Trends in the epidemiology of catheter-related bloodstream infections; towards a paradigm shift, Spain, 2007 to 2019

Virginia Pomar, Magda Campins Martí, Benito Almirante Gragera, Laia Badia-Cebada, Judit Peñafiel, Patrick Saliba, Marta Andrés, Jordi Càmara, Dolors Domènech, Emili Jiménez-Martínez, Anna Marrón, Encarna Moreno, Montserrat Vaqué, Enric Limón, Úrsula Masats, Miquel Pujol, Oriol Gasch Blasi, Alfredo Jover, Dolors Castellana, Montserrat OlonaAntonia García Pino, Josep Rebull Fatsini, Mª France Domènech, Miquel Pujol, Ana Hornero, Carmen Ardanuy Tisaire, Dàmaris Berbel Palau, Joaquín López-Contreras, Engracia Fernández, Xavier Salgado, Ana Lérida, Lydia Martin, Nieves Sopena, Irma Casas Garcia, Rafael Pérez, Encarna Maraver, Eva Palau, Pepi Serrats, José Antonio Martínez, Gemina Santana, Ana Martínez, Lourdes Ferrer, Mª José Moreno, Esther Calbo, Carolina Porta, Alex Smithson, Maria de la Roca Toda, Teresa Aliu, Susana Camps, Montserrat Ortega, Vicens Diaz-Brito, Encarna Moreno, Carme Agusti, Miquel Perea Garcia, Marta Andrés, Laura Grau Palafox, Raquel Carrera, Anna Besolí, Juan Pablo Horcajada, Cristina Gonzalez, Jordi Cuquet, Demelsa Maria Maldonado López, Rosa Benítez, Mireia Duch, David Blancas, Esther Moreno, Naiara Villalba, Sara Martínez, Àngels García Flores, Roser Ferrer, Josep Bisbe, Montse Blascó, Antoni Castro Salom, Ana Felisa López, Joan Espinach Alvarós, Àngels Perez, David Castander, Elisabet Calaf, Mercè Clarós, Núria Bosch Ros, Irene Montardit, Roser Porta, Pilar De la Cruz Sol, Mª Rosa Coll Colell, Rosa García Penche Sanches, Josep Maria Tricas, Eva Redon, Montse Brugués, Laura Linares, Maria Cusco, Mª Pilar Barrufet, Elena Vidal, Sandra Barbadillo, Mariló Marimón, Yolanda Meije, Montserrat Vaqué, M.Rosa Laplace Enguinados, Blanca Vila, Ana Guadalupe Coloma, Lucrecia López, Carme Ferrer, Natalia Juan Serra, Josep Farguell Carrera, Àngels Garcia Flores, Roser Ferrer, Marta Milian Sanz, Alexandra Moise, Ana Mª Jiménez Zarate, M. Carmen Eito Navasal, María Gracia Garcia Ramirez, Mar Armario Fernández

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Background: Catheter-related bloodstream infections (CRBSI) are frequent healthcare-associated infections and an important cause of death. Aim: To analyse changes in CRBSI epidemiology observed by the Infection Control Catalan Programme (VINCat). Methods: A cohort study including all hospital-acquired CRBSI episodes diagnosed at 55 hospitals (2007-2019) in Catalonia, Spain, was prospectively conducted. CRBSI incidence rates were adjusted per 1,000patientdays. To assess the CRBSI rate trend per year, negative binomial models were used, with the number of events as the dependent variable, and the year as the main independent variable. From each model, the annual rate of CRBSI diagnosed per 1,000patientdays and the incidence rate ratio (IRR) with its 95% confidence intervals (CI) were reported. Results: During the study, 9,290 CRBSI episodes were diagnosed (mean annual incidence rate:0.20episodes/1,000patientdays). Patients' median age was 64.1years; 36.6% (3,403/9,290) were female. In total, 73.7% (n=6,845) of CRBSI occurred in non-intensive care unit (ICU) wards, 62.7% (n=5,822) were related to central venous catheter (CVC), 24.1% (n=2,236) to peripheral venous catheters (PVC) and 13.3% (n=1,232) to peripherally-inserted central venous catheters (PICVC). Incidence rate fell over the study period (IRR:0.94;95%CI:0.93-0.96), especially in the ICU (IRR:0.88;95%CI:0.87-0.89). As a whole, while episodes of CVC CRBSI fell significantly (IRR:0.88;95%CI:0.87-0.91), peripherally-inserted catheter CRBSI (PVC and PICVC) rose, especially in medical wards (IRR PICVC:1.08;95%CI:1.05-1.11; IRR PVC: 1.03; 95% 1.00-1.05). Conclusions: Over the study, CRBSIs associated with CVC and diagnosed in ICUs decreased while episodes in conventional wards involving peripherally-inserted catheters increased. Hospitals should implement preventive measures in conventional wards.
Idioma originalAnglès
RevistaEurosurveillance
Volum27
Número19
DOIs
Estat de la publicacióPublicada - 2022

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