International Journal of Medical and All Body Health Research  |  e-ISSN: 2582-8940  |  Double-Blind Peer Review  |  Open Access  |  CC BY-NC-SA 4.0

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     2026:7/4

International Journal of Medical and All Body Health Research

e-ISSN: 2582-8940 | Open Access

Care for Central Venous Catheters and Their Removal: A Retrospective Study

Vara Manthan Shailesh, Sharad Goel, Lokesh Kumar Gupta

Post Graduate student (Anaesthesiology), Saraswathi institute of medical sciences Hapur, Uttar Pradesh, India; Professor & HOD (Anaesthesiology), Saraswathi institute of medical sciences Hapur, Uttar Pradesh, India; Professor (Anaesthesiology), Saraswathi institute of medical sciences Hapur, Uttar Pradesh, India

Article Information

Volume / Issue5 / 4 (December-December 2024)
Pages165-167
AccessOpen Access

Publication Timeline

  • Received03 October 2024
  • Accepted05 November 2024

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Abstract

Aim: To examine the reasons why central venous catheters are removed, if there is any clinical improvement following removal and to observe its relation to rates of CR-BSI.

Methods: We conducted a retrospective analysis of central venous catheter placement, management, and removal in ICU of Saraswathi institute of medical science, Hapur. Clinical signs of sepsis were used to characterise suspected CR-BSI, and the only possible cause of septicaemia was catheter tip colonisation. Later, a catheter tip colonisation with the same microorganism generated from a peripheral blood culture was used to define confirmed CR- BSI.

Results: A total of 87 CVCs were examined, with an average insertion time of

5.5 days. Absence of indication was the most frequent cause of removal (28.7%). Only 1 of the 17 out of 87 CVCs (19.7%) that were removed based on CRBSI suspicions had the diagnosis verified. We also checked the cultured catheters for signs of biochemical improvement after removal. We found no difference in mean insertion time among patients whose inflammatory markers improved after CVC removal, and they were no more likely to have colonised CVCs.

Conclusion: 15.6% of central venous catheters were routinely replaced after an average of 7.1 days without any apparent reason other than to avoid catheter-related infection. Even if some of these lines became colonised throughout culture, we did not see any biochemical advantages to routinely eliminating them.

 

Keywords

CVCsCatheter related blood stream infection

References

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How to Cite

Shailesh, V. M., Goel, S., & Gupta, L. K. (2024). Care for Central Venous Catheters and Their Removal: A Retrospective Study. International Journal of Medical and All Body Health Research, 5(4), 165-167.

Shailesh, Vara Manthan, et al. "Care for Central Venous Catheters and Their Removal: A Retrospective Study." International Journal of Medical and All Body Health Research, vol. 5, no. 4, 2024, pp. 165-167.

Shailesh, V. M., Goel, S. and Gupta, L. K. (2024) 'Care for Central Venous Catheters and Their Removal: A Retrospective Study', International Journal of Medical and All Body Health Research, 5(4), pp. 165-167.

Shailesh VM, Goel S, Gupta LK. Care for Central Venous Catheters and Their Removal: A Retrospective Study. International Journal of Medical and All Body Health Research. 2024;5(4):165-167.

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