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Six-year multicenter study on short-term peripheral venous catheters-related bloodstream infection rates in 204 intensive care units of 57 hospitals in 19 cities of India: International Nosocomial Infection Control Consortium (INICC) findings. | LitMetric

AI Article Synopsis

  • - A study conducted in 204 ICUs across 57 hospitals in India from 2013 to 2019 found that the rate of peripheral venous catheter-related bloodstream infections (PVCR-BSIs) was 2.91 per 1,000 catheter days, highlighting an alarming prevalence in developing countries.
  • - The research included over 7,500 ICU patients and revealed a significant increase in mortality rates, with 11.59% for those with PVCR-BSI compared to 4.14% for those without.
  • - The most common bacteria identified were gram-negative (68% total), with leading strains like Escherichia coli and Klebsiella spp., indicating a need for improved infection control

Article Abstract

Background: Short-term peripheral venous catheters-related bloodstream infections (PVCR-BSIs) rates have not been systematically studied in developing countries, and data on their incidence by number of device-days are not available.

Methods: Prospective, surveillance study on PVCR-BSI conducted from September 1, 2013 to May 31, 2019 in 204 intensive care units (ICUs), members of the International Nosocomial Infection Control Consortium (INICC), from 57 hospitals in 19 cities of India. We applied US INICC definition criteria and reported methods using the INICC Surveillance Online System.

Results: We followed 7,513 ICU patients for 296,893 bed-days and 295,795 short term peripheral venous catheter (PVC)-days. We identified 863 PVCR-BSIs, amounting to a rate of 2.91/1,000 PVC-days. Mortality in patients with PVC but without PVCR-BSI was 4.14%, and 11.59% in patients with PVCR-BSI. The length of stay in patients with PVC but without PVCR-BSI was 4.13 days, and 5.9 days in patients with PVCR-BSI. The micro-organism profile showed 68% of gram negative bacteria: Escherichia coli (23%), Klebsiella spp (15%), Pseudomonas aeruginosa (5%), and others. The predominant gram-positive bacteria were Staphylococcus aureus (10%).

Conclusions: PVCR-BSI rates found in our ICUs were much higher than rates published from industrialized countries. Infection prevention programs must be implemented to reduce the incidence of PVCR-BSIs.

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Source
http://dx.doi.org/10.1016/j.ajic.2019.12.026DOI Listing

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