ABSTRACT
We compared hospital-acquired catheter-related bacteremia (CRB) episodes diagnosed at acute care hospitals in Catalonia, Spain, during the COVID-19 pandemic in 2020 with those detected during 2007-2019. We compared the annual observed and predicted CRB rates by using the negative binomial regression model and calculated stratified annual root mean squared errors. A total of 10,030 episodes were diagnosed during 2007-2020. During 2020, the observed CRB incidence rate was 0.29/103 patient-days, whereas the predicted CRB rate was 0.14/103 patient-days. The root mean squared error was 0.153. Thus, a substantial increase in hospital-acquired CRB cases was observed during the COVID-19 pandemic in 2020 compared with the rate predicted from 2007-2019. The incidence rate was expected to increase by 1.07 (95% CI 1-1.15) for every 1,000 COVID-19-related hospital admissions. We recommend maintaining all CRB prevention efforts regardless of the coexistence of other challenges, such as the COVID-19 pandemic.
Subject(s)
Bacteremia , COVID-19 , Humans , Spain/epidemiology , Incidence , COVID-19/epidemiology , Pandemics , Bacteremia/etiology , Catheters/adverse effectsABSTRACT
El presente trabajo tiene como objetivo identificar y analizar las guías de práctica clínica más actualizadas y la bibliografía disponible, para seleccionar las recomendaciones para el cuidado más adecuado, así como dar a conocer cuáles son las mejores prácticas clínicas con respecto al manejo del catéter venoso periférico: selección del catéter, inserción, mantenimiento, retirada del catéter, documentación clínica y conclusiones. Para ello, se ha diseñado una revisión bibliográfica de la literatura en las bases de datos PubMed y Cochrane Plus, y también de guías de práctica clínica que abordan la temática del cuidado del acceso vascular. Se concluye con la importancia de orientar la labor de las enfermeras a través de la práctica basada en el conocimiento. Los cuidados seguros y de calidad deben apoyarse en los resultados de la investigación y se acentúa la formación continua como motor de la calidad (AU)
The papers objective is to determine the best recommendations for optimum care in the use of peripheral venous catheters. To this effect, we identified and analyzed prevailing clinical practice guidelines and bibliography available, to establish optimum care recommendations and clinical management principles for: catheter selection, insertion, maintenance, withdrawal, clinical documentation and conclusions. A literature review was carried out using PubMed and Cochrane Plus databases, together with clinical practice guidelines addressing venous access care. Conclusions discuss the importance of shaping nursing through evidence-based knowledge. Safe care and quality care must rely on research results. Emphasis is made on continuous training as the key to achieve and assure quality (AU)
