- Poster presentation
- Open Access
Review of central venous catheter-related infections in neurointensive care patients in a tertiary referral centre
© BioMed Central Ltd. 2010
- Published: 1 March 2010
- Central Venous Catheter
- Bloodstream Infection
- Positive Blood Culture
- White Cell Count
- Tertiary Referral Centre
Intravenous catheter-related bloodstream infections (ICR-BSI) are a major contributing factor to in-hospital mortality and morbidity, extending the inpatient stay by 10 days and expenditure per patient by £2,000 to £30,000 . A prospective survey was conducted in our unit on all patients with central venous catheters to ascertain the incidence of ICR-BSI, identify the organisms and determine the occurrence of infection from the various sites - femoral, internal jugular and subclavian lines.
The survey was carried out over a period of 13 weeks. Data collected from patients' case notes included site of central line insertion, length of line in situ, reason for line removal and positive blood culture reports.
During the study period, 104 patients were treated on the unit. Fifty-two central venous lines were inserted in 36 patients (63.5% femoral (n = 33), 32.7% internal jugular (n = 17) and 3.9% subclavian lines (n = 2)). The lines were reviewed daily and removed if indicated clinically (pyrexia or raised white cell count) or if not required. A total 51.5% of femoral lines (n = 17) were removed due to clinical indications, as were 29% (n = 5) of internal jugular and 50% (n = 1) of subclavian lines. The average duration of a line remaining in situ was 4.5 days for femoral, 6 days for internal jugular and 5 days for subclavian lines. Blood cultures were taken at the time of line removal. These yielded positive results in eight femoral, seven internal jugular and one subclavian line. Our survey indicated that the incidence of ICR-BSI in our unit is 30.8% (of this 62.5% coagulase-negative staphylococci (CNS), 12.5% E. coli and Pseudomonas each, and 6.25% MSSA and MRSA each).
- Maki DG, Kluger DM, Crnich CJ: The risk of bloodstream infection in adults with different intravascular devices: a systematic review of 200 published prospective studies. Mayo Clin Proc 2006, 81: 1159-1171. 10.4065/81.9.1159View ArticleGoogle Scholar
- Coello R, Charlett A, Ward V, et al.: Device-related sources of bacteraemia in English hospitals - opportunities for the prevention of hospital-acquired bacteraemia. J Hosp Infect 2003, 53: 46-57. 10.1053/jhin.2002.1349View ArticleGoogle Scholar