Hostname: page-component-78c5997874-xbtfd Total loading time: 0 Render date: 2024-11-10T13:56:55.875Z Has data issue: false hasContentIssue false
  • English
  • Français

Insertion site inflammation was associated with central-line–associated bloodstream infections at a tertiary-care center, 2015–2018

Published online by Cambridge University Press:  09 October 2020

Takaaki Kobayashi Open the ORCID record for Takaaki Kobayashi [Opens in a new window] ,
Gosia S. Clore ,
Mary E. Kukla ,
Mohammed Alzunitan ,
Jeffrey Kritzman ,
Oluchi Abosi ,
Mireia Puig-Asensio ,
Alexandre R. Marra ,
Daniel J. Diekema  and
Michael B. Edmond
...Show all authors
Takaaki Kobayashi*
Affiliation:
University of Iowa Hospitals & Clinics, Iowa City, Iowa, United States
Gosia S. Clore
Affiliation:
University of Iowa Hospitals & Clinics, Iowa City, Iowa, United States
Mary E. Kukla
Affiliation:
University of Iowa Hospitals & Clinics, Iowa City, Iowa, United States
Mohammed Alzunitan
Affiliation:
University of Iowa Hospitals & Clinics, Iowa City, Iowa, United States
Jeffrey Kritzman
Affiliation:
University of Iowa Hospitals & Clinics, Iowa City, Iowa, United States
Oluchi Abosi
Affiliation:
University of Iowa Hospitals & Clinics, Iowa City, Iowa, United States
Mireia Puig-Asensio
Affiliation:
University of Iowa Hospitals & Clinics, Iowa City, Iowa, United States
Alexandre R. Marra
Affiliation:
University of Iowa Hospitals & Clinics, Iowa City, Iowa, United States Division of Medical Practice, Hospital Israelita Albert Einstein, São Paulo, Brazil
Daniel J. Diekema
Affiliation:
University of Iowa Hospitals & Clinics, Iowa City, Iowa, United States
Michael B. Edmond
Affiliation:
University of Iowa Hospitals & Clinics, Iowa City, Iowa, United States
Jorge L. Salinas
Affiliation:
University of Iowa Hospitals & Clinics, Iowa City, Iowa, United States
*
Author for correspondence: Takaaki Kobayashi, E-mail: Takaaki-kobayashi@uiowa.edu
Get access Rights & Permissions [Opens in a new window]

Abstract

There are currently no guidelines for central-line insertion site evaluation. Our study revealed an association between insertion site inflammation (ISI) and the development of central-line–associated bloodstream infections (CLABSIs). Automated surveillance for ISI is feasible and could help prevent CLABSI.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 42 , Issue 3 , March 2021 , pp. 348 - 350
Check for updates
Copyright
© 2020 by The Society for Healthcare Epidemiology of America. All rights reserved.

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

O’Grady, NP, Alexander, M, Dellinger, EP, et al. Guidelines for the prevention of intravascular catheter-related infections. MMWR Recomm Rep 2002;51(RR-10):1–29.Google ScholarPubMed
O’Grady, NP, Alexander, M, Burns, LA, et al. Guidelines for the prevention of intravascular catheter-related infections. Clin Infect Dis 2011;52(9):e162–e193.CrossRefGoogle ScholarPubMed
Perencevich, EN, Pittet, D. Preventing catheter-related bloodstream infections: thinking outside the checklist. JAMA 2009;301:1285–1287.CrossRefGoogle ScholarPubMed
Marschall, J, Mermel, LA, Fakih, M, et al. Strategies to prevent central line-associated bloodstream infections in acute care hospitals: 2014 update. Infect Control Hosp Epidemiol 2014;35 suppl 2:S89–S107.Google Scholar
Safdar, N, Maki, DG. Inflammation at the insertion site is not predictive of catheter-related bloodstream infection with short-term, noncuffed central venous catheters. Crit Care Med 2002;30:2632–2635.CrossRefGoogle Scholar
Gohil, SK, Yim, J, Quan, K, et al. Impact of a central-line insertion site assessment (CLISA) score on localized insertion site infection to prevent central-line-associated bloodstream infection (CLABSI). Infect Control Hosp Epidemiol 2020;41:59–66.CrossRefGoogle Scholar
Marschall, J, Mermel, LA, Fakih, M, et al. Strategies to prevent central-line–associated bloodstream infections in acute care hospitals: 2014 update. Infect Control Hosp Epidemiol 2014;35:753–771.CrossRefGoogle Scholar
CDC national and state healthcare-associated infections progress report. Centers for Disease Control and Prevetnion website. https://www.cdc.gov/hai/data/portal/progress-report.html. Updated November 2019. Accessed September 12, 2020.Google Scholar
Hammadi, AA, Ostrosky-Zeichner, L, Boston, K, McInnis-Cole, T, Butler, J. Accuracy of the NHSN central line-associated bloodstream infection (CLABSI) definition. Open Forum Infect Dis 2018;5 suppl 1:S3.CrossRefGoogle Scholar