Multinational prospective cohort study of incidence and risk factors for central line-associated bloodstream infections over 18 years in 281 ICUs of 9 Asian countries.
Víctor Daniel RosenthalRuijie YinCamilla RodriguesSheila Nainan MyatraJigeeshu Vasishth DivatiaSanjay K BiswasAnjana Mahesh ShrivastavaMohit KharbandaBikas NagYatin MehtaSmita SarmaSubhash Kumar TodiMahuya BhattacharyyaArpita BhaktaChin Seng GanMichelle Siu Yee LowMarissa Bt Madzlan KushairiSoo Lin ChuahQi Yuee WangRajesh ChawlaAakanksha Chawla JainSudha KansalRoseleen Kaur BaliRajalakshmi ArjunNarangarav DavaadagvaIder Bat-ErdeneTsolmon BegzjavMat Nor Mohd BasriChian-Wern TaiPei-Chuen LeeSwee-Fong TangKavita SandhuBinesh BadyalAnkush AroraDeep SenguptaLili TaoZhilin JinPublished in: The journal of vascular access (2023)
The following CLABSI RFs are unlikely to change: country income level, facility-ownership, hospitalization type, and ICU type. Based on these findings it is suggested to focus on reducing LOS, CL-days, and tracheostomy; using subclavian or PICC instead of internal-jugular or femoral; and implementing evidence-based CLABSI prevention recommendations.