Risk Factors of Tao et al for Central Line-Associated Bloodstream Infection (CLABSI) in a Burn Patient

 

Patient selection: patient with major burn and a central line with insertion site cleaned with povidone iodine

 

Risk factors for bacterial colonization at the skin insertion site:

(1) insertion of the catheter within an area of skin burn

(2) failure to treat the insertion site with topical mupirocin

(3) infrequent care of the insertion site (once a day or less)

 

Risk factors for bacterial colonization at the catheter tip:

(1) failure to treat the insertion site with topical mupirocin

(2) insertion of the catheter into the femoral vein (vs the internal jugular vein)

 

The 3 major bacterial isolates were Acinetobacter baumannii, Staphylococcus aureus and Pseudomonas aeruginosa.