ArticleAntimicrobial resistance and infection control2023
Clinical factors associated with peripherally inserted central catheters (PICC) related bloodstream infections: a single centre retrospective cohort.
Article in Antimicrobial resistance and infection control, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Thrombus Formation and Peripherally Inserted Central Catheter-Related Infection: A Retrospective Observational Study.Nursing open · 2026Observational
- Outcomes of a bedside ultrasound-guided peripherally-inserted central catheter placement across critically-ill older patients.PloS one · 2026Article
- Lumbar methicillin-resistantWorld journal of clinical cases · 2025Article
- Impact of subcutaneous tunnel length on infection risk in tunneled PICCs: a study in cancer patient.Scientific reports · 2025Article
- Pathogenic bacteria features of central line-associated bloodstream infections in ICU patients: focus on the early predictive value of neutrophil-to-lymphocyte and platelet-to-lymphocyte ratios.Frontiers in cellular and infection microbiology · 2025Article
- Case Report: Successful DSA-guided removal of a fractured PICC catheter from the pulmonary artery in a patient with lung cancer.Frontiers in oncology · 2025Article
- Differences in the Dwell Time of Peripherally Inserted Central Catheters between Patients with Catheter Colonization and Those Developing Central Line-Associated Bloodstream Infection: A Single Centre Retrospective Cohort Study.Antibiotics (Basel, Switzerland) · 2024Article
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9 authors.
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Abstract
backgroundDespite their spread in daily practice, few data is available on clinical factors associated with peripherally inserted central catheter (PICC)-related bloodstream infections (PR-BSI). We aimed to assess the PR-BSI incidence, microbiology, and factors associated with PR-BSI with a focus on clinical symptoms.
methodsWe conducted a retrospective cohort study in a French university hospital. We screened all PICC insertions performed from April 1st, 2018, to April 1st, 2019, and included PICC insertions in adult patients. We assessed the PR-BSI incidence, the factors associated with PR-BSI using a Cox model, and negative and positive predictive values (NPVs and PPVs) of each clinical sign for PR-BSI.
resultsOf the 901 PICCs inserted in 783 patients (38,320 catheters days), 214 PICCs (24%) presented with a complication. The most prevalent complication was PR-BSI (1.9 per 1000 catheter days; 8.1% of inserted PICCs ). Enterobacterales (N = 27, 37%) and coagulase negative Staphylococci (N = 24, 33%), were the main microorganisms responsible for PR-BSI. Factors independently associated with occurrence of PR-BSI were fever (hazard ratio 13.21, 95% confidence interval 6.00-29.11, p < 0.001) and chills (HR 3.66, 95%CI 1.92-6.99, p < 0.001). All clinical signs and a duration of PICC maintenance ≥ 28 days, had a low PPVs (≤ 67.1%) but high NPVs (≥ 92.5%) for PR-BSI.
conclusionsMonitoring of clinical signs, especially fever and chills, with caution and limitation of device maintenance duration, could improve PICC management.
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