Risk factors and Incidence of Catheter-Related Bloodstream Infections in a Tertiary Hospital ICU
Melda Turken1, Aysin Kilinc Toker1, Ciler Zincirlioglu2, Sukran Kose11Tepecik Training and Research Hospital, Department of Infectious Diseases and Clinical Microbiology, İzmir, Turkey, 2Tepecik Training and Research Hospital, Department of Anesthesiology and Reanimation, İzmir, Turkey
Objectives: Catheter-related bloodstream infections (CRBSI) are a major cause of morbidity and mortality in intensive care unit (ICU) patients. The objective of this study was to assess the risk factors and incidence of catheter-related bloodstream infections in our hospital ICU. Methods: Over twelve months, a prospective observational study was performed in a 27-bed anesthesia-resuscitation and ICU, located in a 1000-bed education research hospital at Turkey. CRBSIs were recorded and analyzed. Results: Three-hundred seventeen patients were evaluated, and a total of 433 central venous catheters (CVCs) were inserted for a duration >48 h. Patients' median age was 66 (IQRs=56-77), and 56.8% were male. The incidence of CRBSI was 8.2 per 1000 catheter days. No significant relationship was found between several parameters: 1) age; 2) gender; 3) comorbid conditions; 4) catheter insertion site; and 5) main reason for ICU admission (p>0.05). Risk factors independently associated with CRBSI were diabetes mellitus, long duration of catheterization, length of stay ICU and parenteral nutrition. The most common pathogens were Methicillin-resistant coagulase-negative staphylococci and Candida albicans. Conclusion: In our study, it was concluded that the duration of catheterization and the time of parenteral nutrition treatment should be as short as possible. In addition, an association between CRBSIs and prolonged ICU stay and mortality was observed. Keywords: Bacteremia, catheter-related infections, cross infection, equipment contamination
Cite This Article
Turken M, Kilinc Toker A, Zincirlioglu C, Kose S. Risk factors and Incidence of Catheter-Related Bloodstream Infections in a Tertiary Hospital ICU. EJMI. 2019; 3(1): 32-36
Corresponding Author: Melda Turken