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Risk Factors for Central line associated Bloodstream Infections
Shilpa Tomar1, Rakesh Lodha, Bimal Das
1Department of Microbiology and *Pediatric Intensive Care Unit, AIIMS, New Delhi, India. Correspondence to: Dr Arti Kapil, Professor, Department of Microbiology, All India Institute of Medical Sciences, New Delhi 110 029, India. akapilmicro@gmail.com.
Objective:
To carry out surveillance of central line associated bloodstream infections in a Pediatric intensive care unit (PICU) and determine associated risk factors.
Methods:
This prospective study was conducted over 1.5 years in the PICU. CDC definitions for these infections were followed and associated risk factors were identified.
Results:
Of 265 enrolled children with central line, 13 developed blood stream infections (incidence density 5.03/1000 central line days). Significant risk factors included changing the central-line, especially triple lumen, and frequently accessing the central line.
Conclusion:
Central line associated bloodstream infections are preventable primary bacteremias and intervention strategies for prevention should be based on evidence generated to devise future protocols.
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