Evidence map›Paper›PMID 39189275›Full record

ArticleNursing reports (Pavia, Italy)2024

Impact of a 'Catheter Bundle' on Infection Rates and Economic Costs in the Intensive Care Unit: A Retrospective Cohort Study.

Alberto Lucchini, Marco Giani, Emanuele Rezoagli, Giulia Favata, Annagiulia Andreani, Marta Spada, Luigi Cannizzo, Nicola Barreca, Matteo Cesana, Stefano Citterio and 1 more

Abstract read
In one paragraph

Article in Nursing reports (Pavia, Italy), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Alberto LucchiniGeneral Adult and Paediatric Intensive Care Unit, Fondazione IRCCS San Gerardo dei Tintori, Via Pergolesi 33, 20900 Monza, Italy.ORCID 0000-0002-7475-277X
Marco GianiGeneral Adult and Paediatric Intensive Care Unit, Fondazione IRCCS San Gerardo dei Tintori, Via Pergolesi 33, 20900 Monza, Italy.ORCID 0000-0001-8048-2721
Emanuele RezoagliGeneral Adult and Paediatric Intensive Care Unit, Fondazione IRCCS San Gerardo dei Tintori, Via Pergolesi 33, 20900 Monza, Italy.ORCID 0000-0002-4506-7212
Giulia FavataCritical Care Nursing, University of Milano-Bicocca, 20126 Milan, Italy.
Annagiulia AndreaniCritical Care Nursing, University of Milano-Bicocca, 20126 Milan, Italy.
Marta SpadaCritical Care Nursing, University of Milano-Bicocca, 20126 Milan, Italy.
Luigi CannizzoGeneral Adult and Paediatric Intensive Care Unit, Fondazione IRCCS San Gerardo dei Tintori, Via Pergolesi 33, 20900 Monza, Italy.
Nicola BarrecaGeneral Adult and Paediatric Intensive Care Unit, Fondazione IRCCS San Gerardo dei Tintori, Via Pergolesi 33, 20900 Monza, Italy.
Matteo CesanaDirection of Health and Social Professions, Fondazione IRCCS San Gerardo dei Tintori, 20900 Monza, Italy.
Stefano CitterioDirection of Health and Social Professions, Fondazione IRCCS San Gerardo dei Tintori, 20900 Monza, Italy.
Stefano ElliDirection of Health and Social Professions, Fondazione IRCCS San Gerardo dei Tintori, 20900 Monza, Italy.ORCID 0000-0002-8785-824X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCatheter-related infections (CBRSIs) are a widespread problem that increase morbidity and mortality in intensive care unit (ICU) patients and management costs.

objectiveThe main aim of this study was to assess the prevalence of CBRSIs in an intensive care unit following international literature guidelines for managing vascular lines in critically ill patients. These guidelines include changing vascular lines every 7 days, using needle-free devices and port protectors, standardising closed infusion lines, employing chlorhexidine-impregnated dressings, and utilising sutureless devices for catheter securement. MATERIALS AND

methodsThis single-centre retrospective observational study was conducted in a general Italian ICU. This study included all eligible patients aged > 1 year who were admitted between January 2018 and December 2022.

resultsDuring the study period, 1240 patients were enrolled, of whom 9 were diagnosed with a CRBSI. The infection rate per 1000 catheters/day was as follows: femorally inserted central catheter, 1.04; centrally inserted central catheter, 0.77; pulmonary arterial catheter 0.71, arterial catheter, 0.1; and peripherally inserted central catheter and continuous veno-venous haemodialysis dialysis catheters equal to 0. No difference in CRBSI was observed between the years included in the study (

conclusionsThis study highlights the importance of implementing a catheter care bundle to minimise the risk of CRBSI and the associated costs in the ICU setting. A policy change for infusion set replacement every 7 days has helped to maintain the CRBSI rate below the recommended rate, resulting in significant cost reduction and reduced production of ICU waste.

Indexed as

bundleCLABSICRBSIinfection preventionneedle-freeport protector

Identifiers

PMID39189275
PMCPMC11348204

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.