need for CVC evaluated daily; and insertion site checked daily for signs of infection. The data presented in this article can be considered as a national baseline for this programme. Regarding the results on the effect of the chosen insertion vein and considering the frequencies of insertion in the femoral (35.0%) and jugular veins (26.4%), increased compliance with the bundle of best practices introduced in the Dutch national patient safety program has the potential to reduce the incidence of CR‐BSI. Depending on alertness to the assessment of the ongoing need for a CVC, especially for risk‐associated uses such as TPN, additional improvement is possible. Although antibiotic‐coated catheters can reduce the incidence of CR‐BSI, their use is not preferred in the Netherlands because of the possible increase in antibacterial resistance.36,14 Administering antibiotics through a CVC solely to reduce the CR‐BSI rate does not seem well‐advised. In conclusion, ICU stay and prolonged ICU stay prior to CVC insertion, insertion in the jugular and femoral vein, and TPN increased the risk of CR‐BSI in this study, whereas administration of antibiotics through the CVC decreased the risk of infection. Increased compliance with the bundle of best practices introduced in the national patient safety program has the potential to reduce the incidence of CR‐BSI in Dutch hospitals. ACKNOWLEDGEMENTS This study was possible thanks to the efforts of infection control professionals, medical specialists, nurses and other hospital staff who dedicated their time and attention to the surveillance and prevention of CR‐BSI in their hospitals. Conflict of interest statement None declared. Funding sources None. 3 53 Catheter application, vein and pre-insertion ICU stay affect CRBSI risk
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