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PRINT ISSN : 2319-7692
Online ISSN : 2319-7706 Issues : 12 per year Publisher : Excellent Publishers Email : editorijcmas@gmail.com / submit@ijcmas.com Editor-in-chief: Dr.M.Prakash Index Copernicus ICV 2018: 95.39 NAAS RATING 2020: 5.38 |
Central venous access which plays an important role in the management of critically ill patients, also puts patient at the risk of central venous catheter associated bloodstream infections (CVC-BSI). These infections are difficult to treat because they are being increasingly caused by multi-drug resistant organisms. This study was carried out to determine CVC-BSI rate in Intensive Care Units of a tertiary care hospital and to identify the antibiotic resistance profile of the infectious agents involved. Distal 5cm of the central venous catheter and blood samples were collected and processed using conventional culture methods as per standard protocol. During the study of one year, 720 patients were treated by indwelling catheter, of which 36 developed bloodstream infections, amounting to a CVC_BSI rate of 7.14 per 1000 catheter days. We observed that 73.07% of the Gram negative bacteria isolated from the cases were ESBL producers, 57.69% were AmpC producers and 34.61% were Co-producers of both ESBL and AmpC. Prevention of infusate contamination and aseptic handling by healthcare personnel will play a great role in bringing down the CVC-BSI rates and curb the nuisance of spread of multi drug resistant hospital acquired infections.