Hospital-wide survey of the use of central venous catheters

Article Article scientifique Article Hospital-wide survey of the use of central venous catheters eng 2011 author Zingg Walter 654437 author Sandoz Laurent 527384 author Inan Cigdem 522959 author Cartier V author Clergue François 110220 author Pittet Didier 117792 author Walder Bernhard 124875 304-308 10.1016/j.jhin.2010.11.011 21288595 0195-6701 There are few data on indications for central venous catheter (CVC) use. We conducted an observational, hospital-wide prospective cohort study to quantify the indications for catheter placement over dwell time and to investigate agreement between healthcare workers (HCWs) on CVC use. Catheter use was observed by on-site visits, HCW interviews, and screening of patient charts. A total of 378 CVCs were inserted in 292 patients, accounting for 2704 catheter-days. Of these, 93% CVCs were multilumen catheters and 70% were placed in the intensive care unit (ICU). Median dwell time (interquartile range) was 5 (2-9) days overall, and 4 (2-7) and 8 (3-15) in the ICU and non-ICU settings, respectively. The mean number of specified indications for CVC use per day was 1.7 (1.9 for ICU and 1.5 for non-ICU; P<0.001). The most frequent reason (49%) for catheter use was prolonged (>7 days) antibiotic therapy followed by parenteral nutrition (22.3%). A total of 130 catheter-days (4.8%) were unnecessary with a higher proportion in non-ICU settings (6.6%). In 94% of cases, there was agreement among HCWs on indications for CVC use. However, 35 on-site visits (8.3%) in non-ICU settings revealed that neither the nurse nor the treating physician knew why the catheter was in place. ICU catheters have a short dwell time but are utilised more often, whereas catheters in non-ICU settings show a reverse characteristic. Prevention measures targeting catheter care are more likely to be successful in non-ICU settings. Adult Catheterization, Central Venous/utilization Cohort Studies Hospitals Humans Prospective Studies Time Factors Dewey 616 Dewey 617 56 Département de médecine 221 63 Département d'anesthésiologie, pharmacologie, soins intensifs et urgences 229 false 48 Groupe Clergue François (anesthésiologie) 71 251 Staphylocoques dorés résistants à la méthicilline et hygiène hospitalière 330 The Journal of hospital infection 77 4 7c4a5440-b06a-41bd-bd7a-e3218802d891 Article (Published version) Restricted 2011_JHI_Hospital-wide survey CVC.pdf 482893 application/pdf restrictedAccess Faculté de médecine / Section de médecine clinique / Département de médecine Faculté de médecine / Section de médecine clinique / Département d'anesthésiologie, pharmacologie, soins intensifs et urgences

Title	Published in	Year	Views	Downloads

Surveillance hospitalière de l'utilisation des cathéters veineux centraux		2013	944	2,345
Hospital-wide survey of the use of central venous catheters	The Journal of hospital infection	2011	611	0

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Sandoz, Laurent