Rosenthal Víctor Daniel, Bat-Erdene Ider, Gupta Debkishore, Rajhans Prasad, Myatra Sheila Nainan, Muralidharan S, Mehta Yatin, Rai Vineya, Hung Nguyen Viet, Luxsuwong Montri, Tapang Audrey Rose D, Guo Xiuqin, Trotter Andrew, Kharbanda Mohit, Rodrigues Camilla, Dwivedy Arpita, Shah Sweta, Poojary Aruna, Todi Subhash Kumar, Chabukswar Supriya, Bhattacharyya Mahuya, Ramachandran Bala, Ramakrishnan Nagarajan, Purkayasta Sujit Kar, Sakle Asmita Sagar, Kumar Siva, Warrier Anup R, Kavathekar Maithili Satish, Sahu Samir, Mubarak Aisha, Modi Nikhil, Jaggi Namita, Gita Nadimpalli, Mishra Shakti Bedanta, Sahu Suneeta, Jawadwala Burhan, Zala Dolatsinh, Zompa Tenzin, Mathur Purva, Nirkhiwale Suhas, Vadi Sonali, Singh Sanjeev, Agarwal Manoj, Sen Nagamani, Karlekar Anil, Punia D P, Kumar Suresh, Gopinath Ramachadran, Nair Pravin Kumar, Gan Chin Seng, Chakravarthy Murali, Sandhu Kavita, Kambam Chandrika, Mohanty Salil Kumar, Varaiya Ami, Pandya Nirav, Subhedar Vaibhavi R, Vanajakshi M R, Singla Deepak, Tuvshinbayar M, Patel Mayur, Ye Guxiang, Lum Lucy Chai See, Zaini Rhendra Hardy Mohamad, Batkhuu Byambadorj, Dayapera Kimberley M, Nguyet Le Thu, Berba Regina, Buenaflor Maria Carmen Sg, Ng Josephine Anne, Siriyakorn Nirada, Thu Le Thi Anh
International Nosocomial Infection Control Consortium (INICC), Buenos Aires, Argentina.
Infection Control Professionals of Mongolia, and Intermed Hospital, Ulaanbaatar, Mongolia.
J Vasc Access. 2021 Jan;22(1):34-41. doi: 10.1177/1129729820917259. Epub 2020 May 14.
Short-term peripheral venous catheter-associated bloodstream infection rates have not been systematically studied in Asian countries, and data on peripheral venous catheter-associated bloodstream infections incidence by number of short-term peripheral venous catheter days are not available.
Prospective, surveillance study on peripheral venous catheter-associated bloodstream infections conducted from 1 September 2013 to 31 May 2019 in 262 intensive care units, members of the International Nosocomial Infection Control Consortium, from 78 hospitals in 32 cities of 8 countries in the South-East Asia Region: China, India, Malaysia, Mongolia, Nepal, Philippines, Thailand, and Vietnam. For this research, we applied definition and criteria of the CDC NHSN, methodology of the INICC, and software named INICC Surveillance Online System.
We followed 83,295 intensive care unit patients for 369,371 bed-days and 376,492 peripheral venous catheter-days. We identified 999 peripheral venous catheter-associated bloodstream infections, amounting to a rate of 2.65/1000 peripheral venous catheter-days. Mortality in patients with peripheral venous catheter but without peripheral venous catheter-associated bloodstream infections was 4.53% and 12.21% in patients with peripheral venous catheter-associated bloodstream infections. The mean length of stay in patients with peripheral venous catheter but without peripheral venous catheter-associated bloodstream infections was 4.40 days and 7.11 days in patients with peripheral venous catheter and peripheral venous catheter-associated bloodstream infections. The microorganism profile showed 67.1% were Gram-negative bacteria: (22.9%), spp (10.7%), (5.3%), spp. (4.5%), and others (23.7%). The predominant Gram-positive bacteria were (11.4%).
Infection prevention programs must be implemented to reduce the incidence of peripheral venous catheter-associated bloodstream infections.
亚洲国家尚未对短期外周静脉导管相关血流感染率进行系统研究，且缺乏按短期外周静脉导管使用天数统计的外周静脉导管相关血流感染发病率数据。
2013年9月1日至2019年5月31日，对东南亚地区8个国家32个城市78家医院的262个重症监护病房（国际医院感染控制联盟成员）进行外周静脉导管相关血流感染的前瞻性监测研究。本研究采用美国疾病控制与预防中心国家医疗安全网络（CDC NHSN）的定义和标准、国际医院感染控制联盟（INICC）的方法以及名为INICC监测在线系统的软件。
我们对83295例重症监护病房患者进行了369371个床日和376492个外周静脉导管日的随访。共识别出999例外周静脉导管相关血流感染，感染率为每1000个外周静脉导管日2.65例。未发生外周静脉导管相关血流感染的外周静脉导管患者死亡率为4.53%，发生外周静脉导管相关血流感染的患者死亡率为12.21%。未发生外周静脉导管相关血流感染的外周静脉导管患者平均住院时间为4.40天，发生外周静脉导管相关血流感染的患者平均住院时间为7.11天。微生物谱显示，67.1%为革兰氏阴性菌：（22.9%）、 菌属（10.7%）、 菌（5.3%）、 菌属（4.5%）及其他（23.7%）。主要的革兰氏阳性菌为 菌（11.4%）。
必须实施感染预防计划以降低外周静脉导管相关血流感染的发生率。
Zotero 插件