Abstract
Background: The use of indwelling devices like Urinary catheter, Drain tubes, Central intravascular catheter, endotracheal tubes has become routine practice in the medical field. Localized or systematic infection are frequent complications associated with extensive use of these devices, requiring its removal or may even be associated with life threatening consequences. Materials and Methods: Microbiological study was carried out among all the indwelling device samples received from 20th April 2011 to 19th April 2012 at Clinical Microbiology Laboratory, Department of Pathology, Kathmandu Medical College Teaching Hospital. Results: Out of total 205 samples (125 Foley’s catheters, 31 drain tubes, 29 central intravascular catheter lines and 20 endotracheal tubes) received during this study period, 38.4% urinary catheters, 23.33% drain tubes, 6.9% central intravascular catheter lines and 40.0% endotracheal tubes were found to have significant growth. Escherichia coli and Klebsiella were found to be the commonest organisms. Conclusion: The infection rates of indwelling devices used for various reasons are found to be very high. These infections have increased the morbidity and mortality of the hospitalized patients and also increased the duration of hospital stay. Thus aseptic measurements during insertion of these devices periodic change of these devices may help to overcome these complications. DOI: http://dx.doi.org/10.3126/jpn.v3i6.8995 Journal of Pathology of Nepal (2013) Vol. 3, 469-471
Highlights
The use of indwelling devices has become routine practice in the medical field
Paracentesis is widely employed for palliation of symptomatic malignant ascites, which relieves the pain from abdominal distention and respiratory difficulty from diaphragmatic restricted mobility
This study was carried out among the indwelling devices sample received from 20h April, 2011 to 19th April, 2012 at Clinical Microbiology Laboratory, Department of Pathology, Kathmandu Medical College Teaching Hospital
Summary
The use of indwelling devices has become routine practice in the medical field. A significant proportion of hospitalized patients, especially those undergoing major surgery or urinary outflow obstruction like Benign Hyperplasia of Prostate have urethral catheters placed for a short time and patients with bladder dysfunction because of spinal injury, have indwelling catheters permanently.[1]Correspondence: Paracentesis is widely employed for palliation of symptomatic malignant ascites, which relieves the pain from abdominal distention and respiratory difficulty from diaphragmatic restricted mobility. The use of indwelling devices has become routine practice in the medical field. A significant proportion of hospitalized patients, especially those undergoing major surgery or urinary outflow obstruction like Benign Hyperplasia of Prostate have urethral catheters placed for a short time and patients with bladder dysfunction because of spinal injury, have indwelling catheters permanently.[1]. Endotracheal tubes (ET) are often used in hospitalized patients usually for brief periods.[1] indwelling central intravascular catheters (CIVC) are used in severely ill patients for therapy and nutrition.[3] Localized or systematic infections are frequent complaints associated with extensive. The use of indwelling devices like Urinary catheter, Drain tubes, Central intravascular catheter, endotracheal tubes has become routine practice in the medical field. Localized or systematic infection are frequent complications associated with extensive use of these devices, requiring its removal or may even be associated with life threatening consequences
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