Bacterial profile of central line associated blood stream infections in I.C.U patients from tertiary care hospital
Journal Title: IP International Journal of Medical Microbiology and Tropical Diseases - Year 2018, Vol 4, Issue 1
Abstract
Introduction Central line associated bloodstream infection CLABSI is a major contributing factor inhospital mortality and morbidity CLABSI are considered among the first and most quotpreventablequot classes of nosocomial infections The most serious complications are bacteremia sepsis and death The definitive diagnosis of catheter infection can be made by using a combination of clinical signs and symptoms together with the laboratory confirmed blood culture techniquesAim and Objectives To study the rate of CLABSI in ICU patients To identify bacteria causing CLABSI and to study their antibiotic sensitivity patternMaterials and Methods This Prospective study was done over a period of 2 years January 2014December 2015 CLABSI was diagnosed based on Clinical criteria Fever chillsampHypotension and Laboratory criteria Qualitative blood cultures through device and Differential time to positivity or semi quantitative catheter segment cultureResults For the year 2014 amp 2015 rate of CLABSI was 735 and 510 per 1000 central line days Rate of CLABSI in year 2015 has reduced as compared to year 2014 Out of total 19 isolates 12 were Gram positive cocci 6315 five coagulase negative staphylococci CONS 263 four S aureus 2105 and three Enterococci spp 157 Six Gram negative bacilli were isolated Two Ecoli ESBL 105 two Acinetobacter baumannii 105 one K pneumoniae 526 and one Serratia Marcescens One non albicans candida was isolated from CLABSIConclusion The 608 rate of CLABSI per 1000 catheter days for 2014 to 2015 was a matter of concern This work will help in better management of patients as well as in prevention of Catheter related blood stream infection especially due to multi drug resistant organisms like MRSA amp ESBLKeywords CLABSI Bacterial profile Multidrug resistant ICU
Authors and Affiliations
Sunita Mangesh Bhatawadekar, Arunima, Kunal K Lahiri
Keywords
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- EP ID EP485833
- DOI 10.18231/2455-6807.2018.0007
- Views 71
- Downloads 0
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