Publication date: Oct 08, 2024
Increasing nosocomial infections during the COVID-19 pandemic have been reported. However, data describing peripheral venous catheter associated bloodstream infections (PVC-BSI) are limited. To describe the epidemiology and risk factors for PVC-BSI during the COVID-19 pandemic. We conducted retrospective cohort study of prospectively collected PVC-BSI data in a 2100 bed hospital network in Switzerland. Adult patients with a PVC inserted between January 1, 2020 and December 31, 2021 were included. Risk factors for PVC-BSI were identified through descriptive analysis of patient and catheter characteristics, and univariable marginal Cox models. 206,804 PVCs and 37 PVC-BSI were analysed. Most PVC-BSI were attributed to catheters inserted in the Emergency department (76%) or surgical wards (22%). PVC-BSI increased in 2021 compared to 2020 (hazard ratio 2021 vs. 2020 = 2. 73; 95% confidence interval 1. 19-6. 29), with a numerically higher rate of Staphylococcus aureus (1/10, 10%, vs. 5/27, 19%) and polymicrobial infection (0/10, 0% vs. 4/27, 15%). PVC insertions, patient characteristics, and catheter characteristics remained similar across the study period. PVC-BSI risk was associated with admission to the intensive care unit (ICU), and use of wide gauge catheter (
| Concepts | Keywords |
|---|---|
| Bed | Catheter-associated bloodstream infection |
| Ofstaphylococcus | COVID-19 |
| Pandemic | Epidemiology |
| Switzerland | Peripheral venous catheters |
Semantics
| Type | Source | Name |
|---|---|---|
| disease | MESH | COVID-19 pandemic |
| disease | MESH | nosocomial infections |
| disease | MESH | bloodstream infections |
| disease | MESH | Emergency |
| disease | MESH | polymicrobial infection |