Scoping review on prevention of central venous catheter-related bloodstream infection in burn patients

Chen Lijuan; Liu Lihong; Sun Linli; Chen Nana; Meng Meifen

doi:10.3760/cma.j.cn501120-20201027-00447

Volume 37 Issue 10

Oct. 2021

Turn off MathJax

Article Contents

Article Navigation > CHINESE JOURNAL OF BURNS AND WOUNDS > 2021 > 37(10): 970-977

Chen LJ,Liu LH,Sun LL,et al.Scoping review on prevention of central venous catheter-related bloodstream infection in burn patients[J].Chin J Burns,2021,37(10):970-977.DOI: 10.3760/cma.j.cn501120-20201027-00447.

Citation:

PDF( 752 KB)

Scoping review on prevention of central venous catheter-related bloodstream infection in burn patients

doi: 10.3760/cma.j.cn501120-20201027-00447

Department of Burns, the Second Affiliated Hospital of Kunming Medical University, Kunming 650101, China

Funds:

Health Science and Technology Plan of Yunnan Province of China 2017NS292, 2018NS0309

Kunming Medical University Master's Graduate Innovation Fund in 2020 2020S206

More Information

Corresponding author: Meng Meifen, Email: 1391590159@qq.com
Received Date: 2020-10-27

Abstract

Abstract

Objective To investigate the research trend and scope of prevention of central venous catheter-related bloodstream infection (CRBSI) in burn patients. Methods The scoping review method was adopted. Pre-retrieval was carried out with search terms of "中心静脉导管, 烧伤, 感染" and "central venous catheter, infection, catheter-related bloodstream infection, burn". On the basis of pre-retrieval, different retrieval formulas were formulated to retrieve researches related to central venous CRBSI in burn patients in China National Knowledge Internet, Wanfang Database, VIP Database, PubMed, Embase, CINAHL, and Cochrane Library from the establishment of each database to August 2020. Data were extracted from the included literature, including the first author, research publication time, research country, research type, diagnosis basis and intervention measures of central venous CRBSI, research sample selection, incidence related to infection, and research conclusion. Results A total of 20 randomized controlled trials, quasi-experimental studies, case-control studies, cohort studies, and implementation researches published in 1990-2020 were included in this study with the first authors from China, the United States of America, or Argentina. The diagnostic bases for central venous CRBSI in burn patients were not uniform in the included literature, including adopting the Guidelines of American Centers for Disease Control and Prevention, Diagnostic Criteria for Nosocomial Infection, and other diagnostic criteria without specifying the source. The intervention measures included the use of new materials such as antibiotics coated catheter and ethanol impregnated port protectors, multidisciplinary cooperation, and comprehensive preventive measures. The sample size in the included literature was small, and the sample selection was different, including the number of patients and the the number of placement of central venous catheter. The outcome indicators for infection in the included literature were diversified. The incidence per 1 000 days of central venous CRBSI was 20.41‰-29.1‰ of patients in control group in China, the incidence per 1 000 days of central venous CRBSI was mostly <16.6‰ in control group in foreign countries, and the incidence of central venous CRBSI was decreased to varying degrees after implementing the corresponding intervention measures. Related research conclusions showed that new materials, multidisciplinary cooperation, and comprehensive preventive measures had good effects on prevention of central venous CRBSI in burn patients. Conclusions The researches on prevention of central venous CRBSI in burn patients in China start early and the research types are diversified. The diagnostic criteria of central venous CRBSI in burn patients are not uniform, intervention measures have shifted from standardizing relevant operational measures to exploring the prevention effects of new materials, multidisciplinary cooperation, and multiple measures, and the latter has good effects on preventing central venous CRBSI in burn patients.
- Burns,
- Central venous catheter,
- Catheter related blood stream infection,
- Scoping review

FullText(HTML)

References(37)

