Catheter dwell time and clabsis in neonates with piccs: A multicenter cohort study

Pediatrics

Volumn 132, Issue 6, 2013, Pages

  Milstone, Aaron M ^a   Reich, Nicholas G ^b   Advani, Sonali ^a   Yuan, Guoshu ^b   Bryant, Kristina ^c   Coffin, Susan E ^d   Huskins, W Charles ^e   Livingston, Robyn ^f   Saiman, Lisa ^g   Smith, P Brian ^h   Song, Xiaoyan ⁱ  

^a JOHNS HOPKINS UNIVERSITY   (United States)

^b UNIVERSITY OF MASSACHUSETTS   (United States)

^c University of Louisville School of Medicine   (United States)

^d UNIVERSITY OF PENNSYLVANIA   (United States)

^e MAYO CLINIC COLLEGE OF MEDICINE   (United States)

^f UNIVERSITY OF MISSOURI KANSAS CITY   (United States)

^g NewYork Presbyterian Hospital   (United States)

^h DUKE UNIVERSITY   (United States)

ⁱ GEORGE WASHINGTON UNIVERSITY   (United States)

Author keywords

Catheter Related infections; Central venous catheters; Infection; NICU; Peripheral venous catheterization

Indexed keywords

ARTICLE; CATHETER CARE; CATHETER DWELL TIME; CATHETER INFECTION; CATHETER REMOVAL; COHORT ANALYSIS; CONTROLLED STUDY; FEMALE; GRAM NEGATIVE INFECTION; HIGH RISK PATIENT; HUMAN; INFECTION PREVENTION; INFECTION RISK; MAJOR CLINICAL STUDY; MALE; MEDICAL PARAMETERS; MORBIDITY; NEWBORN; NEWBORN INTENSIVE CARE; PERIPHERALLY INSERTED CENTRAL VENOUS CATHETER; PRIORITY JOURNAL; RETROSPECTIVE STUDY; TREATMENT DURATION; CATHETER-RELATED INFECTIONS; CENTRAL VENOUS CATHETERIZATION; CLINICAL TRIAL; CROSS INFECTION; EVALUATION STUDY; INCIDENCE; MULTICENTER STUDY; POISSON DISTRIBUTION; PROCEDURES; REGRESSION ANALYSIS; RISK FACTOR; TIME;

CATHETER-RELATED INFECTIONS; CATHETERIZATION, CENTRAL VENOUS; COHORT STUDIES; CROSS INFECTION; FEMALE; HUMANS; INCIDENCE; INFANT, NEWBORN; INTENSIVE CARE, NEONATAL; MALE; POISSON DISTRIBUTION; REGRESSION ANALYSIS; RETROSPECTIVE STUDIES; RISK FACTORS; TIME FACTORS;

EID: 84890638661     PISSN: 00314005     EISSN: 10984275     Source Type: Journal    
DOI: 10.1542/peds.2013-1645     Document Type: Article

References (28)

