CRBSI rates and COVID-19
Abstract:
Introduction: The incidence of nosocomial infections including ventilator-associated pneumonia and bacteraemia has been described during the COVID-19 pandemic. However, information regarding the impact of COVID-19 on the incidence of Catheter-Related bloodstream infections (CR-BSIs) is very limited. Our aim is to evaluate the impact of the COVID-19 pandemic in the evolution of CR-BSIs in a large hospital MATERIAL AND METHODS: Retrospective study comparing the incidence, aetiology and outcome of CR-BSIs during the months of March to May 2019 (pre-pandemic) and 2020 (during the pandemic).
Results: The number of patients with one or more CR-BSIs in 2019 and 2020 were 23 and 58 respectively (1.89 vs 5.53/ 1,000 admissions); p<0.001. Median time from catheter implantation to demonstration of CR-BSI was 27.5 days (range 11.75 to 126.00 days) in the 2019 cases and 16.0 days (range 11.00 to 23.50 days) in the 2020 population (p =0.032).
Conclusion: A dramatic increase of CR-BSIs was found during the COVID-19 pandemic. Reinforcement of classic and new preventive measures are necessary.
Reference:
Pérez-Granda MJ, Carrillo CS, Rabadán PM, Valerio M, Olmedo M, Muñoz P, Bouza E. Increase in the frequency of catheter-related infections during the COVID-19 pandemic: A pea for control. J Hosp Infect. 2021 Oct 7:S0195-6701(21)00347-9. doi: 10.1016/j.jhin.2021.09.020. Epub ahead of print. PMID: 34627934; PMCID: PMC8498804.