References

[1]	Centers for Disease Control and Prevention (CDC). Vital signs: central line-associated blood stream infections--United States, 2001, 2008, and 2009[J]. MMWR Morb Mortal Wkly Rep, 2011, 60(8): 243-248.
[2]	O'MaraMS, ReedNL, PalmieriTL, et al. Central venous catheter infections in burn patients with scheduled catheter exchange and replacement[J]. J Surg Res, 2007,142(2): 341-350. DOI: 10.1016/j.jss.2007.03.063.
[3]	ShuppJW,PavlovichAR,JengJC,et al.Epidemiology of bloodstream infections in burn-injured patients: a review of the national burn repository[J].J Burn Care Res,2010,31(4):521-528. DOI: 10.1097/BCR.0b013e3181e4d5e7.
[4]	王辉,高玉芳,张惠,等.国外预防中心静脉导管相关性血流感染的研究进展[J].护理研究,2017,31(25):3100-3101.DOI: 10.3969/j.issn.1009-6493.2017.25.007.
[5]	MilsteinA.Ending extra payment for "never events"--stronger incentives for patients' safety[J].N Engl J Med,2009,360(23):2388-2390.DOI: 10.1056/NEJMp0809125.
[6]	PayneV, HallM, PrietoJ, et al. Care bundles to reduce central line-associated bloodstream infections in the neonatal unit: a systematic review and meta-analysis[J]. Arch Dis Child Fetal Neonatal Ed, 2018,103(5):F422-F429. DOI: 10.1136/archdischild-2017-313362.
[7]	IstaE,van der HovenB,KornelisseRF,et al.Effectiveness of insertion and maintenance bundles to prevent central-line-assoc-iated bloodstream infections in critically ill patients of all ages: a systematic review and meta-analysis[J].Lancet Infect Dis,2016,16(6):724-734. DOI: 10.1016/S1473-3099(15)00409-0.
[8]	HampeHM, GraperL, Hayes-LeightK, et al. Accurate identification of infection source in burn trauma patients with central line infection to determine appropriate treatment option as well as proper public reporting[J]. Crit Care Nurs Q, 2017,40(1):16-23. DOI: 10.1097/CNQ.0000000000000136.
[9]	SoodG,HeathD,AdamsK,et al.Survey of central line-associated bloodstream infection prevention practices across american burn association-certified adult burn units[J].Infect Control Hosp Epidemiol,2013,34(4):439-440.DOI: 10.1086/669870.
[10]	ArkseyH,O'MalleyL.Scoping studies: towards a methodological framework[J].Int J Soc Res Methodol,2005,8(1):19-32. DOI: 10.1080/1364557032000119616.
[11]	李娟,李娜,付伟,等. 银离子敷料对重症烧伤患者中心静脉导管相关感染的影响[J]. 中华烧伤杂志,2020,36(8):698-703. DOI: 10.3760/cma.j.cn501120-20190519-00246.
[12]	张灵倩烧伤患者中心静脉导管相关性感染危险因素及穿刺点维护的研究福州福建医科大学2019DOI:10.27020/d.cnki.gfjyu.2019.000104 张灵倩.烧伤患者中心静脉导管相关性感染危险因素及穿刺点维护的研究[D]. 福州:福建医科大学,2019. DOI:10.27020/d.cnki.gfjyu.2019.000104.
[13]	周琴,王青,李双双,等. 多专科综合干预在特重度烧伤患者整合治疗中的效果观察[J]. 中华烧伤杂志,2018,34(10):701-706. DOI: 10.3760/cma.j.issn.1009-2587.2018.10.010.
[14]	王文玲,罗斌杰,蒋霞,等. 在经烧伤创面中心静脉置管周围应用藻酸银敷料的研究[J]. 实用临床医药杂志,2017,21(20):192-193. DOI: 10.7619/jcmp.201720071.
[15]	MartinoA,ThompsonL,MitchellC, et al.Efforts of a Unit Practice Council to implement practice change utilizing alcohol impregnated port protectors in a burn ICU[J].Burns,2017,43(5):956-964. DOI: 10.1016/j.burns.2017.01.010.
[16]	TaoL,ZhouJ,GongY, et al.Risk factors for central line-associated bloodstream infection in patients with major burns and the efficacy of the topical application of mupirocin at the central venous catheter exit site[J].Burns,2015,41(8):1831-1838. DOI: 10.1016/j.burns.2015.08.003.
[17]	KaganRJ,NeelyAN,RiemanMT, et al.A performance improvement initiative to determine the impact of increasing the time interval between changing centrally placed intravascular catheters[J]. J Burn Care Res,2014,35(2):143-147. DOI: 10.1097/BCR.0000000000000020.
