Dressing disruption is a major risk factor for catheter-related infections

Critical Care Medicine

Volumn 40, Issue 6, 2012, Pages 1707-1714

  Timsit, Jean François ^a,b   Bouadma, Lila ^c   Ruckly, Stéphane ^a   Schwebel, Carole ^b   Garrouste Orgeas, Maïté ^d   Bronchard, Régis ^c   Calvino Gunther, Silvia ^a,b   Laupland, Kevin ^a,e   Adrie, Christophe ^f,h   Thuong, Marie ^g,h   Herault, Marie Christine ^b   Pease, Sebastian ⁱ   Arrault, Xavier ^c   Lucet, Jean Christophe ^c  

^a UNIV GRENOBLE ALPES   (France)

^b HÔPITAL MICHALLON   (France)

^c BICHAT HOSPITAL   (France)

^d SAINT JOSEPH HOSPITAL   (France)

^e UNIVERSITY OF CALGARY   (Canada)

^f DELAFONTAINE HOSPITAL   (France)

^g National Biomedecine Agency   (France)

^h Assistance Publique Hôpitaux de Paris ^*  (France)

ⁱ BEAUJON HOSPITAL   (France)

Author keywords

bloodstream infection; care bundles; catheter; dressing; prevention

Indexed keywords

ADULT; AGED; ARTICLE; CATHETER INFECTION; COMA; CORRELATION ANALYSIS; FEMALE; HEALTH CARE COST; HIGH RISK PATIENT; HUMAN; INFECTION RISK; MAJOR CLINICAL STUDY; MALE; MULTICENTER STUDY (TOPIC); PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL (TOPIC); RENAL REPLACEMENT THERAPY; RISK ASSESSMENT; SCORING SYSTEM; SECONDARY ANALYSIS; SEQUENTIAL ORGAN FAILURE ASSESSMENT SCORE; SEX DIFFERENCE; SUBCLAVIAN VEIN CATHETER; WOUND COMPLICATION; WOUND DRESSING; WOUND DRESSING DISRUPTION;

AGED; BACTEREMIA; BANDAGES; CATHETER-RELATED INFECTIONS; CATHETERS, INDWELLING; COLONY COUNT, MICROBIAL; CRITICAL CARE; CROSS INFECTION; DOUBLE-BLIND METHOD; EQUIPMENT CONTAMINATION; FEMALE; HUMANS; MALE; MIDDLE AGED; RISK FACTORS;

EID: 84861529429     PISSN: 00903493     EISSN: 15300293     Source Type: Journal    
DOI: 10.1097/CCM.0b013e31824e0d46     Document Type: Article

References (34)

