The Epidemiology of Midline-Associated Bloodstream Infections in an Urban Healthcare System

Rebecca Choudhury; Jordan Ehni; Waleed Javaid; Mateen Jangda; Itay Rabinovitz; Nikita Ekhelikar; Bernard C Camins

doi:10.1016/j.ajic.2024.10.037

The Epidemiology of Midline-Associated Bloodstream Infections in an Urban Healthcare System

Am J Infect Control. 2024 Nov 6:S0196-6553(24)00826-5. doi: 10.1016/j.ajic.2024.10.037. Online ahead of print.

Authors

Rebecca Choudhury¹, Jordan Ehni², Waleed Javaid³, Mateen Jangda⁴, Itay Rabinovitz⁵, Nikita Ekhelikar⁶, Bernard C Camins⁷

Affiliations

¹ Department of Medicine, Icahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Pl, New York, NY 10029, United States. Electronic address: [email protected].
² Infection Prevention Department, Mount Sinai Downtown, 281 1(st) Ave. - 4 Dazian, New York, NY 10003, United States. Electronic address: [email protected].
³ Department of Medicine, Icahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Pl, New York, NY 10029, United States. Electronic address: [email protected].
⁴ Department of Medicine, Icahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Pl, New York, NY 10029, United States. Electronic address: [email protected].
⁵ Department of Medicine, Icahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Pl, New York, NY 10029, United States. Electronic address: [email protected].
⁶ Department of Medicine, Icahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Pl, New York, NY 10029, United States. Electronic address: [email protected].
⁷ Department of Medicine, Icahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Pl, New York, NY 10029, United States. Electronic address: [email protected].

PMID: 39515650
DOI: 10.1016/j.ajic.2024.10.037

Abstract

This study sought to determine the incidence and characteristics of midline-associated bloodstream infections (MABSI) at an urban health system during the COVID-19 pandemic. A MABSI rate similar to the central line-associated bloodstream infection (CLABSI) rate was found. A large number of MABSI were caused by Staphylococcus spp. and Enterococcus spp., as has previously been reported for CLABSI. Patients with MABSI had high in-hospital mortality rates.

Keywords: Bloodstream infection; healthcare epidemiology; infection prevention; midline catheters.