Trends in the epidemiology of catheter-related bloodstream infections; towards a paradigm shift, Spain, 2007 to 2019
Badia-Cebada, Laia (Universitat Autònoma de Barcelona. Facultat de Medicina)
Peñafiel, Judit (Institut d'Investigació Biomèdica de Bellvitge)
Saliba, Patrick (VINCat Programme. Infection Control Catalan Programme)
Andrés, Marta (Infectious Diseases Unit, Department of Internal Medicine, Hospital Consorci de Terrassa, Spain)
Càmara, Jordi (CIBER de Enfermedades Respiratorias (CIBERes). ISCIII)
Domènech, Dolors (Hospital Universitari de Girona Doctor Josep Trueta)
Jiménez-Martínez, Emili (Institut d'Investigació Biomèdica de Bellvitge)
Marrón, Anna (Parc Taulí Hospital Universitari. Institut d'Investigació i Innovació Parc Taulí (I3PT))
Moreno, Encarna (Infection Control Nurse, Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Spain)
Pomar, Virginia (Institut d'Investigació Biomèdica Sant Pau)
Vaqué, Montserrat (Infection Control Nurse, Hospital de Barcelona, Barcelona)
Limón, Enric (VINCat Programme. Infection Control Catalan Programme)
Masats, Úrsula (Infection Control Nurse. Hospital Universitari Mútua Terrassa)
Pujol, Miquel (Institut d'Investigació Biomèdica de Bellvitge)
Gasch Blasi, Oriol (Parc Taulí Hospital Universitari. Institut d'Investigació i Innovació Parc Taulí (I3PT))
Jover, Alfredo (VINCat programme-Infection Control Catalan Programme)
Castellana, Dolors (VINCat programme-Infection Control Catalan Programme)
Olona, Montserrat (VINCat programme-Infection Control Catalan Programme)
García Pino, Antonia (VINCat programme-Infection Control Catalan Programme)
Rebull Fatsini, Josep (VINCat programme-Infection Control Catalan Programme)
Domènech, Mª France (VINCat programme-Infection Control Catalan Programme)
Pujol, Miquel (VINCat programme-Infection Control Catalan Programme)
Hornero, Ana (VINCat programme-Infection Control Catalan Programme)
Ardanuy Tisaire, Carmen (VINCat programme-Infection Control Catalan Programme)
Berbel Palau, Dàmaris (VINCat programme-Infection Control Catalan Programme)
López-Contreras, Joaquín (VINCat programme-Infection Control Catalan Programme)
Fernández, Engracia (VINCat programme-Infection Control Catalan Programme)
Salgado, Xavier (VINCat programme-Infection Control Catalan Programme)
Lérida, Ana (VINCat programme-Infection Control Catalan Programme)
Martin, Lydia (VINCat programme-Infection Control Catalan Programme)
Sopena, Nieves (VINCat programme-Infection Control Catalan Programme)
Casas García, Irma (VINCat programme-Infection Control Catalan Programme)
Pérez, Rafael (VINCat programme-Infection Control Catalan Programme)
Maraver, Encarna (VINCat programme-Infection Control Catalan Programme)
Palau, Eva (VINCat programme-Infection Control Catalan Programme)
Serrats, Pepi (VINCat programme-Infection Control Catalan Programme)
Martínez, José Antonio (VINCat programme-Infection Control Catalan Programme)
Santana, Gemina (VINCat programme-Infection Control Catalan Programme)
Martínez, Ana (VINCat programme-Infection Control Catalan Programme)
Ferrer, Lourdes (VINCat programme-Infection Control Catalan Programme)
Moreno, Mª José (VINCat programme-Infection Control Catalan Programme)
Calbo Sebastián, Esther (VINCat programme-Infection Control Catalan Programme)
Porta, Carolina (VINCat programme-Infection Control Catalan Programme)
Smithson, Alex (VINCat programme-Infection Control Catalan Programme)
de la Roca Toda, Maria (VINCat programme-Infection Control Catalan Programme)
Aliu, Teresa (VINCat programme-Infection Control Catalan Programme)
Camps, Susana (VINCat programme-Infection Control Catalan Programme)
Ortega, Montserrat (VINCat programme-Infection Control Catalan Programme)
