Lower risk of peripheral venous catheter-related bloodstream infection by hand insertion

Introduction Little is known about the bloodstream infection (BSI) risk associated with short-term peripheral venous catheters (PVCs) and no large study investigated the insertion site-related risk for PVC-BSI. Methods We performed a cohort study at the University of Geneva Hospitals using the prosp...
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Autor*in:	Buetti, Niccolò [verfasserIn] Abbas, Mohamed Pittet, Didier Chraiti, Marie-Noëlle Sauvan, Valérie De Kraker, Marlieke E. A. Boisson, Matthieu Teixeira, Daniel Zingg, Walter Harbarth, Stephan

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2022

Schlagwörter:	Peripheral venous catheters Bloodstream infections Catheter Catheter-infection Insertion site

Anmerkung:	© The Author(s) 2022

Übergeordnetes Werk:	Enthalten in: Antimicrobial resistance and infection control - London : Biomed Central, 2012, 11(2022), 1 vom: 03. Juni
Übergeordnetes Werk:	volume:11 ; year:2022 ; number:1 ; day:03 ; month:06

Links:	Volltext

DOI / URN:	10.1186/s13756-022-01117-8

Katalog-ID:	SPR050759221

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520			\|a Introduction Little is known about the bloodstream infection (BSI) risk associated with short-term peripheral venous catheters (PVCs) and no large study investigated the insertion site-related risk for PVC-BSI. Methods We performed a cohort study at the University of Geneva Hospitals using the prospective hospital-wide BSI surveillance database. We analyzed the association between insertion site and risk of PVC-BSI on the upper extremity using univariable and multivariable marginal Cox models. Results Between 2016 and 2020, utilization of 403′206 peripheral venous catheters were prospectively recorded in a 2000-bed hospital consortium with ten sites. Twenty-seven percent of PVC (n = 109′686) were inserted in the hand. After adjustment for confounding factors, hand insertion was associated with a decreased PVC-BSI risk (adjusted hazard ratio [HR] 0.42, 95% CI 0.18–0.98, p = 0.046) compared to more proximal insertion sites. In a sensitivity analysis for PVCs with ≥ 3 days of dwell time, we confirmed a decreased PVC-BSI risk after hand insertion (HR 0.37, 95% CI 0.15–0.93, p = 0.035). Conclusion Hand insertion should be considered for reducing PVC infections, especially for catheters with an expected dwell time of more than 2 days.
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allfields	10.1186/s13756-022-01117-8 doi (DE-627)SPR050759221 (SPR)s13756-022-01117-8-e DE-627 ger DE-627 rakwb eng Buetti, Niccolò verfasserin aut Lower risk of peripheral venous catheter-related bloodstream infection by hand insertion 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2022 Introduction Little is known about the bloodstream infection (BSI) risk associated with short-term peripheral venous catheters (PVCs) and no large study investigated the insertion site-related risk for PVC-BSI. Methods We performed a cohort study at the University of Geneva Hospitals using the prospective hospital-wide BSI surveillance database. We analyzed the association between insertion site and risk of PVC-BSI on the upper extremity using univariable and multivariable marginal Cox models. Results Between 2016 and 2020, utilization of 403′206 peripheral venous catheters were prospectively recorded in a 2000-bed hospital consortium with ten sites. Twenty-seven percent of PVC (n = 109′686) were inserted in the hand. After adjustment for confounding factors, hand insertion was associated with a decreased PVC-BSI risk (adjusted hazard ratio [HR] 0.42, 95% CI 0.18–0.98, p = 0.046) compared to more proximal insertion sites. In a sensitivity analysis for PVCs with ≥ 3 days of dwell time, we confirmed a decreased PVC-BSI risk after hand insertion (HR 0.37, 95% CI 0.15–0.93, p = 0.035). Conclusion Hand insertion should be considered for reducing PVC infections, especially for catheters with an expected dwell time of more than 2 days. Peripheral venous catheters (dpeaa)DE-He213 Bloodstream infections (dpeaa)DE-He213 Catheter (dpeaa)DE-He213 Catheter-infection (dpeaa)DE-He213 Insertion site (dpeaa)DE-He213 Abbas, Mohamed aut Pittet, Didier aut Chraiti, Marie-Noëlle aut Sauvan, Valérie aut De Kraker, Marlieke E. A. aut Boisson, Matthieu aut Teixeira, Daniel aut Zingg, Walter aut Harbarth, Stephan aut Enthalten in Antimicrobial resistance and infection control London : Biomed Central, 2012 11(2022), 1 vom: 03. Juni (DE-627)718716140 (DE-600)2666706-X 2047-2994 nnns volume:11 year:2022 number:1 day:03 month:06 https://dx.doi.org/10.1186/s13756-022-01117-8 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2022 1 03 06
