How common are indwelling devices in hospitalized adults? A contemporary point prevalence study in a tertiary care hospital.

Abstract:

BACKGROUND:Healthcare associated infections are associated with indwelling devices. Yet, data regarding prevalence of indwelling devices in noncritically ill hospitalized patients remains scant. METHODS:Adult, noncritically ill patients on general care, telemetry, and surgical floors at our quaternary care hospital were surveyed on 2 separate days. Data regarding presence of indwelling vascular, urinary, and gastrointestinal devices, as well as nurse to patient ratio on each unit were collected. RESULTS:There were 1,229 devices observed among the 857 patients surveyed across 2 days. Of the surveyed patients, 780 (91.0%) had at least 1 indwelling device. Among all devices, intravenous catheters were the most common (90.1%), followed by gastrointestinal devices (12.8%) and urinary catheters (10.2%). The most prevalent device was peripheral intravenous catheters. The median nurse to patient ratio was 3 patients to 1 nurse; no difference in nurse to patient ratio based on the number of devices present was observed. CONCLUSIONS:Indwelling device use appears highly prevalent in general care settings and variation among devices is common. Healthcare associated infections prevention strategies targeting these devices are necessary.

journal_name

Am J Infect Control

authors

Chen S,O'Malley M,Chopra V

doi

10.1016/j.ajic.2020.06.205

subject

Has Abstract

pub_date

2021-02-01 00:00:00

pages

194-197

issue

2

eissn

0196-6553

issn

1527-3296

pii

S0196-6553(20)30575-7

journal_volume

49

pub_type

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