Catheter-related Bloodstream Infection
Conditions
Keywords
venous access, Midline, PICC line, catheter-related bloodstream infections
Brief summary
A long-term venous access is frequently required in patient management. Currently, it is ensured by using the long peripheral intravenous catheters (Midline) or peripheral inserted central catheters (PICC line). Either is inserted into a peripheral vein of the upper arm and extends to the distal axillary vein. If the indications for the two catheters can sometimes be debated, the Midline catheter seems to be more and more used. The complications related to the use of PICC lines have been well described in literature, whereas the comparison of the two catheter-related complications has been less analysed. The aim of this study is to compare the incidences of catheter-related bloodstream infections linked to PICCs and Midlines.
Detailed description
This single-center observational study will record and compare Midline and PICC line catheter-related bloodstream infections in the first 30 days after placement, catheter-related bloodstream infections being defined as clinical signs associated with a positive catheter culture (bacterial culture finding more than 103 CFU/mL) without any other infectious entry points. Catheter indications, insertion conditions, incidence of haemorrhagic and thrombotic complications during the first 30 days will be analyzed.
Interventions
None listed
Sponsors
University Hospital, Brest
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Major ≥ 18 years old * opposition formulated
Exclusion criteria
* Refusal of participation * Patients under legal protection (guardianship, curatorship, etc.)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Compared rate of catheter-related bloodstream infections in the first 30 days in Midline and PICCline group. Catheter-related bloodstream infections are defined as clinical signs with a positive catheter culture without any other infectious entry points. | first 30 days after placement | catheter-related bloodstream infections being defined as clinical signs (fever, swelling, pain) associated with a positive catheter culture (bacterial culture finding more than 103 CFU/mL) without any other infectious entry points. the number of infections recorded will be compared between the group of patients having a Midline and the group of patients having a PICCline |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| catheter placement time will be evaluated in days | first 30 days after placement | catheter placement time will be evaluted by measuring the time between catheter placement and removal in days |
| rate of no infection complications like obstruction, accidental removal, thrombosis, hemorrhagic complications | first 30 days | The number of mechanical compliaction (obstruction, accidental removal, etc.), haemorrhagic and thrombotic complications recorded will be compared between the group of patients having a Midline and the group of patients having a PICCline |
Countries
France
Contacts
Primary ContactAnaÏS CAILLARD
Backup ContactBrigitte HUIBAN
Outcome results
None listed