Title |
Use of peripheral parenteral nutrition solutions as a risk factor for Bacillus cereus peripheral venous catheter-associated bloodstream infection at a Japanese tertiary care hospital: A case-control study
|
---|---|
Published in |
Japanese Journal of Infectious Diseases, February 2016
|
DOI | 10.7883/yoken.jjid.2015.489 |
Pubmed ID | |
Authors |
Tomoko Sakihama, Yasuharu Tokuda |
Abstract |
The risk factors are unclear for peripheral venous catheter-associated bloodstream infections (PVCBSI) by Bacillus cereus (B. cereus). Thus, we aimed to examine the risk factors in patients with B. cereus PVCBSI by conducting a 2-year case-control study in a large teaching hospital. We analyzed all adult cases of B. cereus PVCBSI (37 patients) and 180 controls, who were randomly selected from among patients who had a PVC in place for 2 days or longer. Multivariate analysis using the conditional logistic regression model indicated that independent risk factors were use of a peripheral parenteral nutrition(PPN) solution with adjusted odds ratio (OR) of 88.7 (95% confidence interval [CI], 17.4-451.9), and steroid therapy [adjusted OR, 5.7 (95% CI, 1.3-24.4)]. In conclusion, use of PPN solutions or steroids was independent risk factors for B. cereus PVCBSI. Appropriate use of PPN solutions may help prevent B. cereus PVCBSI. Prospective studies are needed to confirm these results. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
Japan | 2 | 7% |
Unknown | 25 | 93% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 25 | 93% |
Practitioners (doctors, other healthcare professionals) | 2 | 7% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Japan | 2 | 3% |
Unknown | 58 | 97% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Other | 16 | 27% |
Researcher | 14 | 23% |
Professor > Associate Professor | 4 | 7% |
Student > Doctoral Student | 2 | 3% |
Student > Bachelor | 2 | 3% |
Other | 5 | 8% |
Unknown | 17 | 28% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 27 | 45% |
Nursing and Health Professions | 5 | 8% |
Pharmacology, Toxicology and Pharmaceutical Science | 2 | 3% |
Biochemistry, Genetics and Molecular Biology | 1 | 2% |
Computer Science | 1 | 2% |
Other | 5 | 8% |
Unknown | 19 | 32% |