DOI: https://doi.org/10.22263/2312-4156.2023.5.26
S.A. Rymkevich1, A.A. Zvonareva1, A.L. Norova1, A.L. Lipnitski1,2, A.V. Marochkov1,2, I.Y. Savostenko1
Catheter-associated bloodstream infections in critically ill patients
1Mogilev Regional Clinical Hospital, Mogilev, Republic of Belarus
2Vitebsk State Order of Peoples’ Friendship Medical University, Vitebsk, Republic of Belarus
Vestnik VGMU. 2023;22(5):26-33.
Abstract.
Infection control is a system for ensuring the protection of patients with an insufficiency of the immune system. The most important element of infection control is the system for evaluating its effectiveness. The goal of this work is to identify the indicators for quantification of the infection control effectiveness in a multidisciplinary hospital in critically ill patients.
Material and methods. A retrospective study of the results of bacteriological research of blood cultures in intensive care units (ICU) patients with the systemic inflammatory response syndrome and/or multiple organ failure syndrome for 2022 was carried out.
Results. 3271 blood tests were taken for bacteriological examination in 2022, on an average 268 (221; 310.5) tests per month. Out of 3271 bacteriological analyses for flora, 573 (17.5%) positive cultures were obtained. A total of 1157 central venous catheters were implanted in 2022, out of which 151 catheters were placed instead of the previously removed ones. In 122 (34%) cases, isolates of Acinetobacter spp. were isolated from the blood, in 85 (24%) cases – isolates of K. pneumoniae, fungi and candida in 54 (15%); S. epidermidis – in 46 (13%), S. saprophyticus – in 22 (6%), P. aeruginosa – in 14 (4%), S. aureus – in 13 (4%) cases. It has been established that obtaining positive bacteriological tests does not have any significant correlation with a negative outcome of treatment in critically ill patients.
Conclusions. When analyzing bacteriological cultures of peripheral blood for 2022, it was found that the cause of catheter-associated bloodstream infection in patients in 62% is gram-negative bacterial flora, in 23% – gram-positive and in 15% – fungal flora.
Keywords: infection control, catheter-associated bloodstream infection, catheterization sepsis, central venous catheter.
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Information about authors:
S.A. Rymkevich – doctor of the highest category, head of the anesthesiology and resuscitation department, Mogilev Regional Clinical Hospital, https://orcid.org/0009-0000-0682-1836;
A.A. Zvonareva – anesthesiologist-resuscitator of the anesthesiology and resuscitation department, Mogilev Regional Clinical Hospital, https://orcid.org/0009-0007-6659-6838
A.L. Norova – anesthesiologist-resuscitator of the anesthesiology and resuscitation department, Mogilev Regional Clinical Hospital, https://orcid.org/0009-0006-9224-7079
A.L. Lipnitski – Candidate of Medical Sciences, head of the department for coordination of taking organs and tissues for transplantation, Mogilev Regional Clinical Hospital; associate professor of the affiliated branch of the Chairs of Anesthesiology and Resuscitation with the course of the Faculty for Advanced Training & Retraining and Hospital Surgery with the course of the Faculty for Advanced Training & Retraining, Vitebsk State Order of Peoples’ Friendship Medical University, https://orcid.org/0000-0002-2556-4801
e-mail: Этот адрес электронной почты защищён от спам-ботов. У вас должен быть включен JavaScript для просмотра. – Artur L. Lipnitski;
A.V. Marochkov – anesthesiologist-resuscitator of the anesthesiology and resuscitation department, Mogilev Regional Clinical Hospital; Doctor of Medical Sciences, professor of the affiliated branch of the Chairs of Anesthesiology and Resuscitation with the course of the Faculty for Advanced Training & Retraining and Hospital Surgery with the course of the Faculty for Advanced Training & Retraining, Vitebsk State Order of Peoples’ Friendship Medical University https://orcid.org/0000-0001-5092-8315
I.Y. Savostenko – surgeon of the highest category, deputy chief physician for surgery, Mogilev Regional Clinical Hospital, https://orcid.org/0009-0004-4751-5551
