New Study Findings from National Health Insurance Service Ilsan Hospital Illuminate Research in Acute Care Surgery (Analysis of Risk Factors for Peripherally Inserted Central Venous Catheter-Associated Bloodstream Infection): Surgery – Acute Care Surgery

Disease Prevention Daily

2024 APR 04 (NewsRx) -- By a News Reporter-Staff News Editor at Disease Prevention Daily -- Research findings on acute care surgery are discussed in a new report. According to news reporting from the National Health Insurance Service Ilsan Hospital by NewsRx journalists, research stated, “Despite guidelines on the prevention of central venous line-associated bloodstream infection, it is left to the clinical judgment of the attending physician to determine the risk of infection and how long a central line should remain in place. This study aimed to identify risk factors for peripherally inserted central venous catheter (PICC)-associated infection.”

The news reporters obtained a quote from the research from National Health Insurance Service Ilsan Hospital: “This retrospective study included 1,136 patients with a PICC who were hospitalized at the National Health Insurance Service Ilsan Hospital (January 2015 to January 2022). Electronic medical records were reviewed for patients with positive blood cultures. Patients with suspicion of infection at the PICC insertion site or with unclear infection at other sites were defined as having a PICC-associated infection. Thirty-five patients (3.08%) had a PICC-associated infection. There were significant differences in hypertension (p = 0.026), lung disease (p = 0.001), PICC duration > 14 days, and antibiotic use before PICC insertion (p = 0.016) between no PICC-associated infection, and infection in the bloodstream. Total parenteral nutrition with PICC was not significantly different between groups. Logistic regression analysis identified hypertension, lung disease, PICC duration > 14 days (OR 2.088, 95% CI 1.032-4.224, p = 0.041), and antibiotic use before PICC insertion (OR 0.159, 95% CI 0.049-0.515, p = 0.002) as independent risk factors for PICC-associated infection.”

According to the news editors, the research concluded: “The study suggested that PICCs maintained longer than 14 days is a risk factor for PICC-associated infection. Antibiotic use prior to PICC insertion was observed as a negative factor for PICC-associated infection.”

For more information on this research see: Analysis of Risk Factors for Peripherally Inserted Central Venous Catheter-Associated Bloodstream Infection. Journal of Acute Care Surgery, 2024,14(1):9-15. The publisher for Journal of Acute Care Surgery is Korean Society of Acute Care Surgery.

A free version of this journal article is available at https://doi.org/10.17479/jacs.2024.14.1.9.

Our news journalists report that more information may be obtained by contacting Sungho Lee, Department of Surgery, National Health Insurance Service Ilsan Hospital, Ilsan, South Korea. Additional authors for this research include Kwanhoon Park, Kang Yoon Lee, Dongbeen Choi, Ji Young Jang.