Session Type
Meeting
Search Results for central line
Abstract Number: 6
Hospital Medicine 2020, Virtual Competition
Background: Urinary catheters, vascular catheters, and wounds such as pressure injuries are often hidden from view under gowns and sheets – out of sight, out of mind – contributing to prolonged catheter use, infections, delayed interventions, and diagnostic errors for symptoms (e.g., fever, delirium) related to catheters and wounds. We developed and pilot tested a […]
Abstract Number: 118
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Guidelines for peripherally inserted central catheters (PICCs) recommend avoiding insertion if the anticipated use is 5 or fewer days. However, short-term PICC use is common in hospitals. We sought to identify patient-, provider- and device-characteristics associated with short-term PICC use. Methods: Between January 2014 and June 2016, trained abstractors at each of 51 Michigan […]
Abstract Number: 143
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Multi-lumen (ML) peripherally inserted central catheters (PICCs) are associated with increased risk of central line associated blood stream infection (CLABSI), venous thromboembolism (VTE) and increased cost compared to single lumen (SL) PICCs. Current guidelines recommend minimizing the number of PICC lumens. However, there is a paucity of literature to guide the selection of SL […]
Abstract Number: 175
Hospital Medicine 2020, Virtual Competition
Background: Central line-associated bloodstream infection (CLABSI) is a morbid and potentially lethal complication. National policies related to CLABSI mandate public reporting of this adverse event, with hospitals receiving penalties based on their CLABSI rates. Contemporary data suggest that peripherally inserted central catheters (PICCs) placed outside critical care settings are a large contributor to hospital CLABSI […]
Abstract Number: 180
Hospital Medicine 2020, Virtual Competition
Background: Peripherally inserted central catheters (PICCs) are associated with an increased risk of central line-associated bloodstream infection (CLABSI) and venous thromboembolism (VTE). Catheters that are coated or impregnated with antimicrobial and/or antithrombotic agents have been developed to prevent these complications. However, their effectiveness in preventing CLABSI and VTE is unclear. Using data from a large […]
Abstract Number: 185
Hospital Medicine 2020, Virtual Competition
Background: Peripherally inserted central catheters (PICCs) are frequently used to deliver intravenous (IV) antibiotic therapy. Infectious disease (ID) physicians are often consulted prior to PICC placement, but whether their engagement influences PICC appropriateness and complications is not known. Methods: Using data from the Michigan Hospital Medicine Safety Consortium on PICCs placed in hospitalized medical patients […]
Abstract Number: 312
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Peripherally inserted central catheters (PICCs) are an increasingly common vascular access device, with more than 4000 devices placed per year at our institution. Though these devices are generally considered safe and effective, they are not without risks, particularly of catheter-related infection and thrombosis. These risks increase exponentially with increasing number of lumens. At our […]
Abstract Number: 948
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 29 year old female with past medical history significant for hyperemesis gravidarum requiring total parenteral nutrition (TPN) presented to the Emergency Department (ED) with chest pain. She had been having intermittent chest pain for the last 3-4 years, which she had always attributed to the scar from her infusion port. An infusion […]
Abstract Number: B21
SHM Converge 2022
Background: Central line associated bloodstream infection (CLABSI) is the 8th leading cause of death in the United States, causing 100,000 deaths annually. Each CLABSI costs about $56,000 per patient and increases length of hospital stay by an average of 3 weeks. Femoral lines have been shown to have the highest risk of infection compared to […]
Abstract Number: E22
SHM Converge 2022
Background: Catheter Associated Urinary Tract Infections (CAUTI) and Central Line Associated Bloodstream Infections (CLABSI) carry a huge health care burden and is associated with increased length of stay and potential harm for the patient. There is an estimated total healthcare cost of $896 per infection for CAUTI and $45,814 per infection associated with CLABSI. The […]