Central Line-Associated Blood Stream Infections: Surveillance And Incidence In Intensive Care Unit At A Malaysian Medical Centre

Sulong, A.; Jalil, N. A.; Ramli, R.; Yusoff, M. M.
September 2013
Internet Journal of Infectious Diseases;2013, Vol. 12 Issue 2, p1
Academic Journal
Background: Intravascular catheters are indispensable for modern healthcare especially among Intensive Care Unit (ICU) patients and predispose them to central line-associated bloodstream infection (CLABSI). Objective: To conduct a survey and report the incidence of CLABSI in ICU. Methods: A cross section observational study was conducted in a 24-bed multi-disciplinary intensive care unit of 874-bed Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur. Results: The infection rate was calculated per 1000 catheter-days. A total of 20 CLABSI cases were identified among 155 central venous catheters in 100 patients with 3106 catheter-days. The overall rate of CLABSI was 6.4 per 1000 catheter-days and device-utilization (DU) ratio of 0.81. The mean length of ICU stay for CLABSI and non-CLABSI cases was 37.2 days and 17.4 days respectively, while the median length of ICU stay for CLABSI cases was 16.0 days and for non-CLABSI cases was 10.0 days. Gram-negative bacteria accounted for 50% of the CLABSI cases whereas gram-positive cocci and fungi caused 30% and 20% of these infections respectively. Conclusions: Our CLABSI rate of 6.4 per 1000 catheter-days is found to be lower than the INICC 2003-2008 studies with 7.4 CLABSI per 1000 catheter-days.


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