ArticleInfection control and hospital epidemiology2017
Environmental Exposures and the Risk of Central Venous Catheter Complications and Readmissions in Home Infusion Therapy Patients.
Article in Infection control and hospital epidemiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
20 citing papers in PubMed, 30 citations in OpenAlex.
- Oritavancin in Complicated Bloodstream Infections and Endocarditis in Spain and Italy (ORIBAC Study): A Retrospective Multicenter Observational Study.Infectious diseases and therapy · 2026Article
- Article
- Oritavancin as sequential therapy for Gram-positive bloodstream infections.BMC infectious diseases · 2024Article
- The need to expand the infection prevention workforce in home infusion therapy.American journal of infection control · 2023Article
- Controlling the chaos: Information management in home-infusion central-line-associated bloodstream infection (CLABSI) surveillance.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2023Article
- Analysis of the US Safety Data for Edaravone (RadicavaDrugs in R&D · 2022Article
- A task analysis of central line-associated bloodstream infection (CLABSI) surveillance in home infusion therapy.American journal of infection control · 2022Article
- SINPE Position Paper on the use of home parenteral nutrition in cancer patients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022Review
- Dalbavancin Efficacy and Impact on Hospital Length-of-Stay and Treatment Costs in Different Gram-Positive Bacterial Infections.Clinical drug investigation · 2021Article
- Which Patients Discharged to Home-Based Outpatient Parenteral Antimicrobial Therapy Are at High Risk of Adverse Outcomes?Open forum infectious diseases · 2020Article
- Patient Experiences With Outpatient Parenteral Antibiotic Therapy: Results of a Patient Survey Comparing Skilled Nursing Facilities and Home Infusion.Open forum infectious diseases · 2019Article
- Roles and Role Ambiguity in Patient- and Caregiver-Performed Outpatient Parenteral Antimicrobial Therapy.Joint Commission journal on quality and patient safety · 2019Article
- Hazards from physical attributes of the home environment among patients on outpatient parenteral antimicrobial therapy.American journal of infection control · 2019Article
- A new frontier: Central line-associated bloodstream infection surveillance in home infusion therapy.American journal of infection control · 2018Article
- Health-Related Quality of Life in Outpatient Parenteral Antimicrobial Therapy.Open forum infectious diseases · 2018Article
- Medically Attended Catheter Complications Are Common in Patients With Outpatient Central Venous Catheters.Infection control and hospital epidemiology · 2018Observational
- Antimicrobial Agents and Catheter Complications in Outpatient Parenteral Antimicrobial Therapy.Pharmacotherapy · 2018Article
- Rates of and Risk Factors for Adverse Drug Events in Outpatient Parenteral Antimicrobial Therapy.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2018Article
- Placing Venous Catheters in the Home: Pilot Data from the Mobile VAD Program.Infection control and hospital epidemiology · 2017Article
- It's Complicated: Patient and Informal Caregiver Performance of Outpatient Parenteral Antimicrobial Therapy-Related Tasks.American journal of medical quality : the official journal of the American College of Medical QualityArticle
Corrections and comments
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Authors and funding
9 authors at 2 institutions in 1 country.
Funding
Abstract
BACKGROUND Patients are frequently discharged with central venous catheters (CVCs) for home infusion therapy. OBJECTIVE To study a prospective cohort of patients receiving home infusion therapy to identify environmental and other risk factors for complications. DESIGN Prospective cohort study between March and December 2015. SETTING Home infusion therapy after discharge from academic medical centers. PARTICIPANTS Of 368 eligible patients discharged from 2 academic hospitals to home with peripherally inserted central catheters and tunneled CVCs, 222 consented. Patients remained in the study until 30 days after CVC removal. METHODS Patients underwent chart abstraction and monthly telephone surveys while the CVC was in place, focusing on complications and environmental exposures. Multivariable analyses estimated adjusted odds ratios and adjusted incident rate ratios between clinical, demographic, and environmental risk factors and 30-day readmissions or CVC complications. RESULTS Of 222 patients, total parenteral nutrition was associated with increased 30-day readmissions (adjusted odds ratio, 4.80 [95% CI, 1.51-15.21) and CVC complications (adjusted odds ratio, 2.41 [95% CI, 1.09-5.33]). Exposure to soil through gardening or yard work was associated with a decreased likelihood of readmissions (adjusted odds ratio, 0.09 [95% CI, 0.01-0.74]). Other environmental exposures were not associated with CVC complications. CONCLUSIONS complications and readmissions were common and associated with the use of total parenteral nutrition. Common environmental exposures (well water, cooking with raw meat, or pets) did not increase the rate of CVC complications, whereas soil exposures were associated with decreased readmissions. Interventions to decrease home CVC complications should focus on total parenteral nutrition patients. Infect Control Hosp Epidemiol 2016;1-8.
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