March 25, 2026 · The American journal of emergency medicine · DOI: 10.1016/j.ajem.2026.03.004

Midline and central line catheters usage and blood stream infection: Trends and insights from 2016 to 2024

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The authors aimed to determine whether increased utilization of midline catheters (MLCs) instead of central venous catheters (CVCs) is associated with a reduction in central line-associated bloodstream infections (CLABSIs) over time. Their analysis of data from 2016 to 2024 revealed that, despite a rise in MLC use and a decline in CVC use, CLABSI rates remained stable, indicating that the type of catheter alone may not significantly influence infection risk. The findings suggest that a comprehensive approach to infection prevention is necessary, considering factors beyond catheter type.

Patrick McGinnis, Samantha Camp, Minahil Cheema, Samrawit Zinabu, Miriam Michael, Ameen Elhamdani, Shannon Gaasch, Brooke Andersen, Ali Pourmand, Jessica V Downing, Quincy K Tran

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