Incidence rate and risk factors of central venous catheterization-related infection among patients at the intensive care unit in Vinh Phuc General Hospital

https://doi.org/10.52322/jocmbmh.11.en.04

ABSTRACT

Objectives: The purpose of the study was to identify and describe the incidence rates of central venous catheterization-related infection complications and to evaluate risk factors among patients with Central Venous Catheter at the Intensive Care Unit, Vinh Phuc General Hospital.

Participants and Methods: A prospective study was carried out among 320 adult patients who underwent CVC insertion in the Intensive Care Unit of Vinh Phuc General Hospital, Vietnam from August 2022 to August 2023. Any central venous catheterization-related infection complications during ICU stay were recorded, including occurrence time and outcomes. Univariate logistic regression was used to explore risk factors for the occurrence of complications.

Results: 43.75% of patients were reported with an exit-site catheter infection, and 1.25% cases were identified with bloodstream infections (BSI). Staphylococcus aureus was identified as the primary causative pathogen responsible for central venous catheterization-related infection. Further, several factors such as comorbidities, older age (>60 years), duration of catheterization (>7 days), insertion site, number of lumens, and number of attempts (more than three) can contribute to a significantly increased risk of infection complications (p<0.05).

Conclusion: Significant incidence of exit-site catheter infections was high which highlights the need for increased attention to prevention and control measures, as well as showing the importance of rigorous monitoring and adherence to established protocols for catheter insertion and maintenance to minimize the risk of infection, particularly in ICUs where CVCs are frequently utilized.

Keywords: Central venous catheter infection, Intensive Care Unit, Vinh Phuc General Hospital.  

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