Diaz-Brito, Vicens (VINCat programme-Infection Control Catalan Programme)
Moreno, Encarna (VINCat programme-Infection Control Catalan Programme)
Agusti, Carme (VINCat programme-Infection Control Catalan Programme)
Perea Garcia, Miquel (VINCat programme-Infection Control Catalan Programme)
Andrés, Marta (VINCat programme-Infection Control Catalan Programme)
Grau Palafox, Laura (VINCat programme-Infection Control Catalan Programme)
Carrera, Raquel (VINCat programme-Infection Control Catalan Programme)
Besolí, Anna (VINCat programme-Infection Control Catalan Programme)
Horcajada, Juan Pablo (VINCat programme-Infection Control Catalan Programme)
Gonzalez, Cristina (VINCat programme-Infection Control Catalan Programme)
Cuquet, Jordi (VINCat programme-Infection Control Catalan Programme)
Maldonado López, Demelsa Maria (VINCat programme-Infection Control Catalan Programme)
Benítez, Rosa (VINCat programme-Infection Control Catalan Programme)
Duch, Mireia (VINCat programme-Infection Control Catalan Programme)
Blancas, David (VINCat programme-Infection Control Catalan Programme)
Moreno, Esther (VINCat programme-Infection Control Catalan Programme)
Villalba, Naiara (VINCat programme-Infection Control Catalan Programme)
Martínez, Sara (VINCat programme-Infection Control Catalan Programme)
García Flores, Àngels (VINCat programme-Infection Control Catalan Programme)
Ferrer, Roser (VINCat programme-Infection Control Catalan Programme)
Bisbe, Josep (VINCat programme-Infection Control Catalan Programme)
Blascó, Montse (VINCat programme-Infection Control Catalan Programme)
Castro Salom, Antoni (VINCat programme-Infection Control Catalan Programme)
López, Ana Felisa (VINCat programme-Infection Control Catalan Programme)
Espinach Alvarós, Joan (VINCat programme-Infection Control Catalan Programme)
Perez, Àngels (VINCat programme-Infection Control Catalan Programme)
Castander, David (VINCat programme-Infection Control Catalan Programme)
Calaf, Elisabet (VINCat programme-Infection Control Catalan Programme)
Clarós, Mercè (VINCat programme-Infection Control Catalan Programme)
Bosch Ros, Núria (VINCat programme-Infection Control Catalan Programme)
Montardit, Irene (VINCat programme-Infection Control Catalan Programme)
Porta, Roser (VINCat programme-Infection Control Catalan Programme)
De la Cruz Sol, Pilar (VINCat programme-Infection Control Catalan Programme)
Coll Colell, Mª Rosa (VINCat programme-Infection Control Catalan Programme)
García Penche Sanches, Rosa (VINCat programme-Infection Control Catalan Programme)
Tricas, Josep Maria (VINCat programme-Infection Control Catalan Programme)
Redon, Eva (VINCat programme-Infection Control Catalan Programme)
Brugués, Montse (VINCat programme-Infection Control Catalan Programme)
Linares, Laura (VINCat programme-Infection Control Catalan Programme)
Cusco, Maria (VINCat programme-Infection Control Catalan Programme)
Barrufet, Mª Pilar (VINCat programme-Infection Control Catalan Programme)
Vidal, Elena (VINCat programme-Infection Control Catalan Programme)
Barbadillo, Sandra (VINCat programme-Infection Control Catalan Programme)
Marimón, Mariló (VINCat programme-Infection Control Catalan Programme)
Meije, Yolanda (VINCat programme-Infection Control Catalan Programme)
Vaqué, Montserrat (VINCat programme-Infection Control Catalan Programme)
Laplace Enguinados, M.Rosa (VINCat programme-Infection Control Catalan Programme)
Vila, Blanca (VINCat programme-Infection Control Catalan Programme)
Coloma, Ana Guadalupe (VINCat programme-Infection Control Catalan Programme)
López, Lucrecia (VINCat programme-Infection Control Catalan Programme)
Campins Martí, Magda (VINCat programme-Infection Control Catalan Programme)
