Abstract

A Prospective Study of Epidemiology of Central Line Associated Bloodstream Infections at a Tertiary Hospital Makkah Saudi Arabia

Background and Objective: The epidemiology of central line-associated bloodstream infections in Al Noor Hospital Specialist Hospital has not previously been reported. We sought to describe time-trends in central line-associated bloodstream infections rates, etiology, and responsible pathogens for the period January 1, 2016-December 31, 2018.

Materials and Methods: All 120 patients age 18 years and older admitted to all departments of a Tertiary Hospital who had double lumen catheters inserted during the study period were followed up and monitored for central line-associated bloodstream infections.

Results: From 120 patients who had a central venous catheter inserted, 20 developed blood infections. The catheterization duration was significantly longer with approximately 11 days among the infected against 6 days in non-infected. The most frequently isolated organism was Klebsiella pneumonieae. The infection rate recorded were 30.67, 23.06, and 16.39 per 1000 catheter days in 2016, 2017, and 2018 respectively. The overall rate for the 2 years of study was 24.06 per 1000 catheter days.

Conclusion: Keeping the catheter beyond the period required increases infection rate while avoiding femoral catheter site insertion leads to reduction. If the Line Care Protocol of best practices and education of staff regarding the protocol are implemented infection rates will reduce.

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