Hostname: page-component-586b7cd67f-2brh9 Total loading time: 0 Render date: 2024-11-28T11:41:30.575Z Has data issue: false hasContentIssue false

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
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)

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
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2007

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

1. Press, O, Ramsay, P, Larson, E, Fefer, A, Hickman, R. Hickman catheter infections in patients with malignancies. Medicine 1984;63:189200.Google Scholar
2. Soo, RA, Gosbell, IB, Gallo, JH, et al. Hickman catheter complications in a haematology unit, 1996-98. Intern Med J 2002;32:100103.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;27:6770.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):126.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;27:2328.Google Scholar