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Risk Factors for Central Line–Associated Bloodstream Infections in the Era of Prevention Bundles

Published online by Cambridge University Press:  23 December 2014

Devin Callister
Affiliation:
Division of Infectious Diseases, Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center, Torrance, California
Pauline Limchaiyawat
Affiliation:
Division of Infectious Diseases, Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center, Torrance, California
Samantha J. Eells
Affiliation:
Division of Infectious Diseases, Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center, Torrance, California David Geffen School of Medicine at the University of California Los Angeles, California
Loren G. Miller*
Affiliation:
Division of Infectious Diseases, Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center, Torrance, California David Geffen School of Medicine at the University of California Los Angeles, California Department of Infection Prevention and Control, Harbor-UCLA Medical Center, Torrance, California
*
Address correspondence to Loren G. Miller, MD, MPH, Division of Infectious Diseases, Harbor-UCLA Medical Center, 1000 W Carson St Box 466, Torrance, CA 90509 ([email protected]).

Abstract

Little is known about central line–associated bloodstream infection risk factors in the bundle era. In our case-control investigation, we found that independent risk factors for central line–associated bloodstream infection at our center included the number of recent lab tests, catheter duration, and lack of hemodynamic monitoring as the insertion indication.

Infect Control Hosp Epidemiol 2014;00(0): 1–3

Type
Concise Communications
Copyright
© 2014 by The Society for Healthcare Epidemiology of America. All rights reserved 

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References

1. Pronovost, P, Needham, D, Berenholtz, S, et al. An intervention to decrease catheter-related bloodstream infections in the ICU. N Engl J Med 2006;355:27252732.CrossRefGoogle ScholarPubMed
2. Centers for Disease Control and Prevention (CDC). Vital signs: central line-associated blood stream infections–United States, 2001, 2008, and 2009. MMWR Morb Mortal Wkly Rep 2011;60:243248.Google Scholar
3. Marschall, J, Mermel, LA, Classen, D, et al. Strategies to prevent central line–associated bloodstream infections in acute care hospitals. Infect Control Hosp Epidemiol 2008;29:S22S30.Google Scholar
4. Berenholtz, SM, Lubomski, LH, Weeks, K, et al. Eliminating central line–associated bloodstream infections: a national patient safety imperative. Infect Control Hosp Epidemiol 2014;35:5662.Google Scholar
5. Lukenbill, J, Rybicki, L, Sekeres, MA, et al. Defining incidence, risk factors, and impact on survival of central line–associated blood stream infections following hematopoietic cell transplantation in acute myeloid leukemia and myelodysplastic syndrome. Biol Blood Marrow Transplant 2013;19:720724.Google Scholar
6. Pongruangporn, M, Ajenjo, MC, Russo, AJ, et al. Patient- and device-specific risk factors for peripherally inserted central venous catheter–related bloodstream infections. Infect Control Hosp Epidemiol 2013;34:184189.Google Scholar
7. Saman, DM, Kavanagh, KT, Johnson, B, et al. Can inpatient hospital experiences predict central line–associated bloodstream infections? PLOS ONE 2013;8:e61097. doi:10.1371/journal.pone.0061097 CrossRefGoogle ScholarPubMed
8. Centers for Disease Control and Prevention (CDC), National Healthcare Safety Network (NHSN) Surveillance Definitions: Central Line Associated Bloodstream Infection (CLABSI) & Related Sites. July 2013. http://www.cdc.gov/nhsn/pdfs/pscmanual/17pscnosinfdef_current.pdf Google Scholar
9. Lissauer, ME, Leeka, S, Preas, MA, et al. Risk factors for central line-associated bloodstream infections in the era of best practice. J Trauma Acute Care Surg 2012;72:11741180.CrossRefGoogle ScholarPubMed
10. Lockman, JL, Heitmiller, ES, Ascenzi, JA, Berkowitz, I. Scrub the hub! Catheter needleless port decontamination. Anesthesiology 2011;114:958.Google Scholar