To determine the microbial profile of catheter related sepsis in ICU

Rajesh Gera; Phool Kanwar Singh Brar

doi:10.53730/ijhs.v6nS8.13294

Authors

Rajesh Gera
Drrgera@gmail.com
MBBS, MD (Internal medicine), Senior Consultant, Paras hospital, Panchkula, Haryana
Phool Kanwar Singh Brar MBBS, MD, IDCCM, I.C.U. Director, Department of Critical Care, Park Healing Touch Hospital, Ambala

Keywords:

blood stream infection, peripheral venous catheter, septicemia

Abstract

Background: Intravenous catheter-related blood stream infections (PVC-BSIs) are one of the common causes of death and illness in hospitals worldwide. Failure to practice adequate aseptic techniques is a leading cause of blood stream infections caused by catheters. The aim of this study to identify the microbiological makeup of catheter-related sepsis in the intensive care unit. Materials and methods: Participants comprised all intensive care unit (ICU) inpatients who had a peripheral venous catheter (PVC) implanted and who showed symptoms of septicemia within 48 hours after PVC implantation. Kirby-Brauer disc diffusion technique was used to test the antibiotic susceptibility of the bacterial isolates, as recommended by the CLSI. Results: Twenty percent of patients had identical bacterial growth in PVC tip cultures and blood cultures, suggesting peripheral venous catheter-related bloodstream infection (PVC- BSI), while twenty-five percent of patients were colonised and thirty percent of patients had bloodstream infections unrelated to the catheter. For one-quarter of patients, (25%) no organism development was identified. Among the 20 patients diagnosed with PVC-BSI, 8 (40%) were found to have infections caused by Staphylococcus aureus, 4 (20%) by Klebsiella species, 4 (20%) by CONS, 2 (10%) by Enterococcus species, and 1 (5%) by both Acinetobacter and Pseudomonas species.

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