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

The use of vascular devices in hospitalised patients is essential for their treatment, which frequently involves the administration of drugs and fluids, parenteral nutrition, or haemodialysis. The prevalence of peripheral (PVC) and central (CVC) venous catheter use among hospitalised patients estima...

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Authors: Badia-Cebada, Laia, Peñafiel, Judith, Saliba, Patrick, Andrés, Marta, Càmara Mas, Jordi, Domenech, Dolors, Jiménez-Martínez, Emilio, Marron, Anna, Moreno, Encarna, Pomar, Virginia, Vaqué, Montserrat, Limon, Enrique, Masats, Úrsula, Pujol Rojo, Miquel, Gasch, Oriol, on behalf of the VINCat programme (Infection Control Catalan Programme)
Format: article
Status:Published version
Publication Date:2022
Country:España
Institution:Universidad de Barcelona
Repository:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/186037
Online Access:https://hdl.handle.net/2445/186037
Access Level:Open access
Keyword:Catèters
Epidemiologia
Infeccions
Espanya
Catheters
Epidemiology
Infections
Spain
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network_name_str España
repository_id_str
spelling Trends in the epidemiology of catheter-related bloodstream infections; towards a paradigm shift, Spain, 2007 to 2019Badia-Cebada, LaiaPeñafiel, JudithSaliba, PatrickAndrés, MartaCàmara Mas, Jordi Domenech, DolorsJiménez-Martínez, EmilioMarron, AnnaMoreno, EncarnaPomar, VirginiaVaqué, MontserratLimon, EnriqueMasats, ÚrsulaPujol Rojo, MiquelGasch, Oriolon behalf of the VINCat programme (Infection Control Catalan Programme)CatètersEpidemiologiaInfeccionsEspanyaCathetersEpidemiologyInfectionsSpainThe use of vascular devices in hospitalised patients is essential for their treatment, which frequently involves the administration of drugs and fluids, parenteral nutrition, or haemodialysis. The prevalence of peripheral (PVC) and central (CVC) venous catheter use among hospitalised patients estimated in different European surveys in the last decade is around 70% and 10% respectively [1-3]. In in a prospective cohort study published in 2010, catheter-related bloodstream infections (CRBSI) were the most important complications reported from 15 Spanish hospitals, with 821 bloodstream infections (BSI) episodes, representing almost 25% of all nosocomial BSI [4]. According to a paper from 2006 reporting a systematic review of 200 published prospective studies, the incidence rate of CRBSI per 1,000 catheter days generally ranges from 0.1 episodes for PVC to 2.7 episodes for CVC. CRBSI are an important cause of morbidity and mortality. Patients with these infections usually have more severe underlying illness and are more likely to have other healthcare-associated infections (HAI) during their admission, with a mortality ranging from 12% to 25%, according to a prospective nationwide surveillance study in the United States (US) from March 1995 through September 2002 [6]. CRBSI are also associated with longer hospital admissions and higher economic costs. The application of prevention programmes in intensive care units (ICU) in recent decades has resulted in significant reductions of CRBSI incidence rates [8]. Bundles of preventive measures have been applied including hand hygiene, use of chlorhexidine alcohol solution for skin antisepsis, full barrier precautions, daily review of need for catheterisation and femoral site avoidance. The Infection Control Catalan Programme (VINCat) was launched in 2006, with the main objective of reducing the incidence of HAI through continuous active monitoring and implementation of preventive programmes. Surveillance of CRBSI at the hospitals in our region is a priority [9]. The aim of this study is to describe the changes in the incidence and epidemiology of CRBSI in the hospitals participating in the VINCat programme over a 13-year period.European Centre for Disease Prevention and Control (ECDC)2022info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/2445/186037Articles publicats en revistes (Infermeria de Salut Pública, Salut mental i Maternoinfantil)reponame:Dipòsit Digital de la UBinstname:Universidad de BarcelonaInglésReproducció del document publicat a: https://doi.org/10.2807/1560-7917.ES.2022.27.19.2100610Eurosurveillance, 2022, vol. 27, num. 19https://doi.org/10.2807/1560-7917.ES.2022.27.19.2100610cc-by (c) Badia-Cebada, Laia et al., 2022https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:diposit.ub.edu:2445/1860372026-05-27T06:46:51Z
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, Laia
Catèters
Epidemiologia
Infeccions
Espanya
Catheters
