Object: Determine the cause of nosocomial cluster infections of peripheral venous catheter-related bloodstream infection (PIVC-BSI), and provide advice on prevention, control and nursing measures. Method: A retrospective analysis of nosocomial cluster infections that occurred in a tertiary hospital on July 28-30, 2019. Blood samples from patients suspected of PIVC-BSI were retained for bacterial culture. The clinical data of the patients, environmental hygiene indicators were collected. Results: All 8 patients had chills within 0.5 - 3.5 hours after intravenous infusion, and the highest body temperature reached 41°C. The peripheral blood samples of 4 patients were cultured as Burkholderia cepacia infection, and the eluate from the catheter tip of 2 patients cultured the same bacteria as the blood culture. The humidity in the treatment preparation room was 60% - 80%. There was mold in the sterile storage cabinet. Conclusion: The nosocomial cluster infection of PIVC-BSI was caused by Burkholderia cepacia colonizing the tip of the peripheral intravenous catheter, and the high air humidity was the most likely factor. The ability of nurses to identify and respond to PIVC-BSI as well as the infection control management level of each department still needs to be improved.
| Published in | American Journal of Nursing Science (Volume 9, Issue 6) |
| DOI | 10.11648/j.ajns.20200906.18 |
| Page(s) | 433-437 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2020. Published by Science Publishing Group |
Peripheral Intravenous Catheter, Peripheral Intravenous Catheter-Related Bloodstream Infection, Burkholderia Cepacian, INFECTION Control
| [1] | Alexandrou, E., Ray‐Barruel, G., Carr, P. J., Frost, S., Inwood, S., Higgins, N.,... & Rickard, C. M. (2015). International prevalence of the use of peripheral intravenous catheters. Journal of hospital medicine, 10 (8), 530-533. |
| [2] | Maki, D. G., Kluger, D. M., & Crnich, C. J. (2006, September). The risk of bloodstream infection in adults with different intravascular devices: a systematic review of 200 published prospective studies. In Mayo Clinic Proceedings (Vol. 81, No. 9, pp. 1159-1171). Elsevier. |
| [3] | Barnett, A. G., Page, K., Campbell, M., Martin, E., Rashleigh-Rolls, R., Halton, K.,... & Graves, N. (2013). The increased risks of death and extra lengths of hospital and ICU stay from hospital-acquired bloodstream infections: a case–control study. BMJ open, 3 (10). |
| [4] | Lim, S., Gangoli, G., Adams, E., Hyde, R., Broder, M. S., Chang, E.,... & Danker III, W. (2019). Increased Clinical and Economic Burden Associated With Peripheral Intravenous Catheter–Related Complications: Analysis of a US Hospital Discharge Database. INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 56, 0046958019875562. |
| [5] | Rosenthal, V. D., Belkebir, S., Zand, F., Afeef, M., Tanzi, V. L., Al-Abdely, H. M.,... & Elahi, N. (2020). Six-year multicenter study on short-term peripheral venous catheters-related bloodstream infection rates in 246 intensive units of 83 hospitals in 52 cities of 14 countries of Middle East: Bahrain, Egypt, Iran, Jordan, Kingdom of Saudi Arabia, Kuwait, Lebanon, Morocco, Pakistan, Palestine, Sudan, Tunisia, Turkey, and United Arab Emirates—International Nosocomial Infection Control Consortium (INICC) findings. Journal of Infection and Public Health. |
| [6] | Chernecky, C., & Macklin, D. (2014). The role of IV needleless connectors and IV complication management and prevention. Advances in Research, 195-206. |
| [7] | Choudhury, M. A., Sidjabat, H. E., Zowawi, H. M., Larsen, E., Paterson, D. L., McMillan, D. J., & Rickard, C. M. (2019). Skin colonization at peripheral intravenous catheter insertion sites increases the risk of catheter colonization and infection. American Journal of Infection Control, 47 (12), 1484-1488. |
| [8] | Montecalvo, M. A., McKenna, D., Yarrish, R., Mack, L., Maguire, G., Haas, J.,... & Watson, A. (2012). Chlorhexidine bathing to reduce central venous catheter-associated bloodstream infection: impact and sustainability. The American journal of medicine, 125 (5), 505-511. |
| [9] | Zou, Q., Li, N., Liu, J., Li, X., Wang, Z., Ai, X.,... & Hu, Y. (2020). Investigation of an outbreak of Burkholderia cepacia infection caused by drug contamination in a tertiary hospital in China. American Journal of Infection Control, 48 (2), 199-203. |
| [10] | Peng, F., Zhong, L. L., Lin, X. J., Chen, M., & Zhou, M. (2018). Burkholderia cepacia infection in children: a clinical analysis of 16 cases. Zhongguo Dang dai er ke za zhi= Chinese Journal of Contemporary Pediatrics, 20 (2), 112-115. |
| [11] | De Plato, F., Fontana, C., Gherardi, G., Privitera, G. P., Puro, V., Rigoli, R.,... & Viale, P. (2019). Collection, transport and storage procedures for blood culture specimens in adult patients: recommendations from a board of Italian experts. Clinical Chemistry and Laboratory Medicine (CCLM), 57 (11), 1680-1689. |
| [12] | Sengul, T., Guven, B., Ocakci, A. F., & Kaya, N. (2020). Connectors as a risk factor for blood-associated infections (3-way stopcock and needleless connector): A randomized-experimental study. American Journal of Infection Control, 48 (3), 275-280. |