Almirante Gragera, Benito (VINCat programme-Infection Control Catalan Programme)
Ferrer, Carme (VINCat programme-Infection Control Catalan Programme)
Juan Serra, Natalia (VINCat programme-Infection Control Catalan Programme)
Farguell Carrera, Josep (VINCat programme-Infection Control Catalan Programme)
Garcia Flores, Àngels (VINCat programme-Infection Control Catalan Programme)
Ferrer, Roser (VINCat programme-Infection Control Catalan Programme)
Milian Sanz, Marta (VINCat programme-Infection Control Catalan Programme)
Moise, Alexandra (VINCat programme-Infection Control Catalan Programme)
Jiménez Zarate, Ana Mª (VINCat programme-Infection Control Catalan Programme)
Eito Navasal, M. Carmen (VINCat programme-Infection Control Catalan Programme)
Garcia Ramirez, María Gracia (VINCat programme-Infection Control Catalan Programme)
Armario Fernández, Mar (VINCat programme-Infection Control Catalan Programme)
Universitat Autònoma de Barcelona

Data:	2022
Resum:	Background: Catheter-related bloodstream infections (CRBSI) are frequent healthcare-associated infections and an important cause of death. Aim: To analyse changes in CRBSI epidemiology observed by the Infection Control Catalan Programme (VINCat). Methods: A cohort study including all hospital-acquired CRBSI episodes diagnosed at 55 hospitals (2007-2019) in Catalonia, Spain, was prospectively conducted. CRBSI incidence rates were adjusted per 1,000patientdays. To assess the CRBSI rate trend per year, negative binomial models were used, with the number of events as the dependent variable, and the year as the main independent variable. From each model, the annual rate of CRBSI diagnosed per 1,000patientdays and the incidence rate ratio (IRR) with its 95% confidence intervals (CI) were reported. Results: During the study, 9,290 CRBSI episodes were diagnosed (mean annual incidence rate:0. 20episodes/1,000patientdays). Patients' median age was 64. 1years; 36. 6% (3,403/9,290) were female. In total, 73. 7% (n=6,845) of CRBSI occurred in non-intensive care unit (ICU) wards, 62. 7% (n=5,822) were related to central venous catheter (CVC), 24. 1% (n=2,236) to peripheral venous catheters (PVC) and 13. 3% (n=1,232) to peripherally-inserted central venous catheters (PICVC). Incidence rate fell over the study period (IRR:0. 94;95%CI:0. 93-0. 96), especially in the ICU (IRR:0. 88;95%CI:0. 87-0. 89). As a whole, while episodes of CVC CRBSI fell significantly (IRR:0. 88;95%CI:0. 87-0. 91), peripherally-inserted catheter CRBSI (PVC and PICVC) rose, especially in medical wards (IRR PICVC:1. 08;95%CI:1. 05-1. 11; IRR PVC: 1. 03; 95% 1. 00-1. 05). Conclusions: Over the study, CRBSIs associated with CVC and diagnosed in ICUs decreased while episodes in conventional wards involving peripherally-inserted catheters increased. Hospitals should implement preventive measures in conventional wards.
Ajuts:	Instituto de Salud Carlos III PI20/01563 Instituto de Salud Carlos III CIBERES CB06/06/0037
Nota:	Altres ajuts: Departament de Salut. Generalitat de Catalunya ("Pla estratègic de recerca i innovació en salut (PERIS) 2019-2021"); Ministerio de Asuntos Económicos y Transformación Digital; Red Española de Investigación en Patología Infecciosa (REIPI).
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Bacteremia ; Catheter-Related Infections ; Catheterization, Central Venous ; Catheters ; Cohort Studies ; Female ; Humans ; Incidence ; Male ; Middle Aged ; Polyvinyl Chloride ; Prospective Studies ; Sepsis ; Spain
Publicat a:	Eurosurveillance, Vol. 27 Núm. 19 (december 2022) , p. 2100610, ISSN 1560-7917

DOI: 10.2807/1560-7917.ES.2022.27.19.2100610
PMID: 35551704

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