The epidemiology of catheter related bloodstream infections in Bellvitge University Hospital: Prevention and mortality

• Vascular catheters are the most used medical devices in healthcare settings.For the last decade,catheter-related bloodstream infections (CRBSIs) have been a major threat to patient’s safety.In Bellvitge University Hospital (BUH), a bundle of intervention was applied sequentialy from 2003 to 2016 t...

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Detalles Bibliográficos
Autor: Saliba, Patrick
Tipo de recurso: tesis doctoral
Estado:Versión publicada
Fecha de publicación:2018
País:España
Institución:CBUC, CESCA
Repositorio:TDR. Tesis Doctorales en Red
OAI Identifier:oai:www.tdx.cat:10803/663574
Acceso en línea:http://hdl.handle.net/10803/663574
Access Level:acceso abierto
Palabra clave:PVC: Peripheral vascular catheter
CVC: Central vascular catheter
PICC: Peripheral inserted central catheter
HCAIs: Healthcare associated infections
CRBSI: Catheter related bloodstream infection
CRB: Catheter related bacteremia
PVCR-BSI: peripheral venous catheter related bloodstream infection
SAB: Staphylococcus aureus associated bacteremia
ICU: Intensive care unit
Infecciones hospitalarias - nosocomiales.
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Descripción
Sumario:• Vascular catheters are the most used medical devices in healthcare settings.For the last decade,catheter-related bloodstream infections (CRBSIs) have been a major threat to patient’s safety.In Bellvitge University Hospital (BUH), a bundle of intervention was applied sequentialy from 2003 to 2016 to decrease the rate of CRBSIs.This research work highlights the epidemiology of the peripheral catheter-related bloodstream infections (PVCR-BSI) throughout this study period following the application of the bundle and from the other side it reflects on the risk factors associated with mortality among these episodes of CRBSI. In conclusion, this PhD thesis work demonstrates the effectiveness of the application of the multimodal prevention program in BUH in terms of reducing CRBSI, and emphasize that staphylococcus aureus and the Candida infections and a comorbidity index of Charlson score > 4, are risk factors for mortality among patients with CRBSIs.