Epidemiology
Infections
Spain
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, Laia
Peñafiel, Judith
Saliba, Patrick
Andrés, Marta
Càmara Mas, Jordi
Domenech, Dolors
Jiménez-Martínez, Emilio
Marron, Anna
Moreno, Encarna
Pomar, Virginia
Vaqué, Montserrat
Limon, Enrique
Masats, Úrsula
Pujol Rojo, Miquel
Gasch, Oriol
on behalf of the VINCat programme (Infection Control Catalan Programme)
author Badia-Cebada, Laia
author_facet Badia-Cebada, Laia
Peñafiel, Judith
Saliba, Patrick
Andrés, Marta
Càmara Mas, Jordi
Domenech, Dolors
Jiménez-Martínez, Emilio
Marron, Anna
Moreno, Encarna
Pomar, Virginia
Vaqué, Montserrat
Limon, Enrique
Masats, Úrsula
Pujol Rojo, Miquel
Gasch, Oriol
on behalf of the VINCat programme (Infection Control Catalan Programme)
author_role author
author2 Peñafiel, Judith
Saliba, Patrick
Andrés, Marta
Càmara Mas, Jordi
Domenech, Dolors
Jiménez-Martínez, Emilio
Marron, Anna
Moreno, Encarna
Pomar, Virginia
Vaqué, Montserrat
Limon, Enrique
Masats, Úrsula
Pujol Rojo, Miquel
Gasch, Oriol
on behalf of the VINCat programme (Infection Control Catalan Programme)
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Catèters
Epidemiologia
Infeccions
Espanya
Catheters
Epidemiology
Infections
Spain
topic Catèters
Epidemiologia
Infeccions
Espanya
Catheters
Epidemiology
Infections
Spain
description The use of vascular devices in hospitalised patients is essential for their treatment, which frequently involves the administration of drugs and fluids, parenteral nutrition, or haemodialysis. The prevalence of peripheral (PVC) and central (CVC) venous catheter use among hospitalised patients estimated in different European surveys in the last decade is around 70% and 10% respectively [1-3]. In in a prospective cohort study published in 2010, catheter-related bloodstream infections (CRBSI) were the most important complications reported from 15 Spanish hospitals, with 821 bloodstream infections (BSI) episodes, representing almost 25% of all nosocomial BSI [4]. According to a paper from 2006 reporting a systematic review of 200 published prospective studies, the incidence rate of CRBSI per 1,000 catheter days generally ranges from 0.1 episodes for PVC to 2.7 episodes for CVC. CRBSI are an important cause of morbidity and mortality. Patients with these infections usually have more severe underlying illness and are more likely to have other healthcare-associated infections (HAI) during their admission, with a mortality ranging from 12% to 25%, according to a prospective nationwide surveillance study in the United States (US) from March 1995 through September 2002 [6]. CRBSI are also associated with longer hospital admissions and higher economic costs. The application of prevention programmes in intensive care units (ICU) in recent decades has resulted in significant reductions of CRBSI incidence rates [8]. Bundles of preventive measures have been applied including hand hygiene, use of chlorhexidine alcohol solution for skin antisepsis, full barrier precautions, daily review of need for catheterisation and femoral site avoidance. The Infection Control Catalan Programme (VINCat) was launched in 2006, with the main objective of reducing the incidence of HAI through continuous active monitoring and implementation of preventive programmes. Surveillance of CRBSI at the hospitals in our region is a priority [9]. The aim of this study is to describe the changes in the incidence and epidemiology of CRBSI in the hospitals participating in the VINCat programme over a 13-year period.
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://hdl.handle.net/2445/186037
url https://hdl.handle.net/2445/186037
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.2807/1560-7917.ES.2022.27.19.2100610
Eurosurveillance, 2022, vol. 27, num. 19
https://doi.org/10.2807/1560-7917.ES.2022.27.19.2100610
dc.rights.none.fl_str_mv cc-by (c) Badia-Cebada, Laia et al., 2022
https://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc-by (c) Badia-Cebada, Laia et al., 2022
https://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv European Centre for Disease Prevention and Control (ECDC)
publisher.none.fl_str_mv European Centre for Disease Prevention and Control (ECDC)
dc.source.none.fl_str_mv Articles publicats en revistes (Infermeria de Salut Pública, Salut mental i Maternoinfantil)
reponame:Dipòsit Digital de la UB
instname:Universidad de Barcelona
instname_str Universidad de Barcelona
reponame_str Dipòsit Digital de la UB
collection Dipòsit Digital de la UB
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869422319857827840
score 15,300719

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