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Early Onset versus Late Onset Peripherally Inserted Central Venous Catheter Infections: An Analysis of Risk Factors and Microbiology

Published online by Cambridge University Press:  02 January 2015

Paul Chittick*
Affiliation:
Department of Epidemiology, Beaumont Health System, Royal Oak, Michigan Oakland University William Beaumont School of Medicine, Rochester, Michigan Division of Infectious Diseases, Beaumont Health System, Royal Oak, Michigan
Sobia Azhar
Affiliation:
Division of Infectious Diseases, Beaumont Health System, Royal Oak, Michigan
Kalyani Movva
Affiliation:
Department of Epidemiology, Beaumont Health System, Royal Oak, Michigan Division of Infectious Diseases, Beaumont Health System, Royal Oak, Michigan
Paula Keller
Affiliation:
Department of Epidemiology, Beaumont Health System, Royal Oak, Michigan
Judith A. Boura
Affiliation:
Oakland University William Beaumont School of Medicine, Rochester, Michigan Division of Infectious Diseases, Beaumont Health System, Royal Oak, Michigan
Jeffrey Band
Affiliation:
Department of Epidemiology, Beaumont Health System, Royal Oak, Michigan Oakland University William Beaumont School of Medicine, Rochester, Michigan Division of Infectious Diseases, Beaumont Health System, Royal Oak, Michigan
*
Department of Infectious Diseases, Beaumont Health System, 3601 West 13 Mile Road, Royal Oak, MI 48073 ([email protected])

Abstract

The risks and microbiology for peripherally inserted central catheters (PICCs) are less well described than those for traditional central catheters, particularly as they pertain to duration of catheterization. We compared patients with early- and late-onset PICC bloodstream infections at our institution and found significant differences in microbiologic etiologies.

Type
Concise Communication
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2013

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References

1.Milstone, AM, Sengupta, A. Do prolonged peripherally inserted central venous catheter dwell times increase the risk of bloodstream infection? Infect Control Hosp Epidemiol 2010;31:11841187.Google Scholar
2.Safdar, N, Maki, DG. Risk of catheter-related bloodstream infection with peripherally inserted central venous catheters used in hospitalized patients. Chest 2005;128:489495.Google Scholar
3.Sengupta, A, Lehmann, C, Diener-West, M, Perl, TM, Milstone, AM. Catheter duration and risk of CLA-BSI in neonates with PICCs. Pediatrics 2010;125:648653.Google Scholar
4.Mermel, LA. Prevention of intravascular catheter-related infections. Ann Intern Med 2000;132:391402.Google Scholar
5.Horan, TC, Andrus, M, Dudeck, MA. CDC/NHSN surveillance definition of health care-associated infection and criteria for specific types of infection in the acute care setting. Am J Infect Control 2008;36:309332.Google Scholar
6.O'Grady, NP, Alexander, M, Burns, LA, et al.Guidelines for the prevention of intravascular catheter-related infections. Clin Infect Dis 2011;52:e162e193.Google Scholar
7.Mollee, P, Jones, M, Stackelroth, J, et al.Catheter-associated bloodstream infection incidence and risk factors in adults with cancer: a prospective cohort study. J Hosp Infect 2011;78:2630.Google Scholar
8.Safdar, N, Kluger, DM, Maki, DG. A review of risk factors for catheter-related bloodstream infection caused by percutaneously inserted, noncuffed central venous catheters: implications for preventive strategies. Medicine 2002;81:466479.Google Scholar
9.Goes-Silva, E, Abreu, TF, Frota, ACC, Pessoa-Silva, CL, Cunha, AJLA, Hofer, CB. Use of peripherally inserted central catheters to prevent catheter-associated bloodstream infection in children. Infect Control Hosp Epidemiol 2009;30:10241026.Google Scholar
10.Advani, S, Reich, NG, Sengupta, A, Gosey, L, Milstone, AM. Central line-associated bloodstream infection in hospitalized children with peripherally inserted central venous catheters: extending risk analyses outside the intensive care unit. Clin Infect Dis 2011; 52:11081115.Google Scholar
11.Ajenjo, MC, Morley, JC, Russo, AJ, et al.Peripherally inserted central venous catheter-associated bloodstream infections in hospitalized adult patients. Infect Control Hosp Epidemiol 2011; 32:125130.Google Scholar
12.Wisplinghoff, H, Bischoff, T, Tallent, SM, et al.Nosocomial bloodstream infections in US hospitals: analysis of 24, 179 cases from a prospective nationwide surveillance study. Clin Infect Dis 2004; 39:309.Google Scholar
13.Garland, JS, Alex, CP, Sevallius, JM, et al.Cohort study of the pathogenesis and molecular epidemiology of catheter-related bloodstream infection in neonates with peripherally inserted central venous catheters. Infect Control Hosp Epidemiol 2008;29: 243249.Google Scholar
14.Sexton, DJ, Chen, LF, Anderson, DJ. Current definitions of central line-associated bloodstream infections: is the emperor wearing clothes? Infect Control Hosp Epidemiol 2010;31:12861289.Google Scholar