Two-Year Hospital-Wide Surveillance of Central Line-Associated Bloodstream Infections in a Korean Hospital.
10.3346/jkms.2018.33.e280
- Author:
Hye Kyung SEO
1
;
Joo Hee HWANG
;
Myoung Jin SHIN
;
Su young KIM
;
Kyoung Ho SONG
;
Eu Suk KIM
;
Hong Bin KIM
Author Information
1. Infection Control Office, Seoul National University Bundang Hospital, Seongnam, Korea. eskim@snubh.org
- Publication Type:Original Article
- Keywords:
Central Line-associated Bloodstream Infection;
Central Venous Catheter;
Hospital-wide Surveillance
- MeSH:
Catheters;
Catheters, Indwelling;
Central Venous Catheters;
Hand;
Hospitals, Teaching;
Humans;
Intensive Care Units;
Korea;
Patients' Rooms;
Tertiary Healthcare
- From:Journal of Korean Medical Science
2018;33(45):e280-
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: Surveillance and interventions of central line-associated bloodstream infections (CLABSIs) had mainly been targeted in intensive care units (ICUs). Central lines are increasingly used outside ICUs. Therefore, we performed a hospital-wide survey of CLABSIs to evaluate the current status and develop strategies to reduce CLBASI rates. METHODS: All hospitalized patients with central venous catheters (CVCs) were screened for CLABSIs from January 2014 through December 2015 at a 1,328 bed tertiary care teaching hospital in Korea using an electronic data-collecting system. Clinical information including type of CVC was collected. CLABSI rates were calculated using the definitions of the National Health and Safety Network after excluding mucosal barrier injury laboratory-confirmed bloodstream infection (BSI). RESULTS: A total of 154 CLABSIs were identified, of which 72 (46.8%) occurred in general wards and 82 (53.2%) in ICUs (0.81 and 2.71 per 1,000 catheter days), respectively. Non-tunneled CVCs were most common (68.6%) among 70 CLABSI events diagnosed within one week of their maintenance. On the other hand, tunneled CVCs and peripherally inserted central catheters (PICCs) were more common (60.5%) among 114 CLABSI events diagnosed more than a week after maintenance. Whereas the majority (72.2%) of CLABSIs in ICUs were associated with non-tunneled CVCs, tunneled CVCs (38.9%) and PICCs (36.8%) were more common in general wards. CONCLUSION: CLABSIs are less common in general wards than in ICUs, but they are more often associated with long-term indwelling catheters. Therefore, interventions to prevent CLABSIs should be tailored according to the type of ward and type of catheter.
