Trends in the epidemiology of catheter-related bloodstream infections; towards a paradigm shift, Spain, 2007 to 2019

Background: Catheter-related bloodstream infections (CRBSI) are frequent healthcare-associated infections and an important cause of death. Aim: To analyse changes in CRBSI epidemiology observed by the Infection Control Catalan Programme (VINCat). Methods: A cohort study including all hospital-acquir...

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Autores: Badia-Cebada, L, Penafiel, J, Saliba, P, Andres, M, Camara, J, Domenech, D, Jimenez-Martinez, E, Marron, A, Moreno, E, Pomar, V, Vaque, M, Limon, E, Masats, U, Pujol, M, Gasch, O
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:España
Institución:Institut d'Investigació i Innovació Parc Taulí (I3PT)
Repositorio:r-I3PT. Repositorio Institucional Producción Científica del Institut d'Investigació i Innovació Parc Taulí
OAI Identifier:oai:i3pt.fundanetsuite.com:p1342
Acceso en línea:https://i3pt.portalinvestigacion.com/publicaciones/1342
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85130636321&doi=10.2807%2f1560-7917.ES.2022.27.19.2100610&partnerID=40&md5=f059544f27efd162c985b36845ac4887
Access Level:acceso abierto
Palabra clave:bundle, catheter-related bloodstream infection, epidemiology, nosocomial infection, peripheral catheter
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spelling Trends in the epidemiology of catheter-related bloodstream infections; towards a paradigm shift, Spain, 2007 to 2019Badia-Cebada, LPenafiel, JSaliba, PAndres, MCamara, JDomenech, DJimenez-Martinez, EMarron, AMoreno, EPomar, VVaque, MLimon, EMasats, UPujol, MGasch, Obundle, catheter-related bloodstream infection, epidemiology, nosocomial infection, peripheral catheterBackground: Catheter-related bloodstream infections (CRBSI) are frequent healthcare-associated infections and an important cause of death. Aim: To analyse changes in CRBSI epidemiology observed by the Infection Control Catalan Programme (VINCat). Methods: A cohort study including all hospital-acquired CRBSI episodes diagnosed at 55 hospitals (2007-2019) in Catalonia, Spain, was prospectively conducted. CRBSI incidence rates were adjusted per 1,000 patient days. To assess the CRBSI rate trend per year, negative binomial models were used, with the number of events as the dependent variable, and the year as the main independent variable. From each model, the annual rate of CRBSI diagnosed per 1,000 patient days and the incidence rate ratio (IRR) with its 95% confidence intervals (CI) were reported. Results: During the study, 9,290 CRBSI episodes were diagnosed (mean annual incidence rate: 0.20 episodes/1,000 patient days). Patients' median age was 64.1 years; 36.6% (3,403/9,290) were female. In total, 73.7% (n = 6,845) of CRBSI occurred in non-intensive care unit (ICU) wards, 62.7% (n = 5,822) were related to central venous catheter (CVC), 24.1% (n = 2,236) to peripheral venous catheters (PVC) and 13.3% (n = 1,232) to peripherally-inserted central venous catheters (PICVC). Incidence rate fell over the study period (IRR: 0.94; 95%CI: 0.93-0.96), especially in the ICU (IRR: 0.88; 95%CI: 0.87- 0.89). As a whole, while episodes of CVC CRBSI fell significantly (IRR: 0.88; 95%CI: 0.87-0.91), peripherally-inserted catheter CRBSI (PVC and PICVC) rose, especially in medical wards (IRR PICVC: 1.08; 95%CI: 1.05-1.11; IRR PVC: 1.03; 95% 1.00-1.05). Conclusions: Over the study, CRBSIs associated with CVC and diagnosed in ICUs decreased while episodes in conventional wards involving peripherally-inserted catheters increased. Hospitals should implement preventive measures in conventional wards.EUR CENTRE DIS PREVENTION & CONTROL2022info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://i3pt.portalinvestigacion.com/publicaciones/1342https://www.scopus.com/inward/record.uri?eid=2-s2.0-85130636321&doi=10.2807%2f1560-7917.ES.2022.27.19.2100610&partnerID=40&md5=f059544f27efd162c985b36845ac4887EurosurveillanceISSN: 1025496XISSNe: 15607917reponame:r-I3PT. Repositorio Institucional Producción Científica del Institut d'Investigació i Innovació Parc Taulíinstname:Institut d'Investigació i Innovació Parc Taulí (I3PT)Inglésinfo:eu-repo/semantics/openAccessoai:i3pt.fundanetsuite.com:p13422026-06-21T15:30:37Z
dc.title.none.fl_str_mv Trends in the epidemiology of catheter-related bloodstream infections; towards a paradigm shift, Spain, 2007 to 2019
title Trends in the epidemiology of catheter-related bloodstream infections; towards a paradigm shift, Spain, 2007 to 2019
spellingShingle Trends in the epidemiology of catheter-related bloodstream infections; towards a paradigm shift, Spain, 2007 to 2019
Badia-Cebada, L
