ABSTRACT
We determined the rate and risk factors for colonization of 103 peripheral intravenous catheter and 32 central venous catheters. 52.5% peripheral catheters had colonization. Common organisms isolated were Pseudomonas (33.3%) and coagulase negative Staphylococci (29.6%). Colonization was higher in catheters inserted in the lower limb. Overall 62.5% of the central catheters were colonized, chiefly by coagulase negative Staphylococci, Pseudomonas and Candida. All central catheters in place for more than 11 days were colonized. Subclavian vein catheters had a higher rate (68.2%) of colonization in comparison to femoral vein insertions (40%). We conclude that upper limb placements are preferable to lower limbs when using peripheral lines. Changing peripheral intravenous catheters every 48 hours and central venous catheters every 10 days may decrease the rate of colonization.
Subject(s)
Adolescent , Candidiasis/etiology , Catheterization, Peripheral/adverse effects , Child , Child, Preschool , Gram-Negative Bacterial Infections/etiology , Gram-Positive Bacterial Infections/etiology , Humans , India , Infant , Intensive Care Units, PediatricABSTRACT
Urinary isolates of Escherichia coli were studied for presence of haemolysin, adhesins, serum resistance and O serotype prevalence. Of the 144 isolates studied, 72 exhibited hemolysin, 7 were resistant to bactericidal effect of serum and 50 strains showed Mannose resistant Haemagglutination (MRHA). O101,O68,O04 and O25 were the commonest serotypes in this study.