#VTNE STUDY GUIDE BOOK SOFTWARE#

A total of 15 (27.77%) catheters were positive on SQC, of which 10 (18.52%) were with catheter-associated infection and four (7.41%) were with catheter-associated bacteremia the remaining one was a probable catheter-associated bacteremia. Of 54 patients with CVCs studied for bacteriology, 39 (72.22%) catheters showed negative SQCs and also negative blood cultures. Statistical analysis used SPSS-10 version statistical software.Ī total of 54 CVC catheters with 319 catheter days were included in this study. The catheters were cultured using the standard semiquantitative culture (SQC) method. This was a prospective, observational study carried out in the medical intensive care unit (MICU) over a period of 1 year from January to December 2004.Ī total of 54 patients with indwelling central venous catheters of age group between 20 and 75 years were included. So far, there are very few studies that have been conducted on CRBSI in the intensive care unit in India. This study was conducted to determine the incidence of central venous catheter-related infections (CRIs) and to identify the factors influencing it. catheter days.īleeding complications occurred more frequently with IJV insertions and infectious complications occurred more commonly in cannulae that were left in situ for longer than 7 days.Ĭentral venous catheter-related bloodstream infection (CRBSI) is associated with high rates of morbidity and mortality in critically ill patients.

The incidence density of CVC tip infections was 7. The risks of infectious complications increased significantly if the CVC was in situ for longer than 7 days (P=0.009), especially with IJV cannulae. Forty-seven patients had infectious complications (9.79%), like exit site infections (n=17), catheter tip infections (n=22) and catheter-related bloodstream infections (CRBSIs) (n=8).

The IJV route was associated with a significantly higher incidence of bleeding complications (P=0.009). Mechanical complications occurred in 86 patients (17.9%, bleeding complications-48, catheter-related complications-27 and pneumothorax-11).

#VTNE STUDY GUIDE BOOK SOFTWARE#

SPSS software for Windows, Version SPSS 16.0, and Epi Info (3.5.1) software.įour hundred and eighty central venous catheterizations were studied (IJV route, 241 and SCV route, 239). Prospective, observational study.Īll landmark-based CVC insertions performed between 1(st) October 2008 and 30(th) September 2009 were prospectively studied for mechanical and infectious complications. To study (a) the incidence of mechanical and infectious complications of CVC insertions and to compare, (b) the rates of these complications between the internal jugular venous (IJV) and the subclavian venous (SCV) accesses.Īn adult intensive care unit of a tertiary care hospital. The aim of this study was to investigate the rate and pattern of CRBSI and to recommend changes in protocol, technique and equipment as deemed necessary from these findings.Ĭentral venous catheters (CVC) are associated with mechanical, infectious and thrombotic complications. If femoral catheterisation is unavoidable, strict attention to aseptic technique is mandatory. Preference should be given to internal jugular or subclavian-sited CVCs in ICU and non-ICU patients to reduce the risk of CRBSI. CRBSI was commonest in patients with femoral lines (n = 21/95, 22.1%), especially those cared for in a non-ICU setting (29.6% versus 14.5% for those in the ICU group). The mean number of line days preceding a pyrexial spike was 13.1.

The CRBSI rate per 100 line feeding days was 0.93% in patients cared for in a non ICU setting versus 1.98% for ICU managed patients. The internal jugular vein was the most common site (n = 882, 68%), followed by the subclavian vein (n = 344, 24.6%) and femoral vein (n = 95, 6.5%). Data was prospectively collected on 850 consecutive patients undergoing central venous catheterisation (CVC) to receive total parenteral nutrition (TPN) in a major university teaching hospital over a 46 months period.ĭata included information about CVC insertion and clinical outcomes, most notably, suspected catheter-related blood stream infections (CRBSI).

Vtne study guide book