A Prospective study on central venous catheter related blood stream infections in surgical patients

Abstract

Introduction:Vascular catheter related infections are the leading cause of nosocomial blood stream infections and associated with significant mortality and morbidity. This study is carried out to know the central venous related blood stream infections in surgical patients. Materials & Methods: The present study was carried out in the Department of Surgery, Sir Sayajirao General Hospital and Medical College, Baroda. It was a prospective study of total of 72 patients who had undergone Central Venous Catheterisation. The study was carried out from October 2017 to November 2018.Results:Most of the patients were in the age group of 30-50 years and males outnumbered females in all age group. There was no statistically significant difference between emergency and elective procedure of the CVC insertion. Number of attempts in CVC insertion was found to be statistically significant with. Tip colonization (p value - 0.0465) and BSI (p value-0.031). Number of lumens in CVC was found to be statistically significant with regards to tip colonization (p value-0.0449) and BSI (p value-0.0243). Highest mortality occurred within 1-10 days of hospital stay. There has been statistically significant difference between the number of days of CVC in situ and catheter colonization and BSI.Conclusion: we can conclude that our findings helps to implement Educational, training of health care workers, and adherence to standardized protocols for insertion and maintenance of CRBSI catheters significantly reduced the incidence of catheter-related infections and represent the most important preventive measures.