| [13] | Mermel, L. A. (2017). Short-term peripheral venous catheter–related bloodstream infections: a systematic review. Clinical Infectious Diseases, 65 (10), 1757-1762. |
| [14] | Chien, Y. C., Liao, C. H., Sheng, W. H., Chien, J. Y., Huang, Y. T., Yu, C. J., & Hsueh, P. R. (2018). Clinical characteristics of bacteraemia caused by Burkholderia cepacia complex species and antimicrobial susceptibility of the isolates in a medical centre in Taiwan. International Journal of Antimicrobial Agents, 51 (3), 357-364. |
| [15] | Duan, J., Kang, J., Han, T., Ma, Y., Guo, Q., Song, Y.,... & Zhang, R. (2017). Prevalence of hospital acquired Burkholderia cepacia infection and its antimicrobial susceptibility in a Chinese hospital. Pakistan Journal of Pharmaceutical Sciences, 30 (2). |
APA Style
Mengying Qi, Jinai He, Jiajie Yan. (2020). Investigation of Nosocomial Cluster Infections of Peripheral Venous Catheter-Related Bloodstream Infection. American Journal of Nursing Science, 9(6), 433-437. https://doi.org/10.11648/j.ajns.20200906.18
ACS Style
Mengying Qi; Jinai He; Jiajie Yan. Investigation of Nosocomial Cluster Infections of Peripheral Venous Catheter-Related Bloodstream Infection. Am. J. Nurs. Sci. 2020, 9(6), 433-437. doi: 10.11648/j.ajns.20200906.18
AMA Style
Mengying Qi, Jinai He, Jiajie Yan. Investigation of Nosocomial Cluster Infections of Peripheral Venous Catheter-Related Bloodstream Infection. Am J Nurs Sci. 2020;9(6):433-437. doi: 10.11648/j.ajns.20200906.18
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Download@article{10.11648/j.ajns.20200906.18,
author = {Mengying Qi and Jinai He and Jiajie Yan},
title = {Investigation of Nosocomial Cluster Infections of Peripheral Venous Catheter-Related Bloodstream Infection},
journal = {American Journal of Nursing Science},
volume = {9},
number = {6},
pages = {433-437},
doi = {10.11648/j.ajns.20200906.18},
url = {https://doi.org/10.11648/j.ajns.20200906.18},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20200906.18},
abstract = {Object: Determine the cause of nosocomial cluster infections of peripheral venous catheter-related bloodstream infection (PIVC-BSI), and provide advice on prevention, control and nursing measures. Method: A retrospective analysis of nosocomial cluster infections that occurred in a tertiary hospital on July 28-30, 2019. Blood samples from patients suspected of PIVC-BSI were retained for bacterial culture. The clinical data of the patients, environmental hygiene indicators were collected. Results: All 8 patients had chills within 0.5 - 3.5 hours after intravenous infusion, and the highest body temperature reached 41°C. The peripheral blood samples of 4 patients were cultured as Burkholderia cepacia infection, and the eluate from the catheter tip of 2 patients cultured the same bacteria as the blood culture. The humidity in the treatment preparation room was 60% - 80%. There was mold in the sterile storage cabinet. Conclusion: The nosocomial cluster infection of PIVC-BSI was caused by Burkholderia cepacia colonizing the tip of the peripheral intravenous catheter, and the high air humidity was the most likely factor. The ability of nurses to identify and respond to PIVC-BSI as well as the infection control management level of each department still needs to be improved.},
year = {2020}
}
TY - JOUR T1 - Investigation of Nosocomial Cluster Infections of Peripheral Venous Catheter-Related Bloodstream Infection AU - Mengying Qi AU - Jinai He AU - Jiajie Yan Y1 - 2020/12/04 PY - 2020 N1 - https://doi.org/10.11648/j.ajns.20200906.18 DO - 10.11648/j.ajns.20200906.18 T2 - American Journal of Nursing Science JF - American Journal of Nursing Science JO - American Journal of Nursing Science SP - 433 EP - 437 PB - Science Publishing Group SN - 2328-5753 UR - https://doi.org/10.11648/j.ajns.20200906.18 AB - Object: Determine the cause of nosocomial cluster infections of peripheral venous catheter-related bloodstream infection (PIVC-BSI), and provide advice on prevention, control and nursing measures. Method: A retrospective analysis of nosocomial cluster infections that occurred in a tertiary hospital on July 28-30, 2019. Blood samples from patients suspected of PIVC-BSI were retained for bacterial culture. The clinical data of the patients, environmental hygiene indicators were collected. Results: All 8 patients had chills within 0.5 - 3.5 hours after intravenous infusion, and the highest body temperature reached 41°C. The peripheral blood samples of 4 patients were cultured as Burkholderia cepacia infection, and the eluate from the catheter tip of 2 patients cultured the same bacteria as the blood culture. The humidity in the treatment preparation room was 60% - 80%. There was mold in the sterile storage cabinet. Conclusion: The nosocomial cluster infection of PIVC-BSI was caused by Burkholderia cepacia colonizing the tip of the peripheral intravenous catheter, and the high air humidity was the most likely factor. The ability of nurses to identify and respond to PIVC-BSI as well as the infection control management level of each department still needs to be improved. VL - 9 IS - 6 ER -
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