Risk factors for catheter-related bloodstream infections in patients with intestinal failure undergoing home parenteral nutrition: a single-center study

Purpose The incidence and risk factors of catheter-related bloodstream infections (CRBSI) in patients with intestinal failure (IF) have not been established, partly because catheter management methods vary from different facilities. This study aimed to identify the risk factors and incidence rate of...

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Bibliographic Details
Published in:Pediatric surgery international 2023-10, Vol.39 (1), p.283-283, Article 283
Main Authors: Sakurai, Tsuyoshi, Nakamura, Megumi, Sasaki, Hideyuki, Fukuzawa, Taichi, Kudo, Hironori, Ando, Ryo, Okubo, Ryuji, Hashimoto, Masatoshi, Tada, Kesuke, Wada, Motoshi
Format: Article
Language:English
Subjects:
Bacteremia - epidemiology
Bacteremia - etiology
Bacteremia - prevention & control
Catheter-Related Infections - prevention & control
Catheters
Central Venous Catheters - adverse effects
Humans
Intestinal Failure
Medicine
Medicine & Public Health
Nosocomial infections
Original Article
Parenteral nutrition
Parenteral Nutrition, Home - adverse effects
Parenteral Nutrition, Home - methods
Pediatric Surgery
Pediatrics
Retrospective Studies
Risk Factors
Surgery
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Summary:Purpose The incidence and risk factors of catheter-related bloodstream infections (CRBSI) in patients with intestinal failure (IF) have not been established, partly because catheter management methods vary from different facilities. This study aimed to identify the risk factors and incidence rate of CRBSIs in patients with IF who were given prophylactic treatment. Methods Sixteen patients with IF who required home parenteral nutrition were enrolled in this study. Prophylactic management of CRBSI included monthly ethanol lock therapy and standardized infection prevention education. The outcomes included the incidence and risk factors of CRBSI. Results The median incidence rate of CRBSI was 1.2 per 1000 catheter days. Univariate analysis showed that the risk of developing CRBSI was significantly associated with short bowel syndrome (
ISSN:1437-9813
0179-0358
1437-9813
DOI:10.1007/s00383-023-05555-2