Article ; Online: Characterizing the relationship between coronavirus disease 2019 (COVID-19) and central-line-associated bloodstream infection (CLABSI) and assessing the impact of a nursing-focused CLABSI reduction intervention during the COVID-19 pandemic.
Infection control and hospital epidemiology
2022 Volume 44, Issue 7, Page(s) 1108–1115
Abstract: Objective: To examine the impact of SARS-CoV-2 infection on CLABSI rate and characterize the patients who developed a CLABSI. We also examined the impact of a CLABSI-reduction quality-improvement project in patients with and without COVID-19.: Design!# ...
| Abstract | Objective: To examine the impact of SARS-CoV-2 infection on CLABSI rate and characterize the patients who developed a CLABSI. We also examined the impact of a CLABSI-reduction quality-improvement project in patients with and without COVID-19. Design: Retrospective cohort analysis. Setting: Academic 889-bed tertiary-care teaching hospital in urban Los Angeles. Patients or participants: Inpatients 18 years and older with CLABSI as defined by the National Healthcare Safety Network (NHSN). Intervention(s): CLABSI rate and patient characteristics were analyzed for 2 cohorts during the pandemic era (March 2020-August 2021): COVID-19 CLABSI patients and non-COVID-19 CLABSI patients, based on diagnosis of COVID-19 during admission. Secondary analyses were non-COVID-19 CLABSI rate versus a historical control period (2019), ICU CLABSI rate in COVID-19 versus non-COVID-19 patients, and CLABSI rates before and after a quality- improvement initiative. Results: The rate of COVID-19 CLABSI was significantly higher than non-COVID-19 CLABSI. We did not detect a difference between the non-COVID-19 CLABSI rate and the historical control. COVID-19 CLABSIs occurred predominantly in the ICU, and the ICU COVID-19 CLABSI rate was significantly higher than the ICU non-COVID-19 CLABSI rate. A hospital-wide quality-improvement initiative reduced the rate of non-COVID-19 CLABSI but not COVID-19 CLABSI. Conclusions: Patients hospitalized for COVID-19 have a significantly higher CLABSI rate, particularly in the ICU setting. Reasons for this increase are likely multifactorial, including both patient-specific and process-related issues. Focused quality-improvement efforts were effective in reducing CLABSI rates in non-COVID-19 patients but were less effective in COVID-19 patients. |
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| MeSH term(s) | Humans ; Cross Infection/epidemiology ; Cross Infection/prevention & control ; Catheter-Related Infections/epidemiology ; Catheter-Related Infections/prevention & control ; Pandemics/prevention & control ; Retrospective Studies ; COVID-19/epidemiology ; COVID-19/prevention & control ; SARS-CoV-2 ; Tertiary Care Centers ; Sepsis/epidemiology ; Catheterization, Central Venous/adverse effects |
| Language | English |
| Publishing date | 2022-08-31 |
| 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.2022.203 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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