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Incidence of Catheter-Related Bloodstream Infection Among Patients With a Needleless, Mechanical Valve–Based Intravenous Connector in an Australian Hematology-Oncology Unit

Published online by Cambridge University Press:  02 January 2015

Kathryn Field ,
Caroline McFarlane ,
Allen C. Cheng ,
Andrew J. Hughes ,
Elly Jacobs ,
Kaylene Styles ,
Jillian Low ,
Peter Stow ,
Philip Campbell  and
Eugene Athan
Kathryn Field
Affiliation:
Departments of Clinical Hematology and Medical Oncology, Geelong Hospital, Barwon Health, Geelong, Victoria, Australia
Caroline McFarlane
Affiliation:
Departments of Clinical Hematology and Medical Oncology, Geelong Hospital, Barwon Health, Geelong, Victoria, Australia
Allen C. Cheng
Affiliation:
Infectious Diseases, Geelong HospitalBarwon Health, Geelong, Victoria, Australia
Andrew J. Hughes
Affiliation:
Infectious Diseases, Geelong HospitalBarwon Health, Geelong, Victoria, Australia
Elly Jacobs
Affiliation:
Departments of Clinical Hematology and Medical Oncology, Geelong Hospital, Barwon Health, Geelong, Victoria, Australia
Kaylene Styles
Affiliation:
Infectious Diseases, Geelong HospitalBarwon Health, Geelong, Victoria, Australia
Jillian Low
Affiliation:
Infectious Diseases, Geelong HospitalBarwon Health, Geelong, Victoria, Australia
Peter Stow
Affiliation:
Intensive Care, Geelong Hospital, Barwon Health, Geelong, Victoria, Australia
Philip Campbell
Affiliation:
Departments of Clinical Hematology and Medical Oncology, Geelong Hospital, Barwon Health, Geelong, Victoria, Australia
Eugene Athan*
Affiliation:
Infectious Diseases, Geelong HospitalBarwon Health, Geelong, Victoria, Australia
*
Geelong Hospital, Barwon Health, Ryrie Street, Geelong VIC 3220, Australia (Eugene@ barwonhealth.org.au)
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Abstract

There are few Australian data on the incidence of catheter-associated bloodstream infection (BSI) among patients in hematology-oncology units. We found an increase in catheter-associated BSI rates coincident with the introduction of a mechanical valve connector (2.6 infections vs 5.8 infections per 1,000 catheter-days; incidence rate ratio, 2.2; P = .031).

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 28 , Issue 5 , May 2007 , pp. 610 - 613
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2007

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References

1. Press, O, Ramsay, P, Larson, E, Fefer, A, Hickman, R. Hickman catheter infections in patients with malignancies. Medicine 1984;63:189–200.Google Scholar
2. Soo, RA, Gosbell, IB, Gallo, JH, et al. Hickman catheter complications in a haematology unit, 1996-98. Intern Med J 2002;32:100–103.Google Scholar
3. Harrington, G, et al. An increase in central line associated bloodstream infections rate over a 3-year period in a 35-bed Australian intensive care unit. In: Program and abstracts of the Victorian Infection Control Professionals Association Conference; November 23-25, 2005; Melbourne, Australia. Abstract 118.Google Scholar
4. Jarvis, W, Sheretz, R, Perl, T, Bradley, K, Giannetta, E. Increased central venous catheter-associated bloodstream infection rates temporally associated with changing from a split-septum to a leur-access mechanical valve device: a nationwide outbreak? In: Program and abstracts of the 32nd Annual Educational Conference and International Meeting of the Association for Professionals in Infection Control and Epidemiology; June 20-23, 2005; Baltimore.Google Scholar
5. Maragakis, LL, Bradley, KL, Song, X, et al. Increased catheter-related bloodstream infection rates after the introduction of a new mechanical valve intravenous access port. Infect Control Hosp Epidemiol 2006;27:67–70.Google Scholar
6. Karchmer, TB, Cook, E, Palavecino, E, Ohl, C, Sherertz, R. Needleless valve ports may be associated with a high rate of catheter-related bloodstream infection. In: Program and abstracts of the 15th Annual Scientific Meeting of the Society For Healthcare Epidemiology of America; April 9-12, 2005;Los Angeles. Abstract 307.Google Scholar
7. Saigado, CD, et al. Significant increased rate of catheter-related bloodstream infections (CRBSI) associated with use of a needleless valve (VN) system in a long-term acute care (LTAC) hospital. In: Program and abstracts of the 16th Annual Scientific Meeting of The Society for healthcare Epidemiology Of America; March 18-21, 2006; Chicago. Abstract 144.Google Scholar
8. O'Grady, NP, Alexander, M, Dellinger, EP, et al. Guidelines for the prevention of intravascular catheter-related infections, 2002. Centers for Disease Control and Prevention (CDC), Hospital Infection Control Practices Advisory Committee. MMWR Recomm Rep 2002;1(RR-10):1–26.Google Scholar
9. VICNISS Hospital Acquired Infection Surveillance Coordinating Centre. Surveillance Manual. Version 5. Melbourne, Australia: VICNISS; 2004.Google Scholar
10. Menyhay, SZ, Maki, DG. Disinfection of needleless catheter connectors. Infect Control Hosp Epidemiol 2006;27:23–28.Google Scholar