spelling	10.1186/s13756-022-01117-8 doi (DE-627)SPR050759221 (SPR)s13756-022-01117-8-e DE-627 ger DE-627 rakwb eng Buetti, Niccolò verfasserin aut Lower risk of peripheral venous catheter-related bloodstream infection by hand insertion 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2022 Introduction Little is known about the bloodstream infection (BSI) risk associated with short-term peripheral venous catheters (PVCs) and no large study investigated the insertion site-related risk for PVC-BSI. Methods We performed a cohort study at the University of Geneva Hospitals using the prospective hospital-wide BSI surveillance database. We analyzed the association between insertion site and risk of PVC-BSI on the upper extremity using univariable and multivariable marginal Cox models. Results Between 2016 and 2020, utilization of 403′206 peripheral venous catheters were prospectively recorded in a 2000-bed hospital consortium with ten sites. Twenty-seven percent of PVC (n = 109′686) were inserted in the hand. After adjustment for confounding factors, hand insertion was associated with a decreased PVC-BSI risk (adjusted hazard ratio [HR] 0.42, 95% CI 0.18–0.98, p = 0.046) compared to more proximal insertion sites. In a sensitivity analysis for PVCs with ≥ 3 days of dwell time, we confirmed a decreased PVC-BSI risk after hand insertion (HR 0.37, 95% CI 0.15–0.93, p = 0.035). Conclusion Hand insertion should be considered for reducing PVC infections, especially for catheters with an expected dwell time of more than 2 days. Peripheral venous catheters (dpeaa)DE-He213 Bloodstream infections (dpeaa)DE-He213 Catheter (dpeaa)DE-He213 Catheter-infection (dpeaa)DE-He213 Insertion site (dpeaa)DE-He213 Abbas, Mohamed aut Pittet, Didier aut Chraiti, Marie-Noëlle aut Sauvan, Valérie aut De Kraker, Marlieke E. A. aut Boisson, Matthieu aut Teixeira, Daniel aut Zingg, Walter aut Harbarth, Stephan aut Enthalten in Antimicrobial resistance and infection control London : Biomed Central, 2012 11(2022), 1 vom: 03. Juni (DE-627)718716140 (DE-600)2666706-X 2047-2994 nnns volume:11 year:2022 number:1 day:03 month:06 https://dx.doi.org/10.1186/s13756-022-01117-8 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2022 1 03 06
allfields_unstemmed	10.1186/s13756-022-01117-8 doi (DE-627)SPR050759221 (SPR)s13756-022-01117-8-e DE-627 ger DE-627 rakwb eng Buetti, Niccolò verfasserin aut Lower risk of peripheral venous catheter-related bloodstream infection by hand insertion 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2022 Introduction Little is known about the bloodstream infection (BSI) risk associated with short-term peripheral venous catheters (PVCs) and no large study investigated the insertion site-related risk for PVC-BSI. Methods We performed a cohort study at the University of Geneva Hospitals using the prospective hospital-wide BSI surveillance database. We analyzed the association between insertion site and risk of PVC-BSI on the upper extremity using univariable and multivariable marginal Cox models. Results Between 2016 and 2020, utilization of 403′206 peripheral venous catheters were prospectively recorded in a 2000-bed hospital consortium with ten sites. Twenty-seven percent of PVC (n = 109′686) were inserted in the hand. After adjustment for confounding factors, hand insertion was associated with a decreased PVC-BSI risk (adjusted hazard ratio [HR] 0.42, 95% CI 0.18–0.98, p = 0.046) compared to more proximal insertion sites. In a sensitivity analysis for PVCs with ≥ 3 days of dwell time, we confirmed a decreased PVC-BSI risk after hand insertion (HR 0.37, 95% CI 0.15–0.93, p = 0.035). Conclusion Hand insertion should be considered for reducing PVC infections, especially for catheters with an expected dwell time of more than 2 days. Peripheral venous catheters (dpeaa)DE-He213 