Epidemiology of Central Line-Associated Bloodstream Infection (CLABSI) Among Patients in the Intensive Care Units (ICUs) at a Teaching Hospital in Saudi Arabia from Year 2011-2016

Abstract

Background: The burden of central line-associated blood stream infections (CLABSI) in Saudi Arabia intensive care units (ICUs) is not will reputable. The present study aimed to describe CLABSI epidemiology in teaching hospital from 2011-2016. Methods: This is retrospective cohort study. The data were collected based on prospective targeted surveillance, which was conducted to estimate the rate of CLABSI in MICU and SICU during the study period (2011-2016). Result: Out of 36,469 central lines, a total of 85 got CLABSI, of which 67 were identified among MICU patients with 24,759 central line days. The CLABSI rate was 3.2 per 1,000 central line days over six years of surveillance. The mean rate of CLABSI in MICU was 2.7 per 1,000 central line days and a sharp decrease in the rate from 6 per 1,000 central line days (year 2011) to 0.3 per 1,000 central line days (year 2016) in MICU over six years. The rate in SICU was 3.3 per 1000 central line days (year 2011) to 0.3 per 1,000 central line days (year 2016) and these differences are statistically significant (p ≤ 0.05). There is a significant difference in HAIs among ICUs patient before and after implantation CLABSI bundle. Conclusion: Despite the emergence of gram-negative predominant organisms, we believe that is possible to achieve a zero CLABSI rate in Saudi Arabia. To achieve desired outcomes, additional strategies such as alcoholimpregnated port protector may be used; this will help increase bundles successfulness.