373286

The bacteriological profile and antimicrobial susceptibility patterns of central line-associated blood stream infections in surgical intensive care unit in Tanta University Hospi

Article

Last updated: 04 Jan 2025

Subjects

-

Tags

Infection prevention and control

Abstract

Background: Central line-associated bloodstream infections (CLABSI) are considered the third most frequent cause of healthcare-associated infections (HCAI). Objectives: This study aimed to detect infection rate of CLABSI in surgical intensive care unit (ICU), and to identify bacteriological profile & antibiotic sensitivity of infecting organisms causing CLABSI. Methods: This study was carried out on 450 ICU patients with CVC inserted for more than 2 days of admission in the hospital with no infection at the time of admission to the ICU, having the criteria of CLABSI [fever < 38°C or high leucocytic count <10000/ml], and no remote site of infection who were admitted to the ICU for at least 48 hours. Results: CLABSI was present in 57 (12.67%) of all included patients. Diabetes mellitus, hypertension, renal failure , cancer , care of central line, and mortality rate were statistically significant risk factors in positive CLABSI patients (P value <0.05). While, age, gender, length of hospital stay, site of central line (Subclavian, jagular, femoral), and use of other associated devices were statistically insignificant between positive and negative CLABSI  patients. Conclusions: Our study revealed that the prevalence of bacterial pathogens was high and caused by both Gram positive and Gram negative bacteria. Unfortunately, most of the pathogens were multi drug resistant organisms. CLABSI was significantly associated with care of central line and mortality rate.

DOI

10.21608/mid.2024.301491.2047

Keywords

bacteriological profile, Central Line-Associated Blood Stream Infections, CLABSI, Intensive Care Unit

Authors

First Name

Aliaa

Last Name

Saad Omr Afify

MiddleName

Afify

Affiliation

Medical Microbiology and Immunology Department, Faculty of Medicine, Tanta University, Tanta, Egypt

Email

aliaafify12@gmail.com

City

-

Orcid

-

First Name

Gehan

Last Name

Morsy

MiddleName

Morsy

Affiliation

Anesthesiology, Surgical Intensive Care Department, Faculty of Medicine, Tanta University, Tanta, Egypt

Email

gehan2552011@gmail.com

City

-

Orcid

-

First Name

Mona

Last Name

Ramadan

MiddleName

Osama

Affiliation

Medical Microbiology and Immunology Department, Faculty of Medicine, Tanta University, Tanta, Egypt

Email

mona.abouramadan@med.tanta.edu.eg

City

Tanta

Orcid

-

First Name

Marwa

Last Name

Bahey

MiddleName

Gamal

Affiliation

Medical Microbiology and Immunology Department, Faculty of Medicine, Tanta University, Tanta, Egypt

Email

marwabahey@gmail.com

City

Tanta

Orcid

0009-0000-0873-113x

Volume

5

Article Issue

4

Related Issue

51278

Issue Date

2024-11-01

Receive Date

2024-07-03

Publish Date

2024-11-01

Page Start

1,343

Page End

1,352

Print ISSN

2682-4132

Online ISSN

2682-4140

Link

https://mid.journals.ekb.eg/article_373286.html

Detail API

https://mid.journals.ekb.eg/service?article_code=373286

Order

11

Type

Original Article

Type Code

1,157

Publication Type

Journal

Publication Title

Microbes and Infectious Diseases

Publication Link

https://mid.journals.ekb.eg/

MainTitle

The bacteriological profile and antimicrobial susceptibility patterns of central line-associated blood stream infections in surgical intensive care unit in Tanta University Hospi

Details

Type

Article

Created At

25 Dec 2024