SEARCHCOHORTinfectious disease, epidemiology

cohort·infectious disease, epidemiology, observational study, internal medicine, critical care·PMC10164288

Complications associated with the use of peripherally inserted central catheters and midline catheters in COVID-19 patients: An observational prospective study

American Journal of Infection Control · 7 authors, 5 centres

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TL;DR

This prospective observational study of 227 hospitalized COVID-19 patients found that the cumulative incidence of catheter-related bloodstream infections (CRBSI) was 4.35%, with similar rates for peripherally inserted central catheters (PICCs) and midline catheters (MCs).

Full summary

544 CHARS

The primary outcome was the incidence of CRBSI, diagnosed by differential time to positivity. The cumulative incidence of CRBSI was 4.35% (10 cases), with an incidence rate of 3.5 episodes per 1,000 catheter-days. Noninfective complications were minimal: 11 dislodgements (4.84%) and only 2 cases of symptomatic catheter-related thrombosis (both in MCs). The study concludes that COVID-19 patients may have an increased susceptibility to CRBSI compared to other populations, and that MCs showed a similar infection risk to PICCs in this cohort.

STUDY TYPE

cohort

SPECIALTY

infectious disease

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AI pipeline

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ORIGINAL PAPER

PMC10164288

Complications associated with the use of peripherally inserted central catheters and midline catheters in COVID-19 patients: An observational prospective study

American Journal of Infection Control

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ABSTRACT

Abstract Background Among the many interesting aspects of clinical care during the SARS-CoV-2 pandemic, vascular access still deserves some attention. Peripherally inserted central catheters (PICCs) and midline catheters (MCs) are venous access devices inserted by ultrasound-guided puncture of veins of the arm, which have been associated with the possibility of minimizing infectious complications in different populations of patients. We have investigated their performance in SARS-CoV-2 patients. Methods As the incidence of catheter-related bloodstream infections (CRBSI) in patients hospitalized for COVID-19 is still unclear, we have designed a single-center, prospective observational study enrolling all patients with established diagnosis of SARS-CoV-2 infection who were admitted to our hospital in the period between October 2020 and April 2021 and who required either a PICC or a MC. Results We recruited 227 patients. The cumulative incidence of CRBSI was 4.35% (10 cases), that is, 3.5 episodes/1,000 catheter days. Four CRBSI occurred in patients with PICCs (4.5/1,000 catheter days) and 6 in those with MCs (3.2/1,000 catheter days). Conclusions Our data suggest that COVID-19 patients may have a more pronounced tendency for the development of catheter-related infections compared to other populations of patients. Key Words: COVID-19, Catheter-related bloodstream infections, Venous access devices

CITATION EXPORT

Federico Frondizi, Laura Dolcetti, Mauro Pittiruti et al.. Complications associated with the use of peripherally inserted central catheters and midline catheters in COVID-19 patients: An observational prospective study. American Journal of Infection Control. (2023). https://doi.org/10.1016/j.ajic.2023.05.002

AUTHORS

7 · 5 CENTRES

Federico Frondizi, Laura Dolcetti, Mauro Pittiruti, Maria Calabrese, Massimo Fantoni, Daniele Guerino Biasucci, Giancarlo Scoppettuolo

aDipartimento di Sicurezza e Bioetica, Università Cattolica del Sacro Cuore, Rome, Italy
bDipartimento di Scienze di Laboratorio e Infettivologiche, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy
cDipartimento di Scienze della Salute della Donna e del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy
dDipartimento di Scienze dell’Emergenza, Anestesiologiche e della Rianimazione, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy
eDipartimento di Scienze Cliniche e Medicina Translazionale, Università degli Studi di Roma Tor Vergata, Rome, Italy