The Incidence of Central Line–Associated Bacteremia After the Introduction of Midline Catheters in a Ventilator Unit Population. Issue 3 (May 2015)

• Record Type: Journal Article
• Authors: Pathak, Rahul; Patel, Anish; Enuh, Hilary; Adekunle, Oluwaseyi; Shrisgantharajah, Vasanthy; Diaz, Keith
• Is Part Of: Infectious diseases in clinical practice. Volume 23:Issue 3(2015:May)
• Publication Date: 2015-05
• Subjects: Communicable diseases -- Periodicals; Communicable Diseases -- Periodicals; Communicable diseases; Periodicals; Periodicals; Electronic journals; 616.9
• DOI: 10.1097/IPC.0000000000000237
• Languages: English
• ISSNs: 1056-9103

Abstract

<abstract> <title> <x xml:space="preserve">Abstract</x> </title> <sec> <title>Hypothesis</title> <p>Our objective was to evaluate whether the use of midline venous catheters in place of central line venous catheters, when appropriate, decreased the overall incidence of central line–associated bacteremia in a ventilator unit.</p> </sec> <sec> <title>Methods</title> <p>The time interval between February 2012 and February 2013 was divided into 2 periods. Group A was the first half of the year, before the introduction of midline catheters, and group B was the second half of the year, 6 months after their introduction. Central line–associated bloodstream infection (CLABSI) was calculated using the equation: (total number of CLABSI/total number of catheter days) × 1000. The <italic>Z</italic> test was used for proportions between independent groups to compare the significance in the difference in CLABSI between groups A and B.</p> </sec> <sec> <title>Results</title> <p>There was a significant decrease in the total number of catheter days on the ventilator unit in group A from 2408 catheter days in 1 year (August 1, 2011, to July 31, 2012) before the introduction of midline catheters to 1521 catheter days in group B in the following year (November 1, 2012, to October 31, 2013; <italic>P</italic> < 0.05 for both groups).</p> </sec> <sec> <title>Conclusions</title> <p>Midline catheters in place of central lines decrease the rate of CLABSI in a ventilator unit. In addition, no bloodstream infections were associated with midline catheters.</p> </sec> </abstract>