Article ; Online: Coronavirus disease 2019 (COVID-19) pandemic, central-line-associated bloodstream infection (CLABSI), and catheter-associated urinary tract infection (CAUTI): The urgent need to refocus on hardwiring prevention efforts.
Infection control and hospital epidemiology
2021 Volume 43, Issue 1, Page(s) 26–31
Abstract: ... pandemic on central-line-associated bloodstream infections (CLABSIs) and catheter associated ... Background: The coronavirus disease 2019 (COVID-19) pandemic has had a considerable impact ... periods, there were 795,022 central-line days and 817,267 urinary catheter days. Compared to the period ...
| Abstract | Background: The coronavirus disease 2019 (COVID-19) pandemic has had a considerable impact on US hospitalizations, affecting processes and patient population. Objective: To evaluate the impact of COVID-19 pandemic on central-line-associated bloodstream infections (CLABSIs) and catheter associated urinary tract infections (CAUTIs) in hospitals. Methods: We performed a retrospective study of CLABSIs and CAUTIs in 78 US 12 months before COVID-19 and 6 months during COVID-19 pandemic. Results: During the 2 study periods, there were 795,022 central-line days and 817,267 urinary catheter days. Compared to the period before the COVID-19 pandemic, CLABSI rates increased by 51.0% during the pandemic period from 0.56 to 0.85 per 1,000 line days (P < .001) and by 62.9% from 1.00 to 1.64 per 10,000 patient days (P < .001). Hospitals with monthly COVID-19 patients representing >10% of admissions had a National Health Safety Network (NHSN) device standardized infection ratio for CLABSI that was 2.38 times higher than hospitals with <5% prevalence during the pandemic period (P = .004). Coagulase-negative Staphylococcus CLABSIs increased by 130% from 0.07 to 0.17 events per 1,000 line days (P < .001), and Candida spp by 56.9% from 0.14 to 0.21 per 1,000 line days (P = .01). In contrast, no significant changes were identified for CAUTI (0.86 vs 0.77 per 1,000 catheter days; P = .19). Conclusions: The COVID-19 pandemic was associated with substantial increases in CLABSIs but not CAUTIs. Our findings underscore the importance of hardwiring processes for optimal line care and regular feedback on performance to maintain a safe environment. |
|||||
|---|---|---|---|---|---|---|
| MeSH term(s) | COVID-19 ; Catheter-Related Infections/epidemiology ; Catheter-Related Infections/prevention & control ; Cross Infection/epidemiology ; Cross Infection/prevention & control ; Humans ; Intensive Care Units ; Pandemics ; Retrospective Studies ; SARS-CoV-2 ; Sepsis/epidemiology ; Urinary Catheters ; Urinary Tract Infections/epidemiology ; Urinary Tract Infections/prevention & control | |||||
| Language | English | |||||
| Publishing date | 2021-02-19 | |||||
| Publishing country | United States | |||||
| Document type | Journal Article | |||||
| ZDB-ID | 639378-0 | |||||
| ISSN | 1559-6834 ; 0195-9417 ; 0899-823X | |||||
| ISSN (online) | 1559-6834 | |||||
| ISSN | 0195-9417 ; 0899-823X | |||||
| DOI | 10.1017/ice.2021.70 | |||||
| Shelf mark |
|
|||||
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
Full text online
More links
Kategorien
In stock of ZB MED Cologne/Königswinter
| Zs.A 1714: Show issues | Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG) |
Order via subito
This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.