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Effect of a closed drug-delivery system on the incidence of nosocomial and catheter-related bloodstream infections in infants

Published online by Cambridge University Press:  19 August 2005

P. D. REITER ,
K. NOVAK ,
R. J. VALUCK ,
A. A. ROSENBERG  and
D. FISH
P. D. REITER
Affiliation:
Department of Pharmacy, Center for Pediatric Medicine, The Children's Hospital, University of Colorado, Denver, CO, USA
K. NOVAK
Affiliation:
Department of Perinatal Clinical Research, University of Colorado Health Sciences Center, Denver, CO, USA
R. J. VALUCK
Affiliation:
Department of Clinical Pharmacy, The University of Colorado Health Sciences Center, Denver, CO, USA
A. A. ROSENBERG
Affiliation:
Department of Pediatrics, University of Colorado School of Medicine, Denver, CO, USA
D. FISH
Affiliation:
Department of Clinical Pharmacy, The University of Colorado Health Sciences Center, Denver, CO, USA
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Abstract

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We conducted a prospective, cohort study at two affiliated level III neonatal intensive care units to evaluate the effect of a closed drug-delivery system on the incidence of nosocomial and catheter-related bloodstream infections (CRBSI) in infants. A total of 300 infants (n=150 at each site) were enrolled over a 4-year study period. There was no difference in the rate of CRBSI per 1000 catheter days between the two sites (16·2±39 vs. 8·9±24, P=0·054, 95% CI−14·8 to 0·13). Infants at site A (closed drug-delivery system) had a higher rate of infectious nosocomial respiratory complications per 100 hospital days than infants at site B (open delivery system) (1·1±2·2 vs. 0·5±1·5, P=0·009), however, there was no difference in the overall number of confirmed or suspected nosocomial infection events per patient between study sites. Logistic regression revealed that the number of additional peripheral catheters, gestational age and duration of parenteral nutrition all significantly contributed to the risk of developing one or more CRSBI. The closed drug-delivery system failed to reduce the incidence of CRBSI or overall rate of nosocomial infections in premature infants.

Type
Research Article
Information
Epidemiology & Infection , Volume 134 , Issue 2 , April 2006 , pp. 285 - 291
Copyright
2005 Cambridge University Press