Central line-associated bloodstream infections among critically-ill patients in the era of bundle care

Journal of Microbiology, Immunology, and Infection = Wei Mian Yu Gan Ran Za Zhi
Kuan-Yin LinShan-Chwen Chang

Abstract

Patients admitted to intensive care units (ICUs) are at high risk for central line-associated bloodstream infections (CLABSIs). Bundle care has been documented to reduce CLABSI rates in Western countries, however, few reports were from Asian countries and the differences in the epidemiology or outcomes of critically-ill patients with CLABSIs after implementation of bundle care remain unknown. We aimed to evaluate the incidence, microbiological characteristics, and factors associated with mortality in critically-ill patients after implementation of bundle care. Prospective surveillance was performed on patients admitted to ICUs at the National Taiwan University Hospital, Taipei, Taiwan from January 2012 to June 2013. The demographic, microbiological, and clinical data of patients who developed CLABSI according to the National Healthcare Safety Network definition were reviewed. A total of 181 episodes of CLABSI were assessed in 156 patients over 46,020 central-catheter days. The incidence of CLABSI was 3.93 per 1000 central-catheter days. The predominant causative microorganisms isolated from CLABSI episodes were Gram-negative bacteria (39.2%), followed by Gram-positive bacteria (33.2%) and Candida spp. (27.6%). Median time from ...Continue Reading

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Oct 1, 2019·Annals of Internal Medicine·Payal K PatelVineet Chopra
Dec 24, 2018·BMJ Open·Niccolò BuettiUNKNOWN Swiss Centre for Antibiotic Resistance (ANRESIS)
Jan 4, 2020·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·Matthaios Papadimitriou-OlivgerisIris Spiliopoulou
Feb 11, 2021·Journal of Microbiology, Immunology, and Infection = Wei Mian Yu Gan Ran Za Zhi·Eng-Kean Yeong, Wang-Huei Sheng
Mar 10, 2020·Indian Journal of Critical Care Medicine : Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine·Palepu B Gopal
Mar 10, 2020·Indian Journal of Critical Care Medicine : Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine·Arvind KhodareVikas Khillan

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