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      The epidemiology of vascular catheter-related bacteraemia outside ICUs in a tertiary care centre

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      Antimicrobial Resistance and Infection Control
      BioMed Central
      3rd International Conference on Prevention and Infection Control (ICPIC 2015)
      16-19 June 2015

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          Abstract

          Introduction There have been significant changes among non-intensive care unit patients with increasing numbers of comorbidities and invasive procedures, particularly vascular catheterization. Objectives To determine the current epidemiology of vascular catheter-related bacteraemia (CRB) in non-ICU patients over a period of 12 years in a tertiary care hospital. Methods Prospective surveillance of CRB at Bellvitge University Hospital in Barcelona, Spain. CRB was diagnosed through daily meetings between Infection Control Team and microbiologists. For diagnosis of CRB, CDC definitions were used, including presence of phlebitis for peripheral CRB and at least two positive blood cultures for common skin contaminants. Results From January 2003 to December 2014, 561 episodes of CRB were followed. There was a significant reduction in the incidence of CRB from 2003 (0.42 episodes/1.000 patient days) to 2014 (0.20 episodes/1.000 patient days, p<0.000). Overall, 271 of 651 (42%) episodes were caused by peripheral venous catheter (0.10 ep/1.000 patients-day) and 380 (58%) by central venous catheter (0.14 ep/1.000 patients-day). The most frequent cause of CRB during the study period was short peripheral catheter with 177 episodes (mean days from insertion to bacteraemia: 5d; SD:3d); followed by subclavian with 132 episodes (mean days from insertion to bacteraemia: 18d; SD:18d). The most frequent causative microorganism were Gram-positive cocci (GPC) (71%) followed by Gram negative bacilli (29%) and fungi (1.2%). Among GPC, 39% were Staphylococcus aureus followed by 28% coagulase negative staphylococci. S.aureus caused 50% of short peripheral CRB episodes but only 31% of CVC (p<0.00). Overall mortality was 16.7%, while for patients with S.aureus CRB was 26.2% (p<0.00). Conclusion Although there has been a decrease in CRB cases, there remains a significant problem in non-ICU patients. S.aureus is the leading pathogen, particularly among patients with peripheral CRB, and is associated with a high mortality rate. Disclosure of interest None declared.

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          Author and article information

          Conference
          Antimicrob Resist Infect Control
          Antimicrob Resist Infect Control
          Antimicrobial Resistance and Infection Control
          BioMed Central
          2047-2994
          2015
          16 June 2015
          : 4
          : Suppl 1
          : O23
          Affiliations
          [1 ]Infectious Diseases, Bellvitge University Hospital, Hospitalet Llobregat, Spain
          [2 ]Microbiology, Bellvitge University Hospital, Hospitalet Llobregat, Spain
          Article
          2047-2994-4-S1-O23
          10.1186/2047-2994-4-S1-O23
          4474897
          42aee69f-c5a6-4cb0-b14e-31be3c43d372
          Copyright © 2015 Hornero et al; licensee BioMed Central Ltd.

          This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

          3rd International Conference on Prevention and Infection Control (ICPIC 2015)
          Geneva, Switzerland
          16-19 June 2015
          History
          Categories
          Oral Presentation

          Infectious disease & Microbiology
          Infectious disease & Microbiology

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