• Users Online: 656
  • Home
  • Print this page
  • Email this page
Home About us Editorial board Ahead of print Current issue Search Archives Submit article Instructions Subscribe Contacts Login 
Year : 2014  |  Volume : 2  |  Issue : 2  |  Page : 38-41

Impact of an intensive surveillance on central line associated blood stream infections at an Indian trauma center

1 Department of Laboratory Medicine, JPNA Trauma Centre, AIIMS, New Delhi 110029, India
2 Department of Surgery, JPNA Trauma Centre, AIIMS, New Delhi, India
3 Department of Anaesthesiology, JPNA Trauma Centre, AIIMS, New Delhi, India
4 Department of Neurosurgery, JPNA Trauma Center, AIIMS, New Delhi, India

Correspondence Address:
Purva Mathur
Department of Laboratory Medicine, JPNA Trauma Centre, AIIMS, New Delhi 110029
Login to access the Email id

Source of Support: None, Conflict of Interest: None

Rights and PermissionsRights and Permissions

Background: Central line associated blood stream infections (CLA-BSIs) are a leading cause of health care associated infections. There is paucity of data on the actual magnitude of CLA-BSIs in most hospitals of developing countries due to lack of surveillance. This study reports the impact of an intensive surveillance, training and feedback on the rates of CLA- BSIs at an Indian trauma center. Methods: The study was conducted at a level 1 trauma center from June 2010 to January 2013. The clinical details of all patients and microbiology culture reports who were admitted for more than 48 h were recorded in a pre-designed pro forma. These details were further entered in an automated software based upon CDC NHSN's definitions of device associated infections. The CLA-BSI rates in a previous pilot study in 2010 were found to be very high. Intensive surveillance, education and training drive was initiated along with better hand hygiene and device care as a part of hospital infection control measures. Results: During the study period, a total of 2969 patients were followed up for CLA-BSIs. These patients amounted to a total of 27,394 ICU days and 15,443 CVC days. A total of 93 episodes of CLA-BSI occurred during the study, amounting to a CLA-BSI rate of 6.02/1000 CVC days. Staphylococcus aureus (27; 27.5%) was the most common isolate. A total of 101 episodes of secondary BSIs were also observed during the study. Of these, 70 (69%) were secondary to VAP, 18 (18%) were secondary to wound infections and 13 (13%) were sec- ondary to UTI. Of the 92 patients who accounted for the 93 episodes of CLA-BSIs, a total of 20 (21.7%) had a fatal outcome. Conclusions: Thus, with the help of the intensive surveillance, using this software, we have been able to monitor the impact of training, surveillance and interventions on the rates of CLA-BSI, which have reduced from 27.6 to 6/1000 CVC days within a span of 2 years at our institute. Although these measures require a dedicated team effort, they are easy and cost effective to implement and can reduce device associated infections across all types of health care facilities.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded37    
    Comments [Add]    

Recommend this journal