Bloodstream infections (dpeaa)DE-He213 Catheter (dpeaa)DE-He213 Catheter-infection (dpeaa)DE-He213 Insertion site (dpeaa)DE-He213 Abbas, Mohamed aut Pittet, Didier aut Chraiti, Marie-Noëlle aut Sauvan, Valérie aut De Kraker, Marlieke E. A. aut Boisson, Matthieu aut Teixeira, Daniel aut Zingg, Walter aut Harbarth, Stephan aut Enthalten in Antimicrobial resistance and infection control London : Biomed Central, 2012 11(2022), 1 vom: 03. Juni (DE-627)718716140 (DE-600)2666706-X 2047-2994 nnns volume:11 year:2022 number:1 day:03 month:06 https://dx.doi.org/10.1186/s13756-022-01117-8 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2022 1 03 06
allfieldsGer	10.1186/s13756-022-01117-8 doi (DE-627)SPR050759221 (SPR)s13756-022-01117-8-e DE-627 ger DE-627 rakwb eng Buetti, Niccolò verfasserin aut Lower risk of peripheral venous catheter-related bloodstream infection by hand insertion 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2022 Introduction Little is known about the bloodstream infection (BSI) risk associated with short-term peripheral venous catheters (PVCs) and no large study investigated the insertion site-related risk for PVC-BSI. Methods We performed a cohort study at the University of Geneva Hospitals using the prospective hospital-wide BSI surveillance database. We analyzed the association between insertion site and risk of PVC-BSI on the upper extremity using univariable and multivariable marginal Cox models. Results Between 2016 and 2020, utilization of 403′206 peripheral venous catheters were prospectively recorded in a 2000-bed hospital consortium with ten sites. Twenty-seven percent of PVC (n = 109′686) were inserted in the hand. After adjustment for confounding factors, hand insertion was associated with a decreased PVC-BSI risk (adjusted hazard ratio [HR] 0.42, 95% CI 0.18–0.98, p = 0.046) compared to more proximal insertion sites. In a sensitivity analysis for PVCs with ≥ 3 days of dwell time, we confirmed a decreased PVC-BSI risk after hand insertion (HR 0.37, 95% CI 0.15–0.93, p = 0.035). Conclusion Hand insertion should be considered for reducing PVC infections, especially for catheters with an expected dwell time of more than 2 days. Peripheral venous catheters (dpeaa)DE-He213 Bloodstream infections (dpeaa)DE-He213 Catheter (dpeaa)DE-He213 Catheter-infection (dpeaa)DE-He213 Insertion site (dpeaa)DE-He213 Abbas, Mohamed aut Pittet, Didier aut Chraiti, Marie-Noëlle aut Sauvan, Valérie aut De Kraker, Marlieke E. A. aut Boisson, Matthieu aut Teixeira, Daniel aut Zingg, Walter aut Harbarth, Stephan aut Enthalten in Antimicrobial resistance and infection control London : Biomed Central, 2012 11(2022), 1 vom: 03. Juni (DE-627)718716140 (DE-600)2666706-X 2047-2994 nnns volume:11 year:2022 number:1 day:03 month:06 https://dx.doi.org/10.1186/s13756-022-01117-8 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2022 1 03 06
allfieldsSound	10.1186/s13756-022-01117-8 doi (DE-627)SPR050759221 (SPR)s13756-022-01117-8-e DE-627 ger DE-627 rakwb eng Buetti, Niccolò verfasserin aut Lower risk of peripheral venous catheter-related bloodstream infection by hand insertion 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2022 Introduction Little is known about the bloodstream infection (BSI) risk associated with short-term peripheral venous catheters (PVCs) and no large study investigated the insertion site-related risk for PVC-BSI. Methods We performed a cohort study at the University of Geneva Hospitals using the prospective hospital-wide BSI surveillance database. We analyzed the association between insertion site and risk of PVC-BSI on the upper extremity using univariable and multivariable marginal Cox models. Results Between 2016 and 2020, utilization of 403′206 peripheral venous catheters were prospectively recorded in a 2000-bed hospital consortium with ten sites. Twenty-seven percent of PVC (n = 109′686) were inserted in the hand. After adjustment for confounding factors, hand insertion was associated with a decreased PVC-BSI risk (adjusted hazard ratio [HR] 0.42, 95% CI 0.18–0.98, p = 0.046) compared to more proximal insertion sites. In a sensitivity analysis for PVCs with ≥ 3 days of dwell time, we confirmed a decreased PVC-BSI risk after hand insertion (HR 0.37, 95% CI 0.15–0.93, p = 0.035). Conclusion