Risk factors of catheter- associated bloodstream infection: Systematic review and meta-analysis.

Autor: Lafuente Cabrero E; Infusion and Vascular Access Nurse, Parc de Salut Mar, Barcelona, Spain.; IMIM (Hospital del Mar Medical Research Institute), Barcelona, Spain., Terradas Robledo R; IMIM (Hospital del Mar Medical Research Institute), Barcelona, Spain.; Department of Nursing Methodology, Quality and Research, Barcelona, Spain., Civit Cuñado A; Infusion and Vascular Access Nurse, Parc de Salut Mar, Barcelona, Spain., García Sardelli D; Infusion and Vascular Access Nurse, Parc de Salut Mar, Barcelona, Spain., Hidalgo López C; Infection control Program Nurse, Epidemiology and Evaluation Department, Parc de Salut Mar, Barcelona, Spain., Giro Formatger D; Department of Nursing Methodology, Quality and Research, Barcelona, Spain., Lacueva Perez L; IMIM (Hospital del Mar Medical Research Institute), Barcelona, Spain.; Coordinator Department of Nursing Methodology, Quality and Research, Parc de Salut Mar, Barcelona, Spain., Esquinas López C; Department of Pneumology, Hospital Universitari Vall d'Hebron, Barcelona, Spain.; Public Health, Mental, Maternal and Child Health Nursing Department, Barcelona, Spain.; Faculty of Medicine and Health Sciences, University of Barcelona, Barcelona, Spain., Tortosa Moreno A; Department of Basic Nursing, Faculty of Medicine and Health Sciences, University of Barcelona, Spain.
Jazyk: angličtina
Zdroj: PloS one [PLoS One] 2023 Mar 23; Vol. 18 (3), pp. e0282290. Date of Electronic Publication: 2023 Mar 23 (Print Publication: 2023).
DOI: 10.1371/journal.pone.0282290
Abstrakt: Introduction: The prevalence of catheter-associated bloodstream infections (CLABSI) is high and is a severe health problem associated with an increase in mortality and elevated economic costs. There are discrepancies related to the risk factors of CLABSI since the results published are very heterogeneous and there is no synthesis in the description of all the predisposing factors.
Objective: We aimed to perform a systematic review and meta-analysis to synthesize and establish the risk factors predisposing to CLABSI reported in the literature.
Method: This is a systematic review of observational studies following the PRISMA recommendations. MEDLINE and CINAHL databases were searched for primary studies from 2007 to 2021. The protocol was registered in PROSPERO CRD42018083564.
Results: A total of 654 studies were identified, 23 of which were included in this systematic review. The meta-analysis included 17 studies and 9 risk factors were analyzed (total parenteral nutrition (TPN), chemotherapy, monolumen and bilumen catheters, days of catheterization, immunosuppression, kidney disease and diabetes mellitus) due to the homogeneity of their definitions and measurements. The risk factors found to increase the probability of developing CLABSI were TPN, multilumen devices, chemotherapy treatment, immunosuppression and the number of days of catheterization. On the other hand, monolumen devices presented a lower likelihood of triggering this infection.
Competing Interests: The authors have no conflict of interest.
(Copyright: © 2023 Lafuente Cabrero et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
Databáze: MEDLINE
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