AJIC: American Journal of Infection Control
Volume 38, Issue 2 , Pages 149-153 , March 2010

Peripherally inserted central venous catheters in the acute care setting: A safe alternative to high-risk short-term central venous catheters

This study was presented in part at the 18th Annual Scientific Meeting of the Society for Healthcare Epidemiology of America, April 2008 (Abstract 116).

  • Basel Al Raiy, MD

      Affiliations

    • Division of Infectious Diseases, Department of Medicine, St John Hospital and Medical Center, Detroit, MI
    • ,
  • Mohamad G. Fakih, MD, MPH

      Affiliations

    • Division of Infectious Diseases, Department of Medicine, St John Hospital and Medical Center, Detroit, MI
    • Infection Control Department, St John Hospital and Medical Center, Detroit, MI
    • Corresponding Author InformationAddress correspondence to Mohamad G Fakih, MD, MPH, Division of Infectious Diseases, Department of Medicine, St John Hospital and Medical Center, 19251 Mack Avenue, Suite 190, Grosse Pointe Woods, MI 48236.
    • ,
  • Nicole Bryan-Nomides, MT, MS

      Affiliations

    • Infection Control Department, St John Hospital and Medical Center, Detroit, MI
    • ,
  • Debi Hopfner, RN

      Affiliations

    • Infection Control Department, St John Hospital and Medical Center, Detroit, MI
    • ,
  • Elizabeth Riegel, RN

      Affiliations

    • Quality Management Department, St John Hospital and Medical Center, Detroit, MI
    • ,
  • Trudy Nenninger, RN

      Affiliations

    • Case Management Department, St John Hospital and Medical Center, Detroit, MI
    • ,
  • Janice Rey, MT(ASCP)

      Affiliations

    • Infection Control Department, St John Hospital and Medical Center, Detroit, MI
    • ,
  • Susan Szpunar, PhD

      Affiliations

    • Medical Education, St John Hospital and Medical Center, Detroit, MI
    • ,
  • Pramodine Kale, PharmD

      Affiliations

    • Pharmacy Department, St John Hospital and Medical Center, Detroit, MI
    • ,
  • Riad Khatib, MD

      Affiliations

    • Division of Infectious Diseases, Department of Medicine, St John Hospital and Medical Center, Detroit, MI

References 

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  2. Braun BI, Kritchevsky SB, Wong ES, Solomon SL, Steele L, Richards CL, et al. Preventing central venous catheter–associated primary bloodstream infections: characteristics of practices among hospitals participating in the Evaluation of Processes and Indicators in Infection Control (EPIC) Study. Infect Control Hosp Epidemiol. 2003;24:926–935
  3. Climo M, Diekema D, Warren DK, Herwaldt LA, Perl TM, Peterson L, et al. Prevalence of the use of central venous access devices within and outside of the intensive care unit: results of a survey among hospitals in the Prevention Epicenter Program of the Centers for Disease Control and Prevention. Infect Control Hosp Epidemiol. 2003;24:942–945
  4. Maki DG, Kluger DM, Crnich CJ. The risk of bloodstream infection in adults with different intravascular devices: a systemic review of 200 published prospective studies. Mayo Clin Proc. 2006;81:1159–1171
  5. Merrer J, De Jonghe B, Golliot F, Lefrant JY, Raffy B, Barre E, et al. Complications of femoral and subclavian venous catheterization in critically ill patients: a randomized controlled trial. JAMA. 2001;286:700–707
  6. Vonberg RP, Behnke M, Geffers C, Sohr D, Ruden H, Dettenkofer M, et al. Device-associated infection rates for non–intensive care unit patients. Infect Control Hosp Epidemiol. 2006;27:357–361
  7. Warren DK, Cosgrove SE, Diekema DJ, Zuccotti G, Climo MW, Bolon MK, et al. A multicenter intervention to prevent catheter-associated bloodstream infections. Infect Control Hosp Epidemiol. 2006;27:662–669
  8. Gnass SA, Barbosa L, Bilicich D, Angeloro P, Treiyer W, Grenovero S, et al. Prevention of central venous catheter–related bloodstream infections using non-technologic strategies. Infect Control Hosp Epidemiol. 2004;25:675–677
  9. Berenholtz SM, Pronovost PJ, Lipsett PA, Hobson D, Earsing K, Farley JE, et al. Eliminating catheter-related bloodstream infections in the intensive care unit. Crit Care Med. 2004;32:2014–2020
  10. Lee DH, Jung KY, Choi YH. Use of maximal sterile barrier precautions and/or antimicrobial-coated catheters to reduce the risk of central venous catheter–related bloodstream infection. Infect Control Hosp Epidemiol. 2008;29:947–950
  11. Safdar N, Maki DG. Risk of catheter-related bloodstream infection with peripherally inserted central venous catheters used in hospitalized patients. Chest. 2005;128:489–495
  12. Horan TC, Gaynes RP. Surveillance of nosocomial infections. In:  Mayhall CG editors. Hospital epidemiology and infection control. 3rd ed. Philadelphia: Lippincott Williams & Wilkins; 2004;p. 1659–1702
  13. Weber DJ, Sickbert-Bennett EE, Brown V, Rutala WA. Comparison of hospital-wide surveillance and targeted intensive care unit surveillance of healthcare-associated infections. Infect Control Hosp Epidemiol. 2007;28:1361–1366
  14. Aloul B, Adabag AS, Goussous TY, Weinert CR. Medical resident's self-reported adherence to guidelines during placement of central venous catheters. Infect Control Hosp Epidemiol. 2008;9:86–88
  15. Taylor RW, Palagiri AV. Central venous catheterization. Crit Care Med. 2007;35:1390–1396
  16. Trick WE, Vernon MO, Welbel SF, Wisniewski MF, Jernigan JA, Weinstein RA. Unnecessary use of central venous catheters: the need to look outside the intensive care unit. Infect Control Hosp Epidemiol. 2004;25:266–268
  17. Marschall J, Leone C, Jones M, Nihill D, Fraser VJ, Warren DK. Catheter-associated bloodstream infections in general medical patients outside the intensive care unit: a surveillance study. Infect Control Hosp Epidemiol. 2007;28:905–909
  18. Crnich CJ, Maki DG. The promise of novel technology for the prevention of intravascular device–related bloodstream infection, I: pathogenesis and short-term devices. Clin Infect Dis. 2002;34:1232–1242
  19. Tokars JI, Klevens M, Edwards JR, Horan TC. Measurement of the impact of risk adjustment for central line-days on interpretation of central line–associated bloodstream infection rates. Infect Control Hosp Epidemiol. 2007;28:1025–1029
  20. Mclaws ML, Berry G. Nonuniform risk of bloodstream infection with increasing central venous catheter-days. Infect Control Hosp Epidemiol. 2005;26:715–719
  21. Marschall J, Mermel LA, Classen D, Arias KM, Podgorny K, Anderson DJ, et al. Strategies to prevent central line–associated bloodstream infections in acute care hospitals. Infect Control Hosp Epidemiol. 2008;29:S22–S30

 Conflicts of interest: None to report.

PII: S0196-6553(09)00745-7

doi: 10.1016/j.ajic.2009.06.008

AJIC: American Journal of Infection Control
Volume 38, Issue 2 , Pages 149-153 , March 2010

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