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http://hdl.handle.net/2445/185883
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DC Field | Value | Language |
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dc.contributor.author | Badia-Cebada, Laia | - |
dc.contributor.author | Peñafiel, Judith | - |
dc.contributor.author | López-Contreras, Joaquín | - |
dc.contributor.author | Pomar, Virginia | - |
dc.contributor.author | Martínez, José Antonio | - |
dc.contributor.author | Santana, Germina | - |
dc.contributor.author | Cuquet, Jordi | - |
dc.contributor.author | Montero, Maria M. | - |
dc.contributor.author | Hidalgo-López, Carlota | - |
dc.contributor.author | Andrés, Marta | - |
dc.contributor.author | Gimenez, Montserrat | - |
dc.contributor.author | Quesada, María Dolores | - |
dc.contributor.author | Vaqué, Montserrat | - |
dc.contributor.author | Iftimie, Simona | - |
dc.contributor.author | Gudiol, Carlota | - |
dc.contributor.author | Perez, Rafel | - |
dc.contributor.author | Coloma, Anna | - |
dc.contributor.author | Marrón, Anna | - |
dc.contributor.author | Barrufet, Pilar | - |
dc.contributor.author | Marimon, Marilo | - |
dc.contributor.author | Lérida, Ana | - |
dc.contributor.author | Clarós, Mercè | - |
dc.contributor.author | Ramírez-Hidalgo, Maria Fernanda | - |
dc.contributor.author | Garcia Pardo, Graciano | - |
dc.contributor.author | Martinez, M. Jesús | - |
dc.contributor.author | Chamarro, Elena Lourdes | - |
dc.contributor.author | Jiménez-Martínez, Emili | - |
dc.contributor.author | Hornero, Ana | - |
dc.contributor.author | Limón, Enrique | - |
dc.contributor.author | López, Maria | - |
dc.contributor.author | Calbo, Esther | - |
dc.contributor.author | Pujol, Miquel | - |
dc.contributor.author | Gasch, Oriol | - |
dc.date.accessioned | 2022-05-20T14:50:03Z | - |
dc.date.available | 2023-05-19T05:10:20Z | - |
dc.date.issued | 2022-05-19 | - |
dc.identifier.issn | 0195-6701 | - |
dc.identifier.uri | http://hdl.handle.net/2445/185883 | - |
dc.description.abstract | Background: The incidence of catheter-related bloodstream infections (CRBSI) has fallen over the last decade, especially in intensive care units (ICUs). Aim: to assess the existence of concomitant trends in outcomes and to analyse the current risk factors for mortality. Methods: A multicentre retrospective cohort study was conducted at 24 Catalan hospitals participating in the Surveillance of healthcare associated infections in Catalonia (VINCat). All hospital-acquired CRBSI episodes diagnosed from January 2010 to December 2019 were included. A common protocol including epidemiological, clinical and microbiological data was prospectively completed. Mortality at days after bacteraemia onset was analysed using the Cox regression model. Findings: Over the study period, 4,795 episodes of CRBSI were diagnosed. Among them, 75% were acquired in conventional wards and central venous catheters were the most frequently involved (61%). The 30-day mortality rate was 13.8%, presenting a significant downward trend over the study period: from 17.9% in 2010 to 10.6% in 2019 (HR 0.95 [0.92-0.98]). The multivariate analysis identified age (HR 1.03 83 [1.02-1.04]), femoral catheter (HR 1.78 [1.33-2.38]), medical ward acquisition (HR 2.07 [1.62-2.65] and ICU acquisition (HR 3.45 [2.7-4.41]), S. aureus (HR 1.59 [1.27-1.99]) and Candida sp. (HR 2.19 [1.64-2.94]) as risk factors for mortality while the mortality rate associated with episodes originating in peripheral catheters was significantly lower (HR 0.69 [0.54-0.88]). Conclusions: Mortality associated with CRBSI has fallen in recent years but remains high. Intervention programs should focus especially on ICUs and medical wards, where incidence and mortality rates are highest. | - |
dc.format.extent | 28 p. | - |
dc.format.mimetype | application/pdf | - |
dc.language.iso | eng | - |
dc.publisher | Elsevier | - |
dc.relation.isformatof | Versió postprint del document publicat a: https://doi.org/10.1016/j.jhin.2022.05.009 | - |
dc.relation.ispartof | Journal of Hospital Infection, 2022 | - |
dc.relation.uri | https://doi.org/10.1016/j.jhin.2022.05.009 | - |
dc.rights | cc-by-nc-nd (c) Elsevier, 2022 | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/4.0/ | - |
dc.source | Articles publicats en revistes (Infermeria de Salut Pública, Salut mental i Maternoinfantil) | - |
dc.subject.classification | Mortalitat | - |
dc.subject.classification | Catèters | - |
dc.subject.classification | Infeccions | - |
dc.subject.classification | Hospitals | - |
dc.subject.other | Mortality | - |
dc.subject.other | Catheters | - |
dc.subject.other | Infections | - |
dc.subject.other | Hospitals | - |
dc.title | Decreased mortality among patients with catheter-related bloodstream infections at catalan hospitals (2010-2019) | - |
dc.type | info:eu-repo/semantics/article | - |
dc.type | info:eu-repo/semantics/acceptedVersion | - |
dc.identifier.idgrec | 723488 | - |
dc.date.updated | 2022-05-20T14:50:03Z | - |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | - |
Appears in Collections: | Articles publicats en revistes (Infermeria de Salut Pública, Salut mental i Maternoinfantil) Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL)) |
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