1. Advani S, Reich NG, Sengupta A, Gosey L, Milstone AM. Central line-associated bloodstream infection in hospitalized children with peripherally inserted central venous catheters: Extending risk analyses outside the intensive care unit. Clin Infect Dis. 2011; 52(9):1108-1115
2. Jumani K, Advani S, Reich NG, Gosey L, Milstone AM. Risk factors for peripherally inserted central venous catheter complications in children. JAMA Pediatr. 2013;167 (5):429-435
3. Sohn AH, Garrett DO, Sinkowitz-Cochran RL, et al; Pediatric Prevention Network. Prevalence of nosocomial infections in neonatal intensive care unit patients: Results from the first national point-prevalence survey. J Pediatr. 2001;139(6):821-827
4. Hocevar SN, Edwards JR, Horan TC, Morrell GC, Iwamoto M, Lessa FC. Device-associated infections among neonatal intensive care unit patients: incidence and associated pathogens reported to the National Healthcare Safety Network, 2006-2008. Infect Control Hosp Epidemiol. 2012;33(12):1200-1206
5. Stoll BJ, Hansen N, Fanaroff AA, et al. Lateonset sepsis in very low birth weight neonates: The experience of the NICHD Neonatal Research Network. Pediatrics. 2002;110(2 pt 1):285-291
6. Bizzarro MJ, Sabo B, Noonan M, Bonfiglio MP, Northrup V, Diefenbach K; Central Venous Catheter Initiative Committee. A quality improvement initiative to reduce central line-associated bloodstream infections in a neonatal intensive care unit. Infect Control Hosp Epidemiol. 2010;31(3):241-248
7. Kaplan HC, Lannon C, Walsh MC, Donovan EF; Ohio Perinatal Quality Collaborative. Ohio statewide quality-improvement collaborative to reduce late-onset sepsis in preterm infants. Pediatrics. 2011;127(3):427-435
8. Schulman J, Stricof R, Stevens TP, et al; New York State Regional Perinatal Care Centers. Statewide NICU central-line-associated bloodstream infection rates decline after bundles and checklists. Pediatrics. 2011; 127(3):436-444
9. Wirtschafter DD, Powers RJ, Pettit JS, et al. Nosocomial infection reduction in VLBW infants with a statewide quality-improvement model. Pediatrics. 2011;127(3):419-426
10. McLaws ML, Berry G. Nonuniform risk of bloodstream infection with increasing central venous catheter-days. Infect Control Hosp Epidemiol. 2005;26(8):715-719
11. Sengupta A, Lehmann C, Diener-West M, Perl TM, Milstone AM. Catheter duration and risk of CLA-BSI in neonates with PICCs. Pediatrics. 2010;125(4):648-653
12. Timsit JF. Scheduled replacement of central venous catheters is not necessary. Infect Control Hosp Epidemiol. 2000;21(6):371-374
13. García-Teresa MA, Casado-Flores J, Delgado Domínguez MA, et al; Spanish Central Venous Catheter Pediatric Study Group. Infectious complications of percutaneous central venous catheterization in pediatric patients: A Spanish multicenter study. Intensive Care Med. 2007;33(3):466-476
14. Ohki Y, Maruyama K, Harigaya A, Kohno M, Arakawa H. Complications of peripherally inserted central venous catheter in Japanese NICU. Pediatr Int. 2013;55(2):185-189
15. Milstone AM, Sengupta A. Do prolonged peripherally inserted central venous catheter dwell times increase the risk of bloodstream infection? Infect Control Hosp Epidemiol. 2010;31(11):1184-1187
16. Garland JS, Alex CP, Sevallius JM, et al. Cohort study of the pathogenesis and molecular epidemiology of catheter-related bloodstream infection in neonates with peripherally inserted central venous catheters. Infect Control Hosp Epidemiol. 2008; 29(3):243-249
17. Horan TC, Andrus M, Dudeck MA. CDC/NHSN surveillance definition of health care-associated infection and criteria for specific types of infections in the acute care setting. Am J Infect Control. 2008;36(5):309-332
18. Hardin JW, Hilbe JM. Generalized Linear Models and Extensions. 2nd ed. College Station, TX: Stata Press; 2001
19. Chathas MK, Paton JB, Fisher DE. Percutaneous central venous catheterization. Three years' experience in a neonatal intensive care unit. Am J Dis Child. 1990;144 (11):1246-1250
20. Mahieu LM, De Muynck AO, Ieven MM, De Dooy JJ, Goossens HJ, Van Reempts PJ. Risk factors for central vascular catheterassociated bloodstream infections among patients in a neonatal intensive care unit. J Hosp Infect. 2001;48(2):108-116
21. Stenzel JP, Green TP, Fuhrman BP, Carlson PE, Marchessault RP. Percutaneous central venous catheterization in a pediatric intensive care unit: A survival analysis of complications. Crit Care Med. 1989;17(10): 984-988
22. Smith PB, Benjamin DK Jr, Cotten CM, et al. Is an increased dwell time of a peripherally inserted catheter associated with an increased risk of bloodstream infection in infants? Infect Control Hosp Epidemiol. 2008;29(8):749-753
23. Powers RJ, Wirtschafter DW. Decreasing central line associated bloodstream infection in neonatal intensive care. Clin Perinatol. 2010;37(1):247-272
24. Richter JM, Brilli RJ. It's all about dwell time-reduce it and infection rates decrease? Pediatrics. 2010;125(4):820-821
25. Marschall J, Mermel LA, Classen D, et al. Strategies to prevent central line-associated bloodstream infections in acute care hospitals. Infect Control Hosp Epidemiol. 2008; 29(suppl 1):S22-S30
26. O'Grady NP, Alexander M, Burns LA, et al; Healthcare Infection Control Practices Advisory Committee (HICPAC). Guidelines for the prevention of intravascular catheterrelated infections. Clin Infect Dis. 2011;52 (9):e162-e193
27. Elward AM, Fraser VJ. Risk factors for nosocomial primary bloodstream infection in pediatric intensive care unit patients: A 2-year prospective cohort study. Infect Control Hosp Epidemiol. 2006;27(6):553-560
28. Gaur AH, Miller MR, Gao C, et al. Evaluating application of the national healthcaresafety network central line-associated bloodstream infection surveillance definition: A survey of pediatric intensive care and hematology/oncology units. Infect Control Hosp Epidemiol. 2013;34(7):663-670