Abstract:
OBJECTIVE:Better understand the incidence, risk factors, and outcomes of peripheral venous catheter (PVC)-related Staphylococcus aureus bacteremia. DESIGN:Retrospective study of PVC-related S. aureus bacteremias in adult patients from July 2005 through March 2008. A point-prevalence survey was performed January 9, 2008, on adult inpatients to determine PVC utilization; patients with a PVC served as a cohort to assess risk factors for PVC-related S. aureus bacteremia. SETTING:Tertiary care teaching hospital. RESULTS:Twenty-four (18 definite and 6 probable) PVC-related S. aureus bacteremias were identified (estimated incidence density, 0.07 per 1,000 catheter-days), with a median duration of catheterization of 3 days (interquartile range, 2-6). Patients with PVC-related S. aureus bacteremia were significantly more likely to have a PVC in the antecubital fossa (odds ratio [OR], 6.5), a PVC placed in the emergency department (OR, 6.0), or a PVC placed at an outside hospital (P = .005), with a longer duration of catheterization (P < .001). These PVCs were significantly less likely to have been inserted in the hand (OR, 0.23) or placed on an inpatient medical unit (OR, 0.17). Mean duration of antibiotic treatment was 19 days (95% confidence interval, 15-23 days); 42% (10/24) of cases encountered complications. We estimate that there may be as many as 10,028 PVC-related S. aureus bacteremias yearly in US adult hospitalized inpatients. CONCLUSION:PVC-related S. aureus bacteremia is an underrecognized complication. PVCs inserted in the emergency department or at outside institutions, PVCs placed in the antecubital fossa, and those with prolonged dwell times are associated with such infections.
journal_name
Infect Control Hosp Epidemioljournal_title
Infection control and hospital epidemiologyauthors
Trinh TT,Chan PA,Edwards O,Hollenbeck B,Huang B,Burdick N,Jefferson JA,Mermel LAdoi
10.1086/660099subject
Has Abstractpub_date
2011-06-01 00:00:00pages
579-83issue
6eissn
0899-823Xissn
1559-6834journal_volume
32pub_type
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journal_title:Infection control and hospital epidemiology
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doi:10.1086/588201
更新日期:2008-06-01 00:00:00
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doi:10.1086/597505
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doi:10.1086/669857
更新日期:2013-04-01 00:00:00
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journal_title:Infection control and hospital epidemiology
pub_type: 杂志文章,多中心研究
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更新日期:2005-05-01 00:00:00
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journal_title:Infection control and hospital epidemiology
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更新日期:2017-07-01 00:00:00
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journal_title:Infection control and hospital epidemiology
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更新日期:2009-06-01 00:00:00
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更新日期:2010-08-01 00:00:00
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pub_type: 临床试验,杂志文章
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更新日期:2013-01-01 00:00:00
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doi:10.1086/605321
更新日期:2009-09-01 00:00:00
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journal_title:Infection control and hospital epidemiology
pub_type: 杂志文章
doi:10.1086/597234
更新日期:2009-05-01 00:00:00
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更新日期:2018-06-01 00:00:00
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更新日期:2001-05-01 00:00:00
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pub_type: 杂志文章
doi:10.1086/596114
更新日期:2009-04-01 00:00:00
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pub_type: 杂志文章
doi:10.1086/502178
更新日期:2003-02-01 00:00:00
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更新日期:2018-02-01 00:00:00
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更新日期:1993-05-01 00:00:00
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journal_title:Infection control and hospital epidemiology
pub_type: 杂志文章
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更新日期:2014-11-01 00:00:00
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journal_title:Infection control and hospital epidemiology
pub_type: 杂志文章
doi:10.1086/646986
更新日期:1994-09-01 00:00:00
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pub_type: 杂志文章
doi:10.1086/520737
更新日期:2007-10-01 00:00:00
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pub_type: 杂志文章
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更新日期:2008-05-01 00:00:00
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pub_type: 杂志文章
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更新日期:1994-05-01 00:00:00
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pub_type: 杂志文章
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更新日期:2010-05-01 00:00:00
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pub_type: 杂志文章
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