Central line-associated bloodstream infections and catheter dwell-time: A theoretical foundation for a rule of thumb.

J Theor Biol

Department of Internal Medicine, Canisius-Wilhelmina Hospital, Weg door Jonkerbos 100, Nijmegen 6532 SZ, The Netherlands. Electronic address:

Published: May 2018

Many clinicians know from experience and medical epidemiological literature that the risk of central line-associated bloodstream infections (CLABSI) increases rapidly with a prolonged catheter dwell-time, but how this infection risk increases over time remains obscure. In this manuscript, a clinically useful rule of thumb is derived, stating that the risk of CLABSI increases in a quadratic fashion with the increase in catheter dwell-time. The proposed rule of thumb could be considered a quick and effortless clinical tool to rationally predict the pattern of CLABSI risk with an increasing catheter dwell-time.

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http://dx.doi.org/10.1016/j.jtbi.2018.02.024DOI Listing

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