Document Detail


Effect of a closed drug-delivery system on the incidence of nosocomial and catheter-related bloodstream infections in infants.
MedLine Citation:
PMID:  16490132     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We conducted a prospective, cohort study at two affiliated level III neonatal intensive care units to evaluate the effect of a closed drug-delivery system on the incidence of nosocomial and catheter-related bloodstream infections (CRBSI) in infants. A total of 300 infants (n=150 at each site) were enrolled over a 4-year study period. There was no difference in the rate of CRBSI per 1000 catheter days between the two sites (16.2+/-39 vs. 8.9+/-24, P=0.054, 95% CI-14.8 to 0.13). Infants at site A (closed drug-delivery system) had a higher rate of infectious nosocomial respiratory complications per 100 hospital days than infants at site B (open delivery system) (1.1+/-2.2 vs. 0.5+/-1.5, P=0.009), however, there was no difference in the overall number of confirmed or suspected nosocomial infection events per patient between study sites. Logistic regression revealed that the number of additional peripheral catheters, gestational age and duration of parenteral nutrition all significantly contributed to the risk of developing one or more CRSBI. The closed drug-delivery system failed to reduce the incidence of CRBSI or overall rate of nosocomial infections in premature infants.
Authors:
P D Reiter; K Novak; R J Valuck; A A Rosenberg; D Fish
Publication Detail:
Type:  Evaluation Studies; Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Epidemiology and infection     Volume:  134     ISSN:  0950-2688     ISO Abbreviation:  Epidemiol. Infect.     Publication Date:  2006 Apr 
Date Detail:
Created Date:  2006-02-21     Completed Date:  2006-04-04     Revised Date:  2013-06-07    
Medline Journal Info:
Nlm Unique ID:  8703737     Medline TA:  Epidemiol Infect     Country:  England    
Other Details:
Languages:  eng     Pagination:  285-91     Citation Subset:  IM    
Affiliation:
Department of Pharmacy, Center for Pediatric Medicine, The Children's Hospital, University of Colorado, Denver, CO 80218, USA. reiter.pam@tchden.org
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MeSH Terms
Descriptor/Qualifier:
Catheters, Indwelling / adverse effects,  microbiology
Cross Infection / epidemiology*,  prevention & control*
Drug Delivery Systems*
Female
Gestational Age
Humans
Incidence
Infant, Newborn
Infant, Premature
Intensive Care Units, Neonatal
Male
Prospective Studies
Sepsis / epidemiology*,  prevention & control*
Grant Support
ID/Acronym/Agency:
M01 RR00069/RR/NCRR NIH HHS
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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