[Central venous catheter-related bacteraemia: prospective study in a Moroccan medical intensive care unit].
OBJECTIVE
to determine the incidence of catheter-related bacteremia (CRB) in a Moroccan medical intensive care unit, the microbiological profile of this infection and risk factors associated with its occurrence.


METHODS
Prospective observational study.


METHODS
over a period of 8 months, patients who required central venous catheter (CVC) placement for a duration greater than 48 h were included in the study. The CRB has been defined by the criteria of the SRLF Consensus Conference. The proportions of colonization and CRB were expressed as incidence density (ID). Risk factors for colonization were studied in univariate analysis.


RESULTS
one hundred and two CVC were inserted in 70 patients. The average age was 54 ± 20 years with an APACHE II of 28 ± 10. The ID of colonization and CRB were respectively 34 for 1000 days of CVC use and 8 for 1000 days of CVC use. The isolated microorganisms were Gram-negative bacilli in 73 %, Gram-positive cocci in 22 % and finally yeast in 5 %. A prolonged duration of catheterization and the absence of systemic antibiotic therapy before catheterization were the main risk factors for colonization.


CONCLUSIONS
the incidence of CRB was high. These results impose a reflection of the care team to improve protocols for prevention of such nosocomial infections.
Réanimation médicale, pôle anesthésie-réanimation, hôpital militaire d'instruction Mohammed V, 10000 Rabat, Maroc. Younes.aissaoui@live.fr
Y
Y
Aissaoui
N
N
Chouaib
C
C
Chouikh
M
M
Rafai
H
H
Azendour
H
H
Balkhi
C
C
Haimeur
N
N
Drissi Kamili
D016470:Bacteremia / Q000453:epidemiology* / Q000209:etiology*; D055499:Catheter-Related Infections / Q000453:epidemiology* / Q000209:etiology*; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D005260:Female; D006801:Humans; D015994:Incidence; D007362:Intensive Care Units; D008297:Male; D008875:Middle Aged; D009018:Morocco; D011446:Prospective Studies