Risk factors of catheter-related blood stream infection in non-tunneled central venous catheter

Not Applicable

• Conditions: Any conditions requiring central venous catheter in general hospitals (adult patients)

• Registration Number: JPRN-UMIN000002865
• Lead Sponsor: ational Hospital Organization

Brief Summary

Background: Risk factors for catheter-related bloodstream infections (CRBSIs) may change over time with progress in infection control. This study was undertaken to explore the current risk factors for CRBSIs in hospitalized patients. Methods: Adult patients with non-tunneled central venous catheters (CVCs) in 12 Japanese referral hospitals were prospectively enrolled between December 2009 and January 2012. Patients were monitored for CRBSIs for up to 8 weeks from CVC insertion; data were collected regarding patient characteristics, the purpose of CVC insertion, insertion methods, mechanical complications during insertion, and post-insertion catheter care. Results: A total of 892 patients were enrolled in this study. The overall incidence of CRBSIs was 0.40 infections per 1000 catheter-days. Univariate analysis using the Fisher's exact test identified one of the participating hospitals (hospital A; p < 0.001), internal jugular vein catheterization (IJVC) (p = 0.0013), not using maximal sterile barrier precautions (p = 0.030), and the Seldinger technique for catheter insertion (p = 0.025) as significant risk factors for CRBSI. After excluding data from hospital A, only IJVC remained a significant risk factor for CRBSI (p = 0.025). The cumulative probability of remaining without CRBSI was significantly lower in patients with IJVCs than in patients with other catheter routes (p < 0.001; log-rank test). Similarly, the cumulative probability of remaining without catheter removal due to a suspected infection was significantly lower in patients with IJVCs (p = 0.034; log-rank test). Conclusions: The current study suggests that IJVC might be a risk factor for CRBSI under current infection control conditions. This article was published online in Scand J Infect Dis. Read More: http://informahealthcare.com/doi/abs/10.3109/00365548.2013.807936

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2009-12-11
• Study Completion: 2012-02-01
• Last Update Posted: 17 October 2023

Recruitment & Eligibility

• Status: Complete: follow-up complete
• Sex: All
• Target Recruitment: 2000

Inclusion Criteria

Not provided

Exclusion Criteria

1) patients who are under 18 years old 2) patients who have high fever over 38.1 cent degree 3) patients who were already administered antibiotics 4) patients who already had central venous catheter 5) patients who do not sign a consent form

Study & Design

• Study Type: Observational
• Study Design: Not specified