Risk factors of catheter- associated bloodstream infection: Systematic review and meta-analysis

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  • dc.contributor.author Lafuente-Cabrero, Elizabeth
  • dc.contributor.author Terradas Robledo, Roser
  • dc.contributor.author Civit Cuñado, Anna
  • dc.contributor.author García Sardelli, Diana
  • dc.contributor.author Hidalgo López, Carlota
  • dc.contributor.author Giro Formatger, Dolors
  • dc.contributor.author Lacueva-Pérez, Laia
  • dc.contributor.author Esquinas López, Cristina
  • dc.contributor.author Tortosa Moreno, Avelina
  • dc.date.accessioned 2024-04-10T06:10:04Z
  • dc.date.available 2024-04-10T06:10:04Z
  • dc.date.issued 2023
  • dc.description.abstract Introduction: The prevalence of catheter-associated bloodstream infections (CLABSI) is high and is a severe health problem associated with an increase in mortality and elevated economic costs. There are discrepancies related to the risk factors of CLABSI since the results published are very heterogeneous and there is no synthesis in the description of all the predisposing factors. Objective: We aimed to perform a systematic review and meta-analysis to synthesize and establish the risk factors predisposing to CLABSI reported in the literature. Method: This is a systematic review of observational studies following the PRISMA recommendations. MEDLINE and CINAHL databases were searched for primary studies from 2007 to 2021. The protocol was registered in PROSPERO CRD42018083564. Results: A total of 654 studies were identified, 23 of which were included in this systematic review. The meta-analysis included 17 studies and 9 risk factors were analyzed (total parenteral nutrition (TPN), chemotherapy, monolumen and bilumen catheters, days of catheterization, immunosuppression, kidney disease and diabetes mellitus) due to the homogeneity of their definitions and measurements. The risk factors found to increase the probability of developing CLABSI were TPN, multilumen devices, chemotherapy treatment, immunosuppression and the number of days of catheterization. On the other hand, monolumen devices presented a lower likelihood of triggering this infection.
  • dc.format.mimetype application/pdf
  • dc.identifier.citation Lafuente Cabrero E, Terradas Robledo R, Civit Cuñado A, García Sardelli D, Hidalgo López C, Giro Formatger D, et al. Risk factors of catheter- associated bloodstream infection: Systematic review and meta-analysis. PLoS One. 2023 Mar 23;18(3):e0282290. DOI: 10.1371/journal.pone.0282290
  • dc.identifier.doi http://dx.doi.org/10.1371/journal.pone.0282290
  • dc.identifier.issn 1932-6203
  • dc.identifier.uri http://hdl.handle.net/10230/59713
  • dc.language.iso eng
  • dc.publisher Public Library of Science (PLoS)
  • dc.relation.ispartof PLoS One. 2023 Mar 23;18(3):e0282290
  • dc.rights © 2023 Lafuente Cabrero et al. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
  • dc.rights.accessRights info:eu-repo/semantics/openAccess
  • dc.rights.uri http://creativecommons.org/licenses/by/4.0/
  • dc.subject.keyword Catheters
  • dc.subject.keyword Medical risk factors
  • dc.subject.keyword Diabetes mellitus
  • dc.subject.keyword Metaanalysis
  • dc.subject.keyword Catheterization
  • dc.subject.keyword Medical devices and equipment
  • dc.subject.keyword Chemotherapy
  • dc.subject.keyword Systematic reviews
  • dc.title Risk factors of catheter- associated bloodstream infection: Systematic review and meta-analysis
  • dc.type info:eu-repo/semantics/article
  • dc.type.version info:eu-repo/semantics/publishedVersion