Hand insertion should be considered for reducing PVC infections, especially for catheters with an expected dwell time of more than 2 days. Peripheral venous catheters (dpeaa)DE-He213 Bloodstream infections (dpeaa)DE-He213 Catheter (dpeaa)DE-He213 Catheter-infection (dpeaa)DE-He213 Insertion site (dpeaa)DE-He213 Abbas, Mohamed aut Pittet, Didier aut Chraiti, Marie-Noëlle aut Sauvan, Valérie aut De Kraker, Marlieke E. A. aut Boisson, Matthieu aut Teixeira, Daniel aut Zingg, Walter aut Harbarth, Stephan aut Enthalten in Antimicrobial resistance and infection control London : Biomed Central, 2012 11(2022), 1 vom: 03. Juni (DE-627)718716140 (DE-600)2666706-X 2047-2994 nnns volume:11 year:2022 number:1 day:03 month:06 https://dx.doi.org/10.1186/s13756-022-01117-8 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2022 1 03 06
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Methods We performed a cohort study at the University of Geneva Hospitals using the prospective hospital-wide BSI surveillance database. We analyzed the association between insertion site and risk of PVC-BSI on the upper extremity using univariable and multivariable marginal Cox models. Results Between 2016 and 2020, utilization of 403′206 peripheral venous catheters were prospectively recorded in a 2000-bed hospital consortium with ten sites. Twenty-seven percent of PVC (n = 109′686) were inserted in the hand. After adjustment for confounding factors, hand insertion was associated with a decreased PVC-BSI risk (adjusted hazard ratio [HR] 0.42, 95% CI 0.18–0.98, p = 0.046) compared to more proximal insertion sites. In a sensitivity analysis for PVCs with ≥ 3 days of dwell time, we confirmed a decreased PVC-BSI risk after hand insertion (HR 0.37, 95% CI 0.15–0.93, p = 0.035). 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author	Buetti, Niccolò
spellingShingle	Buetti, Niccolò misc Peripheral venous catheters misc Bloodstream infections misc Catheter misc Catheter-infection misc Insertion site Lower risk of peripheral venous catheter-related bloodstream infection by hand insertion
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topic_title	Lower risk of peripheral venous catheter-related bloodstream infection by hand insertion Peripheral venous catheters (dpeaa)DE-He213 Bloodstream infections (dpeaa)DE-He213 Catheter (dpeaa)DE-He213 Catheter-infection (dpeaa)DE-He213 Insertion site (dpeaa)DE-He213
topic	misc Peripheral venous catheters misc Bloodstream infections misc Catheter misc Catheter-infection misc Insertion site
topic_unstemmed	misc Peripheral venous catheters misc Bloodstream infections misc Catheter misc Catheter-infection misc Insertion site
topic_browse	misc Peripheral venous catheters misc Bloodstream infections misc Catheter misc Catheter-infection misc Insertion site
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title	Lower risk of peripheral venous catheter-related bloodstream infection by hand insertion
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title_full	Lower risk of peripheral venous catheter-related bloodstream infection by hand insertion
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journal	Antimicrobial resistance and infection control
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author_browse	Buetti, Niccolò Abbas, Mohamed Pittet, Didier Chraiti, Marie-Noëlle Sauvan, Valérie De Kraker, Marlieke E. A. Boisson, Matthieu Teixeira, Daniel Zingg, Walter Harbarth, Stephan
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author-letter	Buetti, Niccolò
doi_str_mv	10.1186/s13756-022-01117-8
title_sort	lower risk of peripheral venous catheter-related bloodstream infection by hand insertion
title_auth	Lower risk of peripheral venous catheter-related bloodstream infection by hand insertion
