From: Practices and intravascular catheter infection during on- and off-hours in critically ill patients
Catheters (n = 15,208) | On-hours | Off-hours | p-value** | |
---|---|---|---|---|
Catheter-days, median [IQR] | 6 [3; 10] | 4 [2; 9] | < 0.01 | |
First catheter | 3494 (43.8) | 3661 (50.7) | < 0.01 | |
Experience level of the operator | < 50 procedures | 5184 (64.9) | 4101 (56.8) | < 0.01 |
Insertion site for AC | Femoral | 1076 (33.4) | 1176 (37.7) | < 0.01 |
Radial | 2144 (66.6) | 1942 (62.3) | ||
Insertion site for central venous catheter | Jugular | 1084 (33.6) | 875 (30) | < 0.01 |
Subclavian | 1264 (39.1) | 951 (32.6) | ||
Femoral | 881 (27.3) | 1087 (37.3) | ||
Insertion site DC | Jugular | 581 (37.9) | 327 (27.4) | < 0.01 |
Subclavian | 24 (1.6) | 11 (0.9) | ||
Femoral | 928 (60.5) | 857 (71.7) | ||
Catheter type for central venous catheter | CVC | 3229 (67.8) | 2913 (70.9) | < 0.01 |
DC | 1533 (32.2) | 1195 (29.1) | ||
Ultrasound guidance* | 857 (17.9) | 695 (16.1) | 0.02 | |
CHG-impregnated dressings | 2055 (25.7) | 1991 (27.6) | 0.01 | |
Skin antisepsis with CHG | 3640 (45.6) | 3263 (45.2) | 0.58 | |
Mechanical ventilation at insertion | 6108 (76.5) | 5399 (74.7) | < 0.01 | |
Vasopressor at insertion | 4138 (51.8) | 3958 (54.8) | < 0.01 | |
Antibiotics at insertion | 5171 (64.8) | 4396 (60.8) | < 0.01 | |
Reason for removal | Death | 1730 (21.7) | 1649 (22.8) | 0.09 |
No longer needed | 2371 (29.7) | 2277 (31.5) | 0.02 | |
Suspicion of infection | 1133 (14.2) | 881 (12.2) | < 0.01 | |
ICU discharge | 1728 (21.6) | 1647 (22.8) | 0.09 | |
Bleeding | 18 (0.2) | 8 (0.1) | 0.09 | |
Wrenched | 111 (1.4) | 103 (1.4) | 0.86 | |
Dysfunction*** | 711 (11.7) | 584 (10.9) | 0.19 | |
MCRI | 88 (1.1) | 67 (0.9) | 0.28 | |
CRBSI | 60 (0.8) | 48 (0.7) | 0.52 | |
Catheter tip colonization | 653 (8.2) | 540 (7.5) | 0.10 |