and 2020, utilization of 403'206 peripheral venous catheters were prospectively recorded in a 2000-bed hospital consortium with ten sites. Twenty-seven percent of PVC (n = 109'686) were inserted in the hand. After adjustment for confounding factors, hand insertion was associated with a decreased PVC-BSI risk (adjusted hazard ratio [HR] 0.42, 95% CI 0.18-0.98, p = 0.046) compared to more proximal insertion sites. In a sensitivity analysis for PVCs with ≥ 3 days of dwell time, we confirmed a decreased PVC-BSI risk after hand insertion (HR 0.37, 95% CI 0.15-0.93, p = 0.035).

Conclusion

Hand insertion should be considered for reducing PVC infections, especially for catheters with an expected dwell time of more than 2 days.

SUBMITTER: Buetti N

PROVIDER: S-EPMC9164319 | biostudies-literature | 2022 Jun

REPOSITORIES: biostudies-literature

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Publications

Lower risk of peripheral venous catheter-related bloodstream infection by hand insertion.

Buetti Niccolò N Abbas Mohamed M Pittet Didier D Chraiti Marie-Noëlle MN Sauvan Valérie V De Kraker Marlieke E A MEA Boisson Matthieu M Teixeira Daniel D Zingg Walter W Harbarth Stephan S

Antimicrobial resistance and infection control 20220603 1

<h4>Introduction</h4>Little is known about the bloodstream infection (BSI) risk associated with short-term peripheral venous catheters (PVCs) and no large study investigated the insertion site-related risk for PVC-BSI.<h4>Methods</h4>We performed a cohort study at the University of Geneva Hospitals using the prospective hospital-wide BSI surveillance database. We analyzed the association between insertion site and risk of PVC-BSI on the upper extremity using univariable and multivariable margina ...[more]

PMID: 35659775

Similar Datasets

Project description:AimTo determine the consensus and importance of care practices related to the management of peripheral venous catheter (PVC)-related phlebitis in hospitalized patients through the views of experts from different disciplines.BackgroundPVCs are commonly used in hospitals but are associated with complications such as phlebitis. Their management differs widely, and studies are heterogeneous.DesignDelphi method.MethodsFour stages: problem area (with Web of Science bibliometric review in July 2022), panel members, two Delphi rounds and closing criteria. In the Delphi survey, experts answered an online questionnaire based on assessment, treatment and follow-up dimensions (September 2022-February 2023). Statistical analyses were conducted of frequencies, percentages, measures of central tendency and levels of dispersion (QD). A space for comments was created, and a thematic analysis conducted of them.ResultsEighteen experts (nurses, doctors and pharmacists) participated in the Delphi rounds. Forty-five activities were identified: 19 in assessment, 15 in treatment and 11 in follow-up. A high consensus level (QD ≤ 0.6) was found in five activities (11.12%), moderate level (0.6 < QD < 1.0) in 19 (42.22%) and low level (QD > 1.0) in 21 (46.66%). Seven themes were determined (patient perspective, lack of consensus, low evidence-based practices, stage-based treatments, prevention activities, high variability in practice and specialist teams and interdisciplinary work).ConclusionThe importance of systematic assessment scales is highlighted together with consensus on signs and symptoms (pain, redness, inflammation, palpable cord and induration). Treatment according to severity and daily visual recording and monitoring are emphasized along with the need for patient participation and healthcare literacy. A high level of consensus was obtained in 11% of the activities, showing the large variability of criteria and interventions for phlebitis management. Highlighted needs include working in a team, the use of specialist teams and promoting evidence- and prevention-based activities.Relevance to clinical practiceClinical variability is noted and, therefore, the importance of consensus on standardized care for PVC phlebitis and evidence-based practice.Reporting methodDelphi studies (CREDES).Patient or public contributionExperts contribution.

Dataset Information

Lower risk of peripheral venous catheter-related bloodstream infection by hand insertion.

Introduction

Methods

Results

Conclusion

Publications

Lower risk of peripheral venous catheter-related bloodstream infection by hand insertion.

Similar Datasets

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