Assessing for race, ethnicity, and socioeconomic disparities in central line-associated bloodstream infection risk in a large academic health system
2024

Disparities in Bloodstream Infection Risk

Sample size: 32925 publication Evidence: moderate

Author Information

Author(s): Gottlieb Lindsey B. MD, Prakash-Asrani Radhika MPH, MSc, Dube William MPH, Wiley Zanthia MD, Licitra Giancarlo MD, MPH, Fridkin Scott K. MD

Primary Institution: Emory University

Hypothesis

Does race and ethnicity influence the risk of central line-associated bloodstream infections (CLABSI) in patients?

Conclusion

The study found no significant difference in CLABSI risk between non-Hispanic Black and non-Hispanic White patients after adjusting for central venous catheter type.

Supporting Evidence

  • 32,925 patients with 57,642 central venous catheter episodes were analyzed.
  • Most patients were non-Hispanic White or non-Hispanic Black.
  • After adjusting for CVC type, the risk of CLABSI did not significantly differ between racial groups.

Takeaway

The study looked at whether different races get infections from central lines more than others, and it found that race didn't make a difference in infection risk.

Methodology

Retrospective cohort analysis of adult inpatients with central venous catheters from 2012 to 2017.

Potential Biases

Potential bias in race categorization due to reliance on electronic medical records.

Limitations

Data on race and ethnicity was based on electronic medical records, which may not accurately reflect patient-reported information.

Participant Demographics

Patients were primarily non-Hispanic White (49%) and non-Hispanic Black (39%), with a median age of 59 years.

Statistical Information

Confidence Interval

95% CI: 0.94, 1.51

Digital Object Identifier (DOI)

10.1017/ice.2024.133

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