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Use of Central Venous Catheter and Peripheral Venous Catheter as Risk Factors for Nosocomial Bloodstream Infection in Very-Low-Birth-Weight Infants

Published online by Cambridge University Press:  02 January 2015

Christine Geffers ,
Anne Gastmeier ,
Frank Schwab ,
Katrin Groneberg ,
Henning Rüden  and
Petra Gastmeier
Christine Geffers*
Affiliation:
National Reference Center for the Surveillance of Nosocomial Infections, Germany Institute for Hygiene and Environmental Medicine, Charité-University Medicine Berlin
Anne Gastmeier
Affiliation:
St. Vincent Hospital, Brunswick, Germany
Frank Schwab
Affiliation:
National Reference Center for the Surveillance of Nosocomial Infections, Germany Institute for Hygiene and Environmental Medicine, Charité-University Medicine Berlin
Katrin Groneberg
Affiliation:
National Reference Center for the Surveillance of Nosocomial Infections, Germany Institute for Hygiene and Environmental Medicine, Charité-University Medicine Berlin
Henning Rüden
Affiliation:
National Reference Center for the Surveillance of Nosocomial Infections, Germany Institute for Hygiene and Environmental Medicine, Charité-University Medicine Berlin
Petra Gastmeier
Affiliation:
National Reference Center for the Surveillance of Nosocomial Infections, Germany Institute for Hygiene and Environmental Medicine, Charité-University Medicine Berlin
*
Institute for Hygiene and Environmental Medicine, Charité-University Medicine Berlin, Hinden-burgdamm 27, D-12203 Berlin, Germany ([email protected])
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Abstract

Objective.

To describe the relationship between the use of central and peripheral venous catheters and the risk of nosocomial, primary, laboratory-confirmed bloodstream infection (BSI) for neonates with a birth weight less than 1,500 g (very-low-birth-weight [VLBW] infants).

Methods.

Cox proportional hazard regression analysis with time-dependent variable was used to determine the risk factors for the occurrence of BSI in a cohort of VLBW infants. We analyzed previously collected surveillance data from the German national nosocomial surveillance system for VLBW infants. All VLBW infants in 22 participating neonatal departments who had a complete daily record of patient information were included.

Results.

Of 2,126 VLBW infants, 261 (12.3%) developed a BSI. The incidence density for BSI was 3.3 per 1,000 patient-days. The multivariate analysis identified the following significant independent risk factors for BSI: lower birth weight (hazard ratio [HR], 1.1–2.2), vaginal delivery (HR, 1.5), central venous catheter use (HR, 6.2) or peripheral venous catheter use (HR, 6.0) within 2 days before developing BSI, and the individual departments (HR, 0.0–4.6).

Conclusions.

After adjusting for other risk factors, use of peripheral venous catheter and use of central venous catheter were significantly related to occurrence of BSI in VLBW infants.

Type
Original Articles
Information
Infection Control & Hospital Epidemiology , Volume 31 , Issue 4 , April 2010 , pp. 395 - 401
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2010

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