[18]	周浩,胡永才,周海洋,等. 大面积烧伤患者早期深静脉置管血行感染分析[J]. 现代医药卫生,2013,29(16):2489-2490. DOI: 10.3969/j.issn.1009-5519.2013.16.049.
[19]	姚彩婷.10%皮维碘软膏在烧伤患者股静脉穿刺点护理中的应用[J]. 医学信息,2012,25(3):334. DOI: 10.3969/j.issn.1006-1959.2012.03.326.
[20]	WeberJM,SheridanRL,FaganS,et al.Incidence of catheter- associated bloodstream infection after introduction of minocycline and rifampin antimicrobial-coated catheters in a pediatric burn population[J].J Burn Care Res,2012,33(4):539-543.DOI: 10.1097/BCR.0b013e31823c4cd5.
[21]	邹勇,刘兵,刘客珍,等. 特重烧伤患者经创面留置深静脉导管的临床评价[J]. 内蒙古中医药,2010,29(15):28-29. DOI: 10.3969/j.issn.1006-0979.2010.15.028.
[22]	KingB,SchulmanCI,PepeA,et al.Timing of central venous catheter exchange and frequency of bacteremia in burn patients[J].J Burn Care Res,2007,28(6):859-860.DOI: 10.1097/BCR.0b013e318159a40b.
[23]	RamosG,BolgianiA,PatiñoO,et al.Antiseptic-impregnated central venous catheters: their evaluation in burn patients[J].Ann Burns Fire Disasters,2006,19(2):63-67.
[24]	刘杰锋,龙忠恒,吴红,等. 重症烧伤休克回吸收期深静脉置管留置时间的临床研究[J]. 中华医院感染学杂志,2005,15(5):527-529. DOI: 10.3321/j.issn:1005-4529.2005.05.017.
[25]	RamosGE,BolgianiAN,PatiñoO,et al.Catheter infection risk related to the distance between insertion site and burned area[J].J Burn Care Rehabil,2002,23(4):266-271. DOI: 10.1097/00004630-200207000-00007.
[26]	KealeyGP,ChangP,HeinleJ,et al.Prospective comparison of two management strategies of central venous catheters in burn patients[J].J Trauma,1995,38(3):344-349. DOI: 10.1097/00005373-199503000-00006.
[27]	AskewAA,TuggleDW,JuddT,et al.Improvement in catheter sepsis rate in burned children[J].J Pediatr Surg,1990,25(1):117-119.DOI: 10.1016/s0022-3468(05)80175-7.
[28]	SoodG,CaffreyJ,KroutK, et al.Use of Implementation science for a sustained reduction of central-line-associated bloodstream infections in a high-volume, regional burn unit[J].Infect Control Hosp Epidemiol,2017,38(11):1306-1311. DOI: 10.1017/ice.2017.191.
[29]	van DuinD,JonesSW,DibiaseL,et al.Reduction in central line-associated bloodstream infections in patients with burns[J].Infect Control Hosp Epidemiol,2014,35(8):1066-1068. DOI: 10.1086/677165.
[30]	SafdarN,MakiDG.Inflammation at the insertion site is not predictive of catheter-related bloodstream infection with short- term, noncuffed central venous catheters[J].Crit Care Med,2002,30(12):2632-2635.DOI: 10.1097/00003246-200212000-00003.
[31]	TimsitJF.Diagnosis and prevention of catheter-related infections[J].Curr Opin Crit Care,2007,13(5):563-571.DOI: 10.1097/MCC.0b013e3282efa03f.
[32]	EvansO,GowardmanJ,RabboliniD,et al.In situ diagnostic methods for catheter related bloodstream infection in burns patients: a pilot study[J].Burns,2016,42(2):434-440.DOI: 10.1016/j.burns.2015.07.004.
[33]	GreenhalghDG,SaffleJR,4thHolmes JH,et al.American Burn Association consensus conference to define sepsis and infection in burns[J].J Burn Care Res,2007,28(6):776-790.DOI: 10.1097/BCR.0b013e3181599bc9.
[34]	王慧利,廖米荣,屠巍巍. 烧伤科中心静脉置管患者导管相关性感染的发生情况及病原学特点[J]. 中国消毒学杂志,2020,37(4):277-279. DOI: 10.11726/j.issn.1001-7658.2020.04.013.
[35]	李英兰,庞久玲,王静,等. 烧伤患者中心静脉导管相关感染危险因素及防控对策[J]. 中华医院感染学杂志,2017,27(7):1655-1658. DOI: 10.11816/cn.ni.2017-163418.
[36]	方利,王凡,孙珂岱,等. 烧伤患者中心静脉导管相关性感染发生情况及其危险因素分析[J]. 中华烧伤杂志,2016,32(4):243-248. DOI: 10.3760/cma.j.issn.1009-2587.2016.04.013.
[37]	PatelPK,OlmstedRN,HungL, et al.A tiered approach for preventing central line-associated bloodstream infection[J].Ann Intern Med,2019,171(7_Suppl):S16-22. DOI: 10.7326/M18-3469.