1. Schwebel C, Lucet JC, Vesin A, et al: Economic evaluation of chlorhexidine-impregnated sponges for preventing catheter-related infections in critically ill adults in the dressing study. Crit Care Med 2012; 40:11-17
2. Rello J, Ochagavia A, Sabanes E, et al: Evaluation of outcome of intravenous catheter-related infections in critically ill patients. Am J Respir Crit Care Med 2000; 162(3 Pt 1):1027-1030
3. Renaud B, Brun-Buisson C: ICU-Bacteremia Study Group: Outcomes of primary and catheter-related bacteremia. A cohort and case-control study in critically ill patients. Am J Respir Crit Care Med 2001; 163:1584-1590
4. Soufir L, Timsit JF, Mahe C, et al: Attributable morbidity and mortality of catheter-related septicemia in critically ill patients: A matched, risk-adjusted, cohort study. Infect Control Hosp Epidemiol 1999; 20:396-401
5. Warren DK, Quadir WW, Hollenbeak CS, et al: Attributable cost of catheter-associated bloodstream infections among intensive care patients in a nonteaching hospital. Crit Care Med 2006; 34:2084-2089
6. Mermel LA, Allon M, Bouza E, et al: Clinical practice guidelines for the diagnosis and management of intravascular catheter-related infection: 2009 update by the Infectious Diseases Society of America. Clin Infect Dis 2009; 49:1-45
7. O'Grady NP, Alexander M, Dellinger EP, et al: Healthcare Infection Control Practices Advisory Committee: Guidelines for the prevention of intravascular catheter-related infections. Infect Control Hosp Epidemiol 2002; 23:759-769
8. Timsit JF: Updating of the 12th consensus conference of the Société de Réanimation de langue française (SRLF): Catheter related infections in the intensive care unit. Ann Fr Anesth Reanim 2005; 24:315-322
9. Timsit JF, Schwebel C, Bouadma L, et al: Dressing Study Group: Chlorhexidine-impregnated sponges and less frequent dressing changes for prevention of catheter-related infections in critically ill adults: A randomized controlled trial. JAMA 2009; 301:1231-1241
10. Lucet JC, Bouadma L, Zahar JR, et al: Infectious risk associated with arterial catheters compared with central venous catheters. Crit Care Med 2010; 38:1030-1035
11. Mermel LA: What is the predominant source of intravascular catheter infections? Clin Infect Dis 2011; 52:211-212
12. Timsit JF: Diagnosis and prevention of catheter-related infections. Curr Opin Crit Care 2007; 13:563-571
13. Moro ML, Viganò EF, Cozzi Lepri A: Risk factors for central venous catheter-related infections in surgical and intensive care units. The Central Venous Catheter-Related Infections Study Group. Infect Control Hosp Epidemiol 1994; 15(4 Pt 1):253-264
14. Safdar N, Maki DG: The pathogenesis of catheter-related bloodstream infection with noncuffed short-term central venous catheters. Intensive Care Med 2004; 30:62-67
15. Conly JM, Grieves K, Peters B: A prospective, randomized study comparing transparent and dry gauze dressings for central venous catheters. J Infect Dis 1989; 159:310-319
16. Maki DG, Ringer M: Evaluation of dressing regimens for prevention of infection with peripheral intravenous catheters. Gauze, a transparent polyurethane dressing, and an iodophor-transparent dressing. JAMA 1987; 258:2396-2403
17. Gillies D, O'Riordan L, Carr D, et al: Gauze and tape and transparent polyurethane dressings for central venous catheters. Cochrane Database Syst Rev 2003; CD003827
18. Rasero L, Degl'Innocenti M, Mocali M, et al: Comparison of two different protocols on change of medication in central venous catheterization in patients with bone marrow transplantation: Results of a randomized multicenter study. Assist Inferm Ric 2000; 19:112-119
19. Vokurka S, Bystricka E, Visokaiova M, et al: Once-versus twice-weekly changing of central venous catheter occlusive dressing in intensive chemotherapy patients: Results of a randomized multicenter study. Med Sci Monit 2009; 15:CR107-CR110
20. Maki DG, Stolz SS, Wheeler S, et al: A prospective, randomized trial of gauze and two polyurethane dressings for site care of pulmonary artery catheters: Implications for catheter management. Crit Care Med 1994; 22:1729-1737
21. Trick WE, Vernon MO, Welbel SF, et al: Unnecessary use of central venous catheters: The need to look outside the intensive care unit. Infect Control Hosp Epidemiol 2004; 25:266-268
22. Shapey IM, Foster MA, Whitehouse T, et al: Central venous catheter-related bloodstream infections: Improving post-insertion catheter care. J Hosp Infect 2009; 71:117-122
23. Timsit JF: Central venous access in intensive care unit patients: Is the subclavian vein the royal route? Intensive Care Med 2002; 28:1006-1008
24. Merrer J, De Jonghe B, Golliot F, et al: French Catheter Study Group in Intensive Care: Complications of femoral and subclavian venous catheterization in critically ill patients: A randomized controlled trial. JAMA 2001; 286:700-707
25. Fridkin SK, Pear SM, Williamson TH, et al: The role of understaffing in central venous catheter-associated bloodstream infections. Infect Control Hosp Epidemiol 1996; 17: 150-158
26. Hugonnet S, Chevrolet JC, Pittet D: The effect of workload on infection risk in critically ill patients. Crit Care Med 2007; 35:76-81
27. Robert J, Fridkin SK, Blumberg HM, et al: The influence of the composition of the nursing staff on primary bloodstream infection rates in a surgical intensive care unit. Infect Control Hosp Epidemiol 2000; 21:12-17
28. Pronovost P, Needham D, Berenholtz S, et al: An intervention to decrease catheter-related bloodstream infections in the ICU. N Engl J Med 2006; 355:2725-2732
29. Mermel LA: Prevention of central venous catheter-related infections: What works other than impregnated or coated catheters? J Hosp Infect 2007; 65 Suppl 2:30-33
30. Vandijck DM, Labeau SO, Secanell M, et al: The role of nurses working in emergency and critical care environments in the prevention of intravascular catheter-related bloodstream infections. Int Emerg Nurs 2009; 17:60-68
31. Furuya EY, Dick A, Perencevich EN, et al: Central line bundle implementation in US intensive care units and impact on bloodstream infections. PLoS ONE 2011; 6:e15452
32. Davidoff F: Heterogeneity is not always noise: Lessons from improvement. JAMA 2009; 302:2580-2586
33. Guerin K, Wagner J, Rains K, et al: Reduction in central line-associated bloodstream infections by implementation of a postinsertion care bundle. Am J Infect Control 2010; 38:430-433
34. Keene D, Hennessey I, Rakoczy G: Central venous line dressings: Can you stick it? J Pediatr Surg 2009; 44:432-435