Catheter related blood stream infections in jugular versus sub clavian site of insertion: A randomized control trial

Use of central venous catheters has become essential in modern day critical care practice. Higher incidence of catheter related bloodstream infections (CRBSIs) leads to higher incidence of morbidity, mortality and an economic burden on patient and hospitals.

To assess CRBSI in jugular versus sub clavian site of insertion with open versus closed catheter access system among critically ill patients admitted in intensive care units.

A randomized control trial was carried on 400 patients randomly allocated 200 in each experimental and control group by using sequential numbered sealed opaque envelops and all patients were admitted in the Intensive Care Unit (ICU) and central venous catheter inserted at jugular and sub clavian site were included in study. In experimental group closed catheter access system (Luer-access split septum) was used while in control group, open access system-three ways system was used. Ifany patient developed fever, blood culture, urine culture and tracheal secretions were sent for culture and sensitivity.

Both the groups were homogenous according to socio demographic variables. There was no significant ((X2 =0.668, p>0.05) difference in blood culture reports of patients with jugular and Subclavian site of insertion among both experimental and control groups.

Patients have less incidence of CRBSI with subclavian site ofinsertion as compared to Jugular site ofinsertion among patients with closed catheter access system.