A central line-associated bloodstream infection (CLABSI) occurs when bacteria enters the bloodstream through a central line catheter . A central line catheter is a long, thin tube that is inserted through a vein until it reaches a larger vein close to the heart. It is used to deliver medication, nutrition, IV fluids, and chemotherapy .
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If bacteria start to grow on the central line catheter, they can easily enter the blood and cause a serious infection. This can lead to a condition called sepsis , which occurs when bacteria overwhelm the body.
Bacteria normally live on the skin. These bacteria will sometimes track along the outside of the catheter. From the catheter, they can get into the bloodstream.
These factors increase your chance of developing a CLABSI:
Symptoms of CLABSI may include:
Your doctor will ask about your symptoms and medical history. A physical exam will be done.
Your bodily fluids may be tested. This can be done with:
Your heart may need to be viewed. This can be done with echocardiogram .
Talk with your doctor about the best treatment plan for you. Treatment options include the following:
When you are getting a central line placed, the staff will follow a series of steps to reduce your risk of infection.
There are also steps that you can take to reduce your risk of infection:
Centers for Disease Control and Prevention
Society of Critical Care Medicine
Safer Healthcare Now!
Central venous catheter. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed/what.php . Updated July 25, 2013. Accessed August 8, 2013.
Central venous catheterization. American Thoracic Society website. Available at: http://www.thoracic.org/clinical/critical-care/patient-information/icu-devices-and-procedures/central-venous-catheterization.php . Accessed August 8, 2013.
FAQs: Catheter-associated bloodstream infections. Centers for Disease Control and Prevention website. Available at: http://www.cdc.gov/hai/pdfs/bsi/BSI_tagged.pdf . Accessed August 8, 2013.
Marschall J, Mermel LA, Classen D, et al. Strategies to prevent central line-associated bloodstream infections in acute care hospitals. Infect Control Hosp Epidemiol. 2008;29 Suppl 1:S22-30.
Last reviewed August 2013 by Marcin Chwistek, MD; Michael Woods, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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