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A STUDY ON CENTRAL LINE ASSOCIATED BLOODSTREAM
INFECTIONS SPECIFICALLY RELATED TO CENTRAL
VENOUS CATHETERS, THEIR DRESSINGS, PERIPHERAL
VENOUS CANNULATION AND COLLECTION OF BLOOD
SAMPLES.
Submitted to Lovely Professional University
In partial fulfillment of the requirements for the award of
degree of
MASTER OF BUSINESS ADMINISTRATION
(HOSPITAL AND HEALTHCARE MANAGEMENT)
Submitted by: Supervisor:
Navjot Gill Dr. Alka Kohli Registration No.10907210 Designation:
Manager
(Quality
Assurance) SPS Apollo Hospital
INDEX
DEPARTMENT OF MANAGEMENT
LOVELY PROFESSIONAL UNIVERSITY
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Catheter-related bloodstream infections (CR-BSIs) are defined as
bacteremia/fungemia in
a patient with an intravascular catheter with at least one
positive blood culture obtained
from a peripheral vein, clinical manifestations of infection
(i.e., fever, chills, and/or
hypotension), and no apparent source for the bloodstream
infection except the catheter.
Bloodstream infections are considered to be associated with a
central line if the line was
in use during the 48-hour period before the development of the
bloodstream infection. If
the time interval between the onset of infection and device use
is greater than 48 hours,
there should be compelling evidence that the infection is
related to the central line.
Central line blood stream infections other than associated with
insertion of CVC are also
related to insertion of peripheral cannula and collection of
blood samples. Any break in
the skin carries a risk of infection. Although IV insertion is
an aseptic procedure, skin-
dwelling organisms such as Coagulase-negative staphylococcus
orCandida albicans
may enter through the insertion site around the catheter, or
bacteria may be accidentally
introduced inside the catheter from contaminated equipment.
Moisture introduced to
unprotected IV sites through washing or bathing substantially
increases the infection
risks. For these procedures there are standard aseptic
precautions while doing these
procedures.
SCOPE OF BLOOD STREAM INFECTIONS
Infection of IV sites is usually local, causing easily visible
swelling, redness, and fever. If
bacteria do not remain in one area but spread through the
bloodstream, the infection is
called septicemia and can be rapid and life-threatening. An
infected central IV poses a
higher risk of septicemia, as it can deliver bacteria directly
into the central circulation.
OBJECTIVE OF STUDY:
Objective of my study is to find out the percentage of various
parameters during process
of central venous catheter insertion, peripheral cannulation and
collection of blood
samples which are being done in various areas of SPS Apollo
Hospital which are being
led by hospital management to keep a check on central line blood
stream infections.
SCOPE OF STUDY:
http://en.wikipedia.org/wiki/Septicemiahttp://en.wikipedia.org/wiki/Septicemia
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Due to time constraint it was very difficult to cover the entire
hospital so I decided to
cover ICUs and emergency ward for CVC insertion and their
dressings and wards and
ICUs for sample collection and peripheral cannulation. The study
is carried out in SPS
Apollo Hospital Ludhiana only.
2.10 METHODOLOGY
I carried out my study in SPS Apollo Hospital. For my study I
made Checklist for
procedures of Central line catheter insertion, dressing of
central line, peripheral venous
cannulation and blood sample collection based on aseptic
procedures. Then I took
observations for all checklists randomly from various areas of
hospital (ICU, emergency,
general and private wards) for one month. After collecting data
for one month it was
analyzed and interpreted. Analysis and data interpretation is
given below in detail.
