Skin colonization at peripheral intravenous catheter insertion sites increases the risk of catheter colonization and infection

Md Abu Choudhury; Hanna E Sidjabat; Hosam M Zowawi; Nicole Marsh; Emily Larsen; Naomi Runnegar; David L Paterson; David J McMillan; Claire M Rickard

doi:10.1016/j.ajic.2019.06.002

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Skin colonization at peripheral intravenous catheter insertion sites increases the risk of catheter colonization and infection

Journal article

Peer reviewed

Skin colonization at peripheral intravenous catheter insertion sites increases the risk of catheter colonization and infection

Md Abu Choudhury, Hanna E Sidjabat, Hosam M Zowawi, Nicole Marsh, Emily Larsen, Naomi Runnegar, David L Paterson, David J McMillan and Claire M Rickard

American Journal of Infection Control, Vol.47(12), pp.1484-1488

2019

DOI: https://doi.org/10.1016/j.ajic.2019.06.002

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Abstract

health care-associated infections

catheter-related bloodstream infection

skin decolonization

molecular characterization

Background:Peripheral intravenous catheters (PIVCs) break the skin barrier, and preinsertion antiseptic dis-infection and sterile dressings are used to reduce risk of catheter-related bloodstream infection (CRBSI). Inthis study, the impact of PIVC skin site colonization on tip colonization and the development of CRBSI wasinvestigated.Methods:A total of 137 patients'PIVC skin site swabs and paired PIVC tips were collected at catheterremoval, cultured, and bacterial species and clonality were identified.Results:Of 137 patients, 45 (33%) had colonized skin sites and/or PIVC tips. Of 16 patients with paired coloni-zation of both the skin site and PIVC tips, 11 (69%) were colonized with the same bacterial species. Of these,77% were clonally related, including 1 identical clone ofPseudomonas aeruginosain a patient with systemicinfection and the same organism identified in blood culture.Conclusions:The results demonstrate that opportunistic pathogen colonization at the skin site poses a signif-icant risk for PIVC colonization and CRBSI. Further research is needed to improve current preinsertion anti-septic disinfection of PIVC skin site and the sterile insertion procedure to potentially reduce PIVCcolonization and infection risk.

Details

Title: Skin colonization at peripheral intravenous catheter insertion sites increases the risk of catheter colonization and infection
Authors: Md Abu Choudhury (Author) - University of the Sunshine Coast - School of Health and Sports Sciences
Hanna E Sidjabat (Author) - University of Queensland
Hosam M Zowawi (Author) - University of Queensland
Nicole Marsh (Author) - Griffith University
Emily Larsen (Author) - Griffith University
Naomi Runnegar (Author) - Griffith University
David L Paterson (Author) - University of Queensland
David J McMillan (Author) - University of the Sunshine Coast - School of Health and Sports Sciences
Claire M Rickard (Author) - Griffith University
Publication details: American Journal of Infection Control, Vol.47(12), pp.1484-1488
Publisher: Mosby, Inc.
Date published: 2019
DOI: 10.1016/j.ajic.2019.06.002
ISSN: 0196-6553
Organisation Unit: University of the Sunshine Coast, Queensland; School of Health and Sport Sciences - Legacy; School of Science, Technology and Engineering; Centre for Bioinnovation
Language: English
Record Identifier: 99450659802621
Output Type: Journal article

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Collaboration types: Domestic collaboration; International collaboration
Web Of Science research areas: Infectious Diseases; Public, Environmental & Occupational Health

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