Multinational prospective study of incidence and risk factors for central-line-associated bloodstream infections in 728 intensive care units of 41 Asian, African, Eastern European, Latin American, and Middle Eastern countries over 24 years.
Víctor Daniel RosenthalRuijie YinSheila Nainan MyatraZiad A MemishCamilla RodriguesMohit KharbandaSandra Liliana Valderrama-BeltranYatin MehtaMajeda Afeef Al-RuzziehGuadalupe Aguirre-AvalosErtugrul GucluChin Seng GanLuisa Fernanda Jiménez AlvarezRajesh ChawlaSona HlinkovaRajalakshmi ArjunHala Mounir AghaMaria Adelia Zuniga ChavarriaNarangarav DavaadagvaYin Hoong LaiKatherine GomezDaisy Aguilar De MorosChian Wern TaiAlejandro Sassoe GonzalezLina Alejandra Aguilar MorenoKavita SandhuJarosław JancMary Cruz Aleman BocanegraDincer YildizdasYuliana Andrea Cano MedinaMaria Isabel Villegas MotaAbeer Aly OmarWieslawa DuszynskaAmani Ali El-KholySafaa Abdulaziz AlkhawajaGeorge Horhat FlorinEduardo Alexandrino Servolo MedeirosLili TaoNellie TumuMay Gamar ElanbyaReshma DongolVesna MioljevićLul RakaLourdes DueñasNilton Yhuri CarreazoTarek DendaneAamer IkramTala KardasMichael M PetrovAsma BouziriNguyen Viet-HungVladislav BelskiyNaheed ElahiEstuardo SalgadoZhilin JinPublished in: Infection control and hospital epidemiology (2023)
The following CLABSI risk factors are unlikely to change: country income level, facility ownership, hospitalization type, and ICU type. These findings suggest a focus on reducing LOS, CL days, and tracheostomy; using PICC instead of internal-jugular or femoral CL; and implementing evidence-based CLABSI prevention recommendations.