Incidence and Risk Factors of Central Line Associated Blood Stream Infections in Private Healthcare Setting in Western Kenya


Authors : Dillip Kumar Mishra; B.R. Shamanna; Naftali Busakhala; Gurpreet Singh; Lawrence Ojala

Volume/Issue : Volume 8 - 2023, Issue 9 - September

Google Scholar : https://tinyurl.com/yj26p9nt

Scribd : https://tinyurl.com/yducrhsm

DOI : https://doi.org/10.5281/zenodo.8416812

Abstract : Background: Central line associated blood stream infections (CLABSIs) represent a critical yet often overlooked aspect of healthcare, particularly in settings with limited resources. Several factors contribute to the heightened prevalence of CLABSIs, including age, gender, compromised immune states, and invasive medical procedures such as catheterization, intubation, and central line placements, which can elevate the risk of microbial transmission among patients.Broad Objective: To determine the incidence and risk factors associated with Central Line Associated Blood Stream Infections in a private health care setting in Kenya.Methodology: A prospective study was conducted in all patients admitted to the Intensive Care Units showing signs of infection and meeting the inclusion criteria. Data was collected from each inpatient and all intensive care units on weekly basis and analyzed descriptively.Conclusion: The study showed a high incidence rate of CLABSIs, raising significant concerns. Infection rates varied by central line insertion site, with jugular and femoral veins posing higher risks.Respiratory diseases were prevalent, suggesting an elevated CLABSI risk for immunocompromised or chronically ill patients.

Keywords : Healthcare Associated Infections (HCAIs), Intensive Care Units, Incidence, Risk factors, Pathogens, Central Line-Associated Blood Stream Infections (CLABSIs), Infections, Central-Line Days.

Background: Central line associated blood stream infections (CLABSIs) represent a critical yet often overlooked aspect of healthcare, particularly in settings with limited resources. Several factors contribute to the heightened prevalence of CLABSIs, including age, gender, compromised immune states, and invasive medical procedures such as catheterization, intubation, and central line placements, which can elevate the risk of microbial transmission among patients.Broad Objective: To determine the incidence and risk factors associated with Central Line Associated Blood Stream Infections in a private health care setting in Kenya.Methodology: A prospective study was conducted in all patients admitted to the Intensive Care Units showing signs of infection and meeting the inclusion criteria. Data was collected from each inpatient and all intensive care units on weekly basis and analyzed descriptively.Conclusion: The study showed a high incidence rate of CLABSIs, raising significant concerns. Infection rates varied by central line insertion site, with jugular and femoral veins posing higher risks.Respiratory diseases were prevalent, suggesting an elevated CLABSI risk for immunocompromised or chronically ill patients.

Keywords : Healthcare Associated Infections (HCAIs), Intensive Care Units, Incidence, Risk factors, Pathogens, Central Line-Associated Blood Stream Infections (CLABSIs), Infections, Central-Line Days.

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