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Peripherally Inserted Central Catheters Present on Admission and the Risk of Central-Line–Associated Bloodstream Infection by Patrick Burke; Elise Nickoli; Joanne Sitaras; Wanda Mullins; Patricia Dandache is a Medicine article available to read on EtoBox.

What is Peripherally Inserted Central Catheters Present on Admission and the Risk of Central-Line–Associated Bloodstream Infection about?

Background: Patients presenting to hospitals often arrive with peripherally inserted central catheters (PICC) in place upon admission. The admitting facility may not be familiar with that device’s history and the unknown risk for bloodstream infection associated with it often prompts requests for device replacement. A blanket approach to “change all lines” must be balanced with the potential for patient discomfort and insertion-related complications. To better inform our approach to prevention, we determined the incidence of central-line–associated bloodstream infection (CLABSI) in adult patients presenting to hospitals in our health system with a PICC present on admission (POA), relative to those who have a PICC placed after admission (PAA). Methods: This retrospective cohort study included all adult hospital encounters at 11 Cleveland Clinic acute-care hospitals lasting > 2 days in 2018 with electronic medical record nursing care flowsheet documentation of a PICC during the stay. Patients whose admission diagnosis was related to intravascular catheter infection, children aged <18 years, and observation unit encounters were excluded. Patients were categorized as having a PICC POA

Who reads Peripherally Inserted Central Catheters Present on Admission and the Risk of Central-Line–Associated Bloodstream Infection?

Author

Patrick Burke; Elise Nickoli; Joanne Sitaras; Wanda Mullins; Patricia Dandache

Publisher

Cambridge University Press (CUP)

Published

2020

Language

EN

Field

Medicine (Health Sciences)