title: [Catheter related blood stream infections--prevalence and interventions].
abstract: BACKGROUND
  Catheter related blood stream infections are a significant complication of intensive care with worldwide prevalence rate around 5 cases per 1000 catheter-days. Only scanty Czech data have been published. Our study monitored the occurrence of catheter-related blood stream infections in a high dependency unit of regional hospital.
  
  
  METHODS
  In 2008 we commenced to monitor the occurrence rate of catheter-related blood stream infections in short-term central venous catheters without antimicrobial coating. We organized a training session for medical staff and started to strictly adhere to published guidelines. After two years of keeping a register we analysed individual cases as proven, possible, or not proven blood stream infections.
  
  
  RESULTS
  From March 2008 to March 2010 we inserted 142 central venous catheters for total time of 1423 catheter days (median 9 days). Ten catheters were removed after median of 17 days due to unexplained pyrexia. Blood stream infection was proven in 4 cases and possible in 2 cases. We have noted total 2.81 proven cases, and 4.22 proven and/or possible cases of blood stream infection per 1000 catheter-days.
  
  
  CONCLUSIONS
  The register of catheter related blood stream infections is an inexpensive and time-efficient tool that improves the quality of intensive
authors.affiliation: Infekcní oddelení, Nemocnice Ceské Budejovice, a.s. chrdle@email.cz
authors.forename: Ales
authors.initials: A
authors.lastname: Chrdle
authors.forename: Romana
authors.initials: R
authors.lastname: Stropková
authors.forename: Sárka
authors.initials: S
authors.lastname: Smítková
authors.forename: Ivona
authors.initials: I
authors.lastname: Rehorová
authors.forename: Václav
authors.initials: V
authors.lastname: Chmelík
mesh_terms: D016470:Bacteremia / Q000209:etiology*; D055499:Catheter-Related Infections / Q000209:etiology* / Q000382:microbiology; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D006801:Humans