Three-year prospective, observational study of central line-associated bloodstream infections in a 600-bed Japanese acute care hospital.

摘要: Background Central line–associated bloodstream infection (CLABSI) is an important concern associated with central venous catheter (CVC) use. The objective of this study was to determine the influences CVC access sites, types, and presumed causative microorganisms on CLABSI occurrence in acute care hospital. Methods We conducted a prospective, observational for 3 consecutive years 600-bed Japanese Data collected included patient characteristics, isolated by blood culture. Results For 1,650 CVCs used 1,237 patients, 39 cases were identified. Most infections had occurred within 1 month insertion. Maximal sterile barrier precautions been most (97.3%). average days internal jugular vein shorter than those subclavian femoral access. rates 1.1 0.7 single- multilumen CVCs, respectively. tended be when gram-positive cocci longer fungi (Candida spp) isolated. Conclusion Longer duration increased chance fungal infection.