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Background: Catheter related blood stream infection (CRBSI) is the main complication of central venous catheter (CVC) use which increases the duration of hospital stay and increases the costs of applied health services. Objective: (1) Estimating incidence rate of CRBSI in the National Heart Institute over six months. (2) To identify the relation be...
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Citations
... However, indwelling CVC has the potential of causing several complications such as catheter related bloodstream infection (CRBSI), phlebitis, catheter blockage, catheter exfoliation, and venous thrombosis. 1 Several studies have demonstrated that CRBSI is closely related with increased patient morbidity and mortality and prolonged length of stay (LOS). [2][3][4][5] The average incidence of CRBSI in ICUs in China is 1.5/1000 catheter days, 6 similar to the rates in UK, Germany and Italy, 7 but lower than the rates reported in Oman. 8 This may be partly due to the different definitions of surveillance, diagnosis criteria, patient conditions, and catheterization of procedures in different countries and regions. ...
Purpose
Indwelling central venous catheters (CVCs) can cause catheter related bloodstream infection (CRBSI). CRBSI occurring in intensive care unit (ICU) patients may lead to the worse outcomes and extra medical costs. The present study aimed to assess the incidence and incidence density, pathogens and economic burden of CRBSI in ICU patients.
Patients and Methods
A case-control study was retrospectively carried out in six ICUs of one hospital between July 2013 and June 2018. The Department of Infection Control performed routinely surveillance for CRBSI on these different ICUs. Data of the clinical and microbiological characteristics of patients with CRBSI, the incidence and incidence density of CRBSI in ICUs, the attributable length of stay (LOS), and the costs among patients with CRBSI in ICU were collected and assessed.
Results
A total of 82 ICU patients with CRBSI were included into the study. The CRBSI incidence density was 1.27 per 1000 CVC-days in all ICUs, in which the highest was 3.52 per 1000 CVC-days in hematology ICU and the lowest was 0.14 per 1000 CVC-days in Special Procurement ICU. The most common pathogen causing CRBSI was Klebsiella pneumoniae (15/82, 16.67%), in which 12 (80%) were carbapenem resistant. Fifty-one patients were successfully matched with control patients. The average costs in the CRBSI group were $ 67,923, which were significantly higher (P < 0.001) than the average costs in the control group. The total average costs attributable to CRBSI were $33, 696.
Conclusion
The medical costs of ICU patients were closely related to the incidence of CRBSI. Imperative measures are needed to reduce CRBSI in ICU patients.
... However, indwelling CVCs have the potential to lead to several complications such as catheter related blood stream infection (CRBSI), phlebitis, catheter blockage, catheter exfoliation and venous thrombosis (1). Several studies have demonstrated that CRBSI is related with increased patient morbidity, prolonged length of stay and increased costs (2)(3)(4)(5). Decreasing the rate of CRBSI is also one of the 2021 Chinese national medical quality and safety improvement goals(6). Therefore, it is important to understand the current situation as well as the disease burden of CRBSI. ...
BACKGROUND. Indwelling central venous catheters (CVCs) have the potential to lead to catheter related blood stream infection (CRBSI). We report the findings of a single center, retrospective matched case-control study that assessed the incidence rate of CRBSI in ICUs and attributable length of stay (LOS), costs among patients with CRBSI in ICU in Shanghai, China.
METHODS. The study was carried out in several ICUs, with a total of 2300 beds of 3 tertiary-level hospital affiliated to Shanghai Jiao Tong University. The Department of Infection Control performs routinely surveillance for CRBSI on ten different ICUs.
RESULTS. The CRBSI incidence rate of hematology ICU, which was the highest, was 4.43 per 1000 CVC-days. 51 patients were successfully matched with control patients. The average cost in the CRBSI group was $ 67,923 which was significantly higher (P < 0.001) than that in the control group. The total average cost attributable to CRBSI was $33, 227.
CONCLUSION. The cost of antibiotics was closely related to the incidence of CRBSI.
Trial registration: The registration number is 2019(92) and date of registration is 22-05-2019.
... However, indwelling CVCs have the potential to lead to several complications such as catheter related blood stream infection (CRBSI), phlebitis, catheter blockage, catheter exfoliation and venous thrombosis (1). Several studies have demonstrated that CRBSI is related with increased patient morbidity, prolonged length of stay and increased costs (2)(3)(4)(5). Decreasing the rate of CRBSI is also one of the 2021 Chinese national medical quality and safety improvement goals(6). Therefore, it is important to understand the current situation as well as the disease burden of CRBSI. ...
Background
Indwelling central venous catheters (CVCs) have the potential to lead to catheter related blood stream infection (CRBSI). We report the findings of a single center, retrospective matched case-control study that assessed the incidence rate of CRBSI in ICUs and attributable length of stay (LOS), costs among patients with CRBSI in ICU in Shanghai, China.Methods
The study was carried out in several ICUs, with a total of 2300 beds of 3 tertiary-level hospital affiliated to Shanghai Jiao Tong University. The Department of Infection Control performs routinely surveillance for CRBSI on ten different ICUs.ResultsThe CRBSI incidence rate of hematology ICU, which was the highest, was 4.43 per 1000 CVC-days. 51 patients were successfully matched with control patients. The average cost in the CRBSI group was $ 67,923 which was significantly higher (P < 0.001) than that in the control group. The total average cost attributable to CRBSI was $33, 227.Conclusions
The cost of antibiotics was closely related to the incidence of CRBSI.
