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Indwelling Time of Peripherally Inserted Central Catheters and Incidence of Bloodstream Infections in Haematology Patients: a Cohort Study by M. G. Caris; N. A. de Jonge; H. J. Punt; D. M. Salet; V. M. T. de Jong; B. I. Lissenberg-Witte; S. Zweegman; C. M. J. E. Vandenbroucke-Grauls; M. A. van Agtmael; J. J. W. M. Janssen is a Medicine article available to read on EtoBox.
What is Indwelling Time of Peripherally Inserted Central Catheters and Incidence of Bloodstream Infections in Haematology Patients: a Cohort Study about?
## Abstract ## Background We aimed to assess whether longer indwelling time of peripherally inserted central catheters (PICC) increases risk of central line associated bloodstream infections (CLABSI) in haematology patients. ## Methods Multicentre retrospective cohort study among haematology patients receiving PICCs between 2013 and 2015. Occurrence of CLABSI based on CDC definitions was assessed. We calculated incidence rates, determined risk factors for CLABSI and used Poisson regression models to assess the risk of developing CLABSI as a function of PICC dwell time. We compared diagnoses and treatment characteristics between 2013–2015 and 2015–2020. ## Results 455 PICCs placed in 370 patients were included, comprising 19,063 catheter days. Median indwelling time was 26 days (range 0–385) and CLABSI incidence was 4.0 per 1000 catheter days, with a median time to CLABSI of 33 days (range 18–158). Aplastic anaemia (AA) was associated with an increased risk of CLABSI; patients undergoing autologous stem cell transplantation (SCT) were less likely to develop CLABSI. In the unadjusted analysis, PICCs with an indwelling time of 15–28 days, 29–42 days, 43–56 days and > 56 days each had
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- Author
- M. G. Caris; N. A. de Jonge; H. J. Punt; D. M. Salet; V. M. T. de Jong; B. I. Lissenberg-Witte; S. Zweegman; C. M. J. E. Vandenbroucke-Grauls; M. A. van Agtmael; J. J. W. M. Janssen
- Publisher
- Springer Science and Business Media LLC
- Published
- 2022
- Language
- EN
- Field
- Medicine (Health Sciences)