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10.1017/ice.2021.70

http://scihub22266oqcxt.onion/10.1017/ice.2021.70
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33602361!8007950!33602361
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suck abstract from ncbi


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pmid33602361      Infect+Control+Hosp+Epidemiol 2022 ; 43 (1): 26-31
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  • Coronavirus disease 2019 (COVID-19) pandemic, central-line-associated bloodstream infection (CLABSI), and catheter-associated urinary tract infection (CAUTI): The urgent need to refocus on hardwiring prevention efforts #MMPMID33602361
  • Fakih MG; Bufalino A; Sturm L; Huang RH; Ottenbacher A; Saake K; Winegar A; Fogel R; Cacchione J
  • Infect Control Hosp Epidemiol 2022[Jan]; 43 (1): 26-31 PMID33602361show ga
  • BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic has had a considerable impact on US hospitalizations, affecting processes and patient population. OBJECTIVE: To evaluate the impact of COVID-19 pandemic on central-line-associated bloodstream infections (CLABSIs) and catheter associated urinary tract infections (CAUTIs) in hospitals. METHODS: We performed a retrospective study of CLABSIs and CAUTIs in 78 US 12 months before COVID-19 and 6 months during COVID-19 pandemic. RESULTS: During the 2 study periods, there were 795,022 central-line days and 817,267 urinary catheter days. Compared to the period before the COVID-19 pandemic, CLABSI rates increased by 51.0% during the pandemic period from 0.56 to 0.85 per 1,000 line days (P < .001) and by 62.9% from 1.00 to 1.64 per 10,000 patient days (P < .001). Hospitals with monthly COVID-19 patients representing >10% of admissions had a National Health Safety Network (NHSN) device standardized infection ratio for CLABSI that was 2.38 times higher than hospitals with <5% prevalence during the pandemic period (P = .004). Coagulase-negative Staphylococcus CLABSIs increased by 130% from 0.07 to 0.17 events per 1,000 line days (P < .001), and Candida spp by 56.9% from 0.14 to 0.21 per 1,000 line days (P = .01). In contrast, no significant changes were identified for CAUTI (0.86 vs 0.77 per 1,000 catheter days; P = .19). CONCLUSIONS: The COVID-19 pandemic was associated with substantial increases in CLABSIs but not CAUTIs. Our findings underscore the importance of hardwiring processes for optimal line care and regular feedback on performance to maintain a safe environment.
  • |*COVID-19[MESH]
  • |*Catheter-Related Infections/epidemiology/prevention & control[MESH]
  • |*Cross Infection/epidemiology/prevention & control[MESH]
  • |*Sepsis/epidemiology[MESH]
  • |*Urinary Tract Infections/epidemiology/prevention & control[MESH]
  • |Humans[MESH]
  • |Intensive Care Units[MESH]
  • |Pandemics[MESH]
  • |Retrospective Studies[MESH]
  • |SARS-CoV-2[MESH]


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