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Article Dans Une Revue NEW MICROBES AND NEW INFECTIONS Année : 2020

Peripherally inserted central catheters: a hidden emerging cause of infection outbreaks

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In our institution, between January 2010 and December 2017, 15 140 peripherally inserted central catheters (PICCs) were inserted in 12 314 patients. Using time-series analysis to evaluate the annual historical trend (AHT), we observed a significant increase in bloodstream infections (BSIs; AHT = 24; p < 0.001) and associated deaths (AHT = 3; p 0.02) in patient with PICCs. The risk of experiencing a BSI was significantly higher in patients with PICCs (odds ratio = 9.6; 95% confidence interval, 9.08-10.18; p < 0.001). To reduce PICC-related BSIs and their related mortality, it is important to limit the overuse of PICCs and to implement a `no PICC' policy by limiting the insertion of PICCs to situations without other available options. (C) 2020 The Author(s). Published by Elsevier Ltd.
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hal-03149978 , version 1 (22-08-2022)

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G. A. Durand, C. Abat, N. Cassir, M-T Jimeno, V. Vidal, et al.. Peripherally inserted central catheters: a hidden emerging cause of infection outbreaks. NEW MICROBES AND NEW INFECTIONS, 2020, 35, ⟨10.1016/j.nmni.2020.100671⟩. ⟨hal-03149978⟩
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