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Ten-year surveillance of central line-associated bloodstream infections in South Korea: Surveillance not enough, action needed.
- Source :
-
American journal of infection control [Am J Infect Control] 2020 Mar; Vol. 48 (3), pp. 285-289. Date of Electronic Publication: 2019 Sep 05. - Publication Year :
- 2020
-
Abstract
- Background: Central line-associated bloodstream infections (CLABSIs) are preventable health care-associated infections that can lead to increased mortality. Therefore, we investigated trends in CLABSI rates, and the factors associated with changing trends over a 10-year period using the Korean National Healthcare-associated Infections Surveillance System (KONIS).<br />Methods: We investigated annual CLABSI rates from 2006 to 2015 in 190 KONIS-participating intensive care units (ICUs) from 107 participating hospitals. We collected data associated with hospital and ICU characteristics and analyzed trends using generalized autoregressive moving average models.<br />Results: The CLABSI pooled mean rate decreased from 3.40 in 2006 to 2.20 in 2015 (per 1,000 catheter-days). The trend analysis also showed a significant decreasing trend in CLABSI rates in unadjusted models (annual increase, -0.137; P < .001). After adjusting for hospital and ICU characteristics, significant decreasing trends were identified (annual increase, -0.109; P < .001). However, there were no significant changes in subgroups with non-university-affiliated hospitals, hospitals in metropolitan areas near Seoul, small hospitals (300-699 beds), or surgical ICUs.<br />Conclusions: In South Korea, CLABSI rates have shown significant reductions in the past 10 years with participation in the KONIS. However, CLABSI rates may be reduced by encouraging more hospitals to participate in the KONIS and by improved policy support for hospitals lacking infection control resources.<br /> (Copyright © 2019 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.)
- Subjects :
- Catheterization, Central Venous adverse effects
Epidemiological Monitoring
Hospitals statistics & numerical data
Humans
Infection Control statistics & numerical data
Intensive Care Units statistics & numerical data
Prospective Studies
Republic of Korea epidemiology
Bacteremia epidemiology
Catheter-Related Infections epidemiology
Cross Infection epidemiology
Sepsis epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 1527-3296
- Volume :
- 48
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- American journal of infection control
- Publication Type :
- Academic Journal
- Accession number :
- 31493935
- Full Text :
- https://doi.org/10.1016/j.ajic.2019.07.020