• Published
    08-04-2024
  • Issue
    Vol: 28 Issue: 01, 2024
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INCIDENCE OF CENTRAL LINE ASSOCIATED BLOOD STREAM INFECTIONS IN PATIENTS ADMITTED IN INTENSIVE CARE UNITS AT TERTIARY CARE UNIT.

  • Dr. Ozair Noor Trumboo 1, Dr. Ghulam Jeelani Bhat 2 , * Dr.Naveed Khan 3, Dr. Wasim Mohammad Bhat 4

Keywords: Central venous catheters, CLABSI/CRBSI , Intensive care unit, sepsis

ABSTRACT:-
Background: Central venous catheterization is commonly used in critically ill patients and may cause different complications, including infection. Intensive care units (ICUs) have an increased risk of Central line associated bloodstream infection (CLABSI) due to the prevalence of invasive procedures, devices, immunosuppression, comorbidity, frailty, and elderly patients. Aim: The aim of this study was to analyze the incidence of central line catheter-related bloodstream infection (CRBSI) in patients admitted in Intensive care units. Methods: This observational Study was carried out in the department of anaesthesiology and critical care medicine in Government Medical College Srinagar over a period of one year. Patients requiring central venous catheter were selected, relevant blood investigations were done before insertion of catheter and after 48 hours after insertion. With the suspicion of new infection, physical examination and laboratory work-ups were carried out to identify the other source of infection. Results: A profile of 200 patients was selected with mean age of 48.0±14.89 years. The incidence of central line-associated bloodstream infection/catheter-related bloodstream infection (CLABSI/CRBSI) in this hospital based study in intensive care units comes out to be 36.47%. In our study there was male predominance, Sepsis seen in 39% of patients. The predominant organism isolated in CLABSI/CRBSI patients was Staphylococcus aureus. Conclusion: By knowing the risk factors to cause catheter related infections, risk of getting infection can be lowered by using aseptic technique during insertion and proper catheter care and this can further reduces morbidity and mortality related to central venous catheters. CLABSI/CRBSI can manifest with varying degrees of severity of sepsis. Organ Dysfunction, multi organ involvement, TLC abnormalities, Oliguria, altered mental status, Hypotension. These are all markers of poor prognosis.