abstract	Introduction Little is known about the bloodstream infection (BSI) risk associated with short-term peripheral venous catheters (PVCs) and no large study investigated the insertion site-related risk for PVC-BSI. Methods We performed a cohort study at the University of Geneva Hospitals using the prospective hospital-wide BSI surveillance database. We analyzed the association between insertion site and risk of PVC-BSI on the upper extremity using univariable and multivariable marginal Cox models. Results Between 2016 and 2020, utilization of 403′206 peripheral venous catheters were prospectively recorded in a 2000-bed hospital consortium with ten sites. Twenty-seven percent of PVC (n = 109′686) were inserted in the hand. After adjustment for confounding factors, hand insertion was associated with a decreased PVC-BSI risk (adjusted hazard ratio [HR] 0.42, 95% CI 0.18–0.98, p = 0.046) compared to more proximal insertion sites. In a sensitivity analysis for PVCs with ≥ 3 days of dwell time, we confirmed a decreased PVC-BSI risk after hand insertion (HR 0.37, 95% CI 0.15–0.93, p = 0.035). Conclusion Hand insertion should be considered for reducing PVC infections, especially for catheters with an expected dwell time of more than 2 days. © The Author(s) 2022
abstractGer	Introduction Little is known about the bloodstream infection (BSI) risk associated with short-term peripheral venous catheters (PVCs) and no large study investigated the insertion site-related risk for PVC-BSI. Methods We performed a cohort study at the University of Geneva Hospitals using the prospective hospital-wide BSI surveillance database. We analyzed the association between insertion site and risk of PVC-BSI on the upper extremity using univariable and multivariable marginal Cox models. Results Between 2016 and 2020, utilization of 403′206 peripheral venous catheters were prospectively recorded in a 2000-bed hospital consortium with ten sites. Twenty-seven percent of PVC (n = 109′686) were inserted in the hand. After adjustment for confounding factors, hand insertion was associated with a decreased PVC-BSI risk (adjusted hazard ratio [HR] 0.42, 95% CI 0.18–0.98, p = 0.046) compared to more proximal insertion sites. In a sensitivity analysis for PVCs with ≥ 3 days of dwell time, we confirmed a decreased PVC-BSI risk after hand insertion (HR 0.37, 95% CI 0.15–0.93, p = 0.035). Conclusion Hand insertion should be considered for reducing PVC infections, especially for catheters with an expected dwell time of more than 2 days. © The Author(s) 2022
abstract_unstemmed	Introduction Little is known about the bloodstream infection (BSI) risk associated with short-term peripheral venous catheters (PVCs) and no large study investigated the insertion site-related risk for PVC-BSI. Methods We performed a cohort study at the University of Geneva Hospitals using the prospective hospital-wide BSI surveillance database. We analyzed the association between insertion site and risk of PVC-BSI on the upper extremity using univariable and multivariable marginal Cox models. Results Between 2016 and 2020, utilization of 403′206 peripheral venous catheters were prospectively recorded in a 2000-bed hospital consortium with ten sites. Twenty-seven percent of PVC (n = 109′686) were inserted in the hand. After adjustment for confounding factors, hand insertion was associated with a decreased PVC-BSI risk (adjusted hazard ratio [HR] 0.42, 95% CI 0.18–0.98, p = 0.046) compared to more proximal insertion sites. In a sensitivity analysis for PVCs with ≥ 3 days of dwell time, we confirmed a decreased PVC-BSI risk after hand insertion (HR 0.37, 95% CI 0.15–0.93, p = 0.035). Conclusion Hand insertion should be considered for reducing PVC infections, especially for catheters with an expected dwell time of more than 2 days. © The Author(s) 2022
collection_details	GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700
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title_short	Lower risk of peripheral venous catheter-related bloodstream infection by hand insertion
url	https://dx.doi.org/10.1186/s13756-022-01117-8
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author2	Abbas, Mohamed Pittet, Didier Chraiti, Marie-Noëlle Sauvan, Valérie De Kraker, Marlieke E. A. Boisson, Matthieu Teixeira, Daniel Zingg, Walter Harbarth, Stephan
author2Str	Abbas, Mohamed Pittet, Didier Chraiti, Marie-Noëlle Sauvan, Valérie De Kraker, Marlieke E. A. Boisson, Matthieu Teixeira, Daniel Zingg, Walter Harbarth, Stephan
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up_date	2024-07-03T17:36:00.915Z
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Lower risk of peripheral venous catheter-related bloodstream infection by hand insertion

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