ISSN: 0973-7510

E-ISSN: 2581-690X

Research Article | Open Access

Pravin Charles Marie Victor1, Kalaivani Ramakrishnan1 , Mohammad Hanifa2, Joshy Maducollil Easow1 and Jayapal Venugopal1

1Department of Microbiology,Mahatma Gandhi Medical College and Research Institute, Sri Balaji Vidyapeeth, Deemed-to be-University, Puducherry, India.
2Department of Critical Care Medicine, Mahatma Gandhi Medical College and Research Institute, Sri Balaji Vidyapeeth, Deemed-to be-University, Puducherry, India.
J. Pure Appl. Microbiol., 2019, 13 (4): 2209-2214 | Article Number: 5896
https://doi.org/10.22207/JPAM.13.4.34 | © The Author(s). 2019
Received: 02/10/2019 | Accepted: 04/11/2019 | Published: 12/12/2019
Abstract

Central line associated blood stream infection (CLABSI) is a device associated infection posing a serious threat among critically ill patients. It also increases the cost of hospital stay, morbidity and mortality. The aim of the study was to implement bundle care approach and identify CLABSI rates post intervention in comparison with the retrospective data. All the patients who were admitted in the ICU with central line (CL) in place were included in our study. The bundle care approach was implemented for all the patients when CL was introduced. We compared the CLABSI rates during the implementation period with the previous year CLABSI rates. The CLABSI rates were compared during the pre-intervention and during the intervention. The pre-intervention rate was 7.48 per 1000 catheter days, whereas the post intervention rates were 1.01 and zero per 1000 catheter days. The etiological agents isolated from CLABSI were Enterobacter aerogenes (30%) followed by Klebsiella pneumonia (20%) and Pseudomonas aeruginosa (20%). Similarly the antibiotic resistance was highest in ceftriaxone (55.5%) and lowest in piperacillin tazobactam (11.1%). A strict adherence to bundle care and proper education of the ICU team members including the doctors and nurses would effectively reduce infection rates. The CLABSI rates were 7.48 per 1000 catheter days in the previous year. However after implementation of bundle care the CLABSI rates reduced to zero.

Keywords

Central line, Bundle care, Infection control, CLABSI rate.

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