Central Line Associated Bloodstream Infections Outside the Intensive Care Unit: A 2-Year Analysis

Authors

  • Aslıhan Candevir Çukurova University, Faculty of Medicine, Department of Infectious Diseases and Clinical Microbiology, Adana https://orcid.org/0000-0001-9340-516X
  • Behice Kurtaran Çukurova University Medical School, Infectious Diseases and Clinical Microbiology Department, Adana Türkiye https://orcid.org/0000-0002-2081-4664
  • Ferit Kuşçu Çukurova University Medical School, Infectious Diseases and Clinical Microbiology Department, Adana Türkiye https://orcid.org/0000-0001-5662-8305
  • Süheyla Kömür Çukurova University Medical School, Infectious Diseases and Clinical Microbiology Department, Adana Türkiye https://orcid.org/0000-0003-2414-559X
  • Filiz Kibar Çukurova University Medical School, Microbiology Department, Adana Türkiye https://orcid.org/0000-0003-2983-2399
  • Damla Ertürk University of Health Sciences Izmir Tepecik Training and Research Hospital, Infectious Diseases and Clinical Microbiology Clinic, İzmir, Türkiye https://orcid.org/0000-0002-2163-5844
  • Ayşe Seza İnal Çukurova University Medical School, Infectious Diseases and Clinical Microbiology Department, Adana Türkiye https://orcid.org/0000-0002-1182-7164
  • Yeşim Taşova Çukurova University Medical School, Infectious Diseases and Clinical Microbiology Department, Adana Türkiye

DOI:

https://doi.org/10.37609/srinmed.2

Keywords:

Central venous catheter, Central line, Infection rate, Non-intensive care unit

Abstract

Objective: There is limited data on the rates of central line-associated bloodstream infections (CLABSI) in non-intensive care units (ICU). Our aim was to determine the rates and features of CLABSI in non-ICU units.

Method: CLABSI surveillance is performed according to CDC criteria in Internal Medicine Nephrology, Pediatric/Adult Hematology, Oncology and hematopoietic stem cell transplant (HSCT) units. Hospital infections control committee surveillance data was used.

Results: Totally, 70028 patient days(pd) and 22358 catheter days, 101 infections were detected in 94 patients. The CLABSI rate was 1.44/1000 pd, the incidence density was 4.2/1000 catheter days, and the device utilization rate was 0.32. The highest infection rate was observed in the adult HSCT unit (15.18/1000 pd). 56.4% of the patients were male (n=53) and the mean age of the patients was 32±2.5 years. The mean length of hospitalization was 27.7±2.5 days. Half of the patients (n=47) had permanent central lines.  Hematologic cancer was found in 54.7% and hemodialysis in 19.2%. 21.8% of infections were polymicrobial. Of the 125 microorganisms isolated, 61.6% were Gram negative, 20.8% were fungi and 17.6% were Gram positive. The most frequent pathogen was E.coli (13.6%) followed by and K.pneumoniae (13.6%), Staphylococcus aureus (8%) and C.parapsilosis (7.2%). Crude mortality was 36.2%. Colistin and amikacin were the most effective antibiotics in E.coli and K.pneumoniae, oxacillin resistance was 60% in S. aureus. In Candida species, fluconazole resistance was 15.8%.

Conclusion: CLABSI can also be seen outside intensive care units and surveillance in these units is necessary for infection control.

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Published

2024-06-06

How to Cite

Candevir, A., Kurtaran, B., Kuşçu, F., Kömür, S., Kibar, F., Ertürk, D., … Taşova, Y. (2024). Central Line Associated Bloodstream Infections Outside the Intensive Care Unit: A 2-Year Analysis. Scientific Reports in Medicine, 1(1), 9–17. https://doi.org/10.37609/srinmed.2

Issue

Vol. 1 No. 1 (2024)

Section

Research Articles

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