Central line-related bloodstream infections and microbiological study in an Egyptian Ministry of Health Hospital.

Khalil Shaaban Nahla,Ismaeel Sayed Manal,Mohamed Abdnaby Gehan

doi:10.4314/ahs.v20i1.21

Abstract

Central line-associated bloodstream infections continue to be one of the most important health problems in ICU. To identify the central line-related bloodstream infections and their microbiological characteristics Specific objectives to the identify the incidence, predisposing factors of central line-related bloodstream Infections and study the antibiotic sensitivity patterns of the isolated organisms. Patients' demographic, clinical data, central venous catheter related data,and blood culture specimen collection data were collected utilizing a descriptive exploratory design from a purposive sample of 120 ICU patients underwent insertion central venous catheter. out of 120 central line catheters sent for culture from patients immediately and seven days after insertion., 13(10.83%) were positive seven days after insertion. Of the 13 infection cases, 10 cases were Staphylococcus epidermis and the others were Staphylococcus aureus. In addition, most infected patients were overweight and obese, diabetic, had sub-clavian route, and their length of hospital stayed more than7 days. 10.83 % developed bacterial blood stream infection 7 days after insertion of central venous catheters, and most of bacterial isolates were Staphylococcus epidermis and were sensitive to Vancomycin and Amikain.

Highlights

Central venous catheters (CVCs) play a vital role in infusing medications, withdrawing venous samples and strict monitoring in critically ill patients.1 Utilization of CVCs has been concerned with various risks and complications
Due to few data of central venous catheter bloodstream infection (CVC-BSI) from health care settings in our country, this study was conducted in one intensive care unit (ICU) of the Health Sciences, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited
The following tools were utilized for data collection -Demographic and patients' clinical data: They included data such as age, sex, body mass index, pre-morbid disease, length of hospital stay. -Central venous catheter related data: It included site of insertion, number of catheter lumen, use of guide wire, duration of insertion, duration of Cather in situ, and location of insertion -Blood culture Specimen collection: This Procedure was performed by ICU nurses

Summary

Introduction

Central venous catheters (CVCs) play a vital role in infusing medications, withdrawing venous samples and strict monitoring in critically ill patients. Utilization of CVCs has been concerned with various risks and complications. Central venous catheters (CVCs) play a vital role in infusing medications, withdrawing venous samples and strict monitoring in critically ill patients.. Due to few data of central venous catheter bloodstream infection (CVC-BSI) from health care settings in our country, this study was conducted in one ICU of the African. Material and Methods: Patients’ demographic, clinical data, central venous catheter related data,and blood culture specimen collection data were collected utilizing a descriptive exploratory design from a purposive sample of 120 ICU patients underwent insertion central venous catheter. Conclusion: 10.83 % developed bacterial blood stream infection 7 days after insertion of central venous catheters, and most of bacterial isolates were Staphylococcus epidermis and were sensitive to Vancomycin and Amikain. Central line-related bloodstream infections and microbiological study in an Egyptian Ministry of Health Hospital.

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Conclusion