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• W2906965377 abstract "AIM: To study the clinical characteristics of the CVC inserted in ED, medical wards and ICUsMETHODS: This is a prospective cohort study comparing the characteristics of the CVCs inserted in the ED, medical wards and ICUs. All patients with CVCs inserted in ED and medical wards/ICUs for than 48 hours were included. The clinical characteristics of the patient and CVC insertion were transcribed onto a clinical research form. All catheter tips were sent for culture to ascertain colonization rates. Blood culture were sent for suspected infection.Exclusion criteria: Patient less than 16 years of age, CVCs that last less than 48 hours, those admitted to non-medical specialties, dialysis ports and arterial lines.OUTCOME: The primary outcome was comparison of the rates of catheter colonization in ED, medical wards and ICUs. The secondary outcome was to determine and compare the following rates: the rates of CLRBSI, CLABSI, line site infection and proportions of compliance to maximum sterile precautionsRESULTS: The colonization rates for ED CVC, ICU CVC and ward CVC were 30.3/1000 calendar days, 24.5/1000 calendar days and 25.3/1000 calendar days respectively and RR of ED CVC colonized compared to ICU CVC was 0.858 (95% CI 0.346 to 2.127), (p value 0.742). CLABSI rates for ED CVC and ICU CVC were 4.39/1000 calendar days and 10.89/1000 calendar days respectively. RR of ED CVC CLABSI compared to ICU CVC was 0.27(95% CI 0.031 to 2.38), (p value 0.242). CLRBSI rates for ED CVC and ICU CVC were 4.39/1000 calendar days and 8.17/1000 calendar days respectively. RR of ED CVC CLRBSI compared to ICU CVC was 0.36(95% CI 0.039 to 3.42), (p value 0.379). Line site infection rates for ED CVC, ICU CVC and ward CVCs were 8.65/1000 calendar days, 2.72/1000 calendar days and 3.89/1000 calendar days respectively. RR of ED CVC CLRBSI compared to ICU CVC was 2.21(95% CI 0.206 to 23.58), (p value 0.512). Proportions of maximum sterile barrier precautions for ED, ICUs and ward CVCs were 43%, 92% and 20% respectively. RR of ED CVC vs ICU CVC for maximum sterile barrier precautions was 0.49 (95% CI 0.35 to 0.68) (p value <0.05)CONCLUSION:The rates of catheter colonization, CLABSI, CLRBSI and line site infection rates were not significantly different in the among the CVCs of ED, wards and ICUs. Compliance to maximum sterile precautions were highest with ICU CVC followed by ED CVC and least in ward CVCs. Compared to ICU CVCs, ED CVCs had more number of femoral insertions, lower rates of prior antibiotic administration, more than 1 attempt for CVC insertion, higher CVC insertion at night time, lesser USG guided insertion, and shorter duration of CVCs." @default.
• W2906965377 created "2019-01-11" @default.
• W2906965377 creator A5055075081 @default.
• W2906965377 date "2018-05-01" @default.
• W2906965377 modified "2023-09-27" @default.
• W2906965377 title "Comparison of the clinical characteristics of central lines inserted in the ED, medical wards and ICUs." @default.
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