bundle, catheter-related bloodstream infection, epidemiology, nosocomial infection, peripheral catheter
title_short Trends in the epidemiology of catheter-related bloodstream infections; towards a paradigm shift, Spain, 2007 to 2019
title_full Trends in the epidemiology of catheter-related bloodstream infections; towards a paradigm shift, Spain, 2007 to 2019
title_fullStr Trends in the epidemiology of catheter-related bloodstream infections; towards a paradigm shift, Spain, 2007 to 2019
title_full_unstemmed Trends in the epidemiology of catheter-related bloodstream infections; towards a paradigm shift, Spain, 2007 to 2019
title_sort Trends in the epidemiology of catheter-related bloodstream infections; towards a paradigm shift, Spain, 2007 to 2019
dc.creator.none.fl_str_mv Badia-Cebada, L
Penafiel, J
Saliba, P
Andres, M
Camara, J
Domenech, D
Jimenez-Martinez, E
Marron, A
Moreno, E
Pomar, V
Vaque, M
Limon, E
Masats, U
Pujol, M
Gasch, O
author Badia-Cebada, L
author_facet Badia-Cebada, L
Penafiel, J
Saliba, P
Andres, M
Camara, J
Domenech, D
Jimenez-Martinez, E
Marron, A
Moreno, E
Pomar, V
Vaque, M
Limon, E
Masats, U
Pujol, M
Gasch, O
author_role author
author2 Penafiel, J
Saliba, P
Andres, M
Camara, J
Domenech, D
Jimenez-Martinez, E
Marron, A
Moreno, E
Pomar, V
Vaque, M
Limon, E
Masats, U
Pujol, M
Gasch, O
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv bundle, catheter-related bloodstream infection, epidemiology, nosocomial infection, peripheral catheter
topic bundle, catheter-related bloodstream infection, epidemiology, nosocomial infection, peripheral catheter
description Background: Catheter-related bloodstream infections (CRBSI) are frequent healthcare-associated infections and an important cause of death. Aim: To analyse changes in CRBSI epidemiology observed by the Infection Control Catalan Programme (VINCat). Methods: A cohort study including all hospital-acquired CRBSI episodes diagnosed at 55 hospitals (2007-2019) in Catalonia, Spain, was prospectively conducted. CRBSI incidence rates were adjusted per 1,000 patient days. To assess the CRBSI rate trend per year, negative binomial models were used, with the number of events as the dependent variable, and the year as the main independent variable. From each model, the annual rate of CRBSI diagnosed per 1,000 patient days and the incidence rate ratio (IRR) with its 95% confidence intervals (CI) were reported. Results: During the study, 9,290 CRBSI episodes were diagnosed (mean annual incidence rate: 0.20 episodes/1,000 patient days). Patients' median age was 64.1 years; 36.6% (3,403/9,290) were female. In total, 73.7% (n = 6,845) of CRBSI occurred in non-intensive care unit (ICU) wards, 62.7% (n = 5,822) were related to central venous catheter (CVC), 24.1% (n = 2,236) to peripheral venous catheters (PVC) and 13.3% (n = 1,232) to peripherally-inserted central venous catheters (PICVC). Incidence rate fell over the study period (IRR: 0.94; 95%CI: 0.93-0.96), especially in the ICU (IRR: 0.88; 95%CI: 0.87- 0.89). As a whole, while episodes of CVC CRBSI fell significantly (IRR: 0.88; 95%CI: 0.87-0.91), peripherally-inserted catheter CRBSI (PVC and PICVC) rose, especially in medical wards (IRR PICVC: 1.08; 95%CI: 1.05-1.11; IRR PVC: 1.03; 95% 1.00-1.05). Conclusions: Over the study, CRBSIs associated with CVC and diagnosed in ICUs decreased while episodes in conventional wards involving peripherally-inserted catheters increased. Hospitals should implement preventive measures in conventional wards.
publishDate 2022
dc.date.none.fl_str_mv 2022
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://i3pt.portalinvestigacion.com/publicaciones/1342
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85130636321&doi=10.2807%2f1560-7917.ES.2022.27.19.2100610&partnerID=40&md5=f059544f27efd162c985b36845ac4887
url https://i3pt.portalinvestigacion.com/publicaciones/1342
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85130636321&doi=10.2807%2f1560-7917.ES.2022.27.19.2100610&partnerID=40&md5=f059544f27efd162c985b36845ac4887
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv EUR CENTRE DIS PREVENTION & CONTROL
publisher.none.fl_str_mv EUR CENTRE DIS PREVENTION & CONTROL
dc.source.none.fl_str_mv Eurosurveillance
ISSN: 1025496X
ISSNe: 15607917
reponame:r-I3PT. Repositorio Institucional Producción Científica del Institut d'Investigació i Innovació Parc Taulí
instname:Institut d'Investigació i Innovació Parc Taulí (I3PT)
instname_str Institut d'Investigació i Innovació Parc Taulí (I3PT)
reponame_str r-I3PT. Repositorio Institucional Producción Científica del Institut d'Investigació i Innovació Parc Taulí
collection r-I3PT. Repositorio Institucional Producción Científica del Institut d'Investigació i Innovació Parc Taulí
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