Short-term outcomes of catheter-related bloodstream infection in patients admitted to the emergency department: a single-center retrospective study

Author:

Ahn Hyun Min1,Kim June-sung1,Park Min Gul1,Hwang Jeongeun2,Kim Won Young1,Seo Dong Woo1

Affiliation:

1. University of Ulsan College of Medicine, Asan Medical Center

2. Korea University College of Medicine

Abstract

Abstract Central line-related bloodstream infection (CRBSI) is a common complication during hospital admissions; however, there is insufficient data regarding CRBSI in the emergency department. Therefore, we evaluated the incidence and clinical impact of CRBSI using a single-center retrospective study to analyze medical data of 2189 adult patients (median age: 65 years, 58.8% males) who underwent central line insertion in ED from 2013 to 2015. CRBSI was defined if the same pathogens were identified at peripheral and catheter tips or the differential time to positivity was > 2 hours. CRBSI-related in-hospital mortality and risk factors were evaluated. CRBSI occurred in 80 patients (3.7%), of which 51 survived and 29 died; those with CRBSI had higher incidence of subclavian vein insertion, and retry rates. Staphylococcus epidermidis was the most common pathogen, followed by Staphylococcus aureus, Enterococcus faecium, and Escherichia coli. Using multivariate analysis, we found that CRBSI development was an independent risk factor for in-hospital mortality (adjusted odds ratio: 1.93, 95% confidence intervals: 1.19–3.14, p < 0.01). Therefore, CRBSI after central line insertion in the emergency department is fairly common and associated with poor outcomes. Infection prevention and management measures to reduce CRBSI incidence are essential to improve clinical outcomes.

Publisher

Research Square Platform LLC

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