Central line related blood stream infections (CRBSI)

Abstract

45-year-old male patient presented to emergency department with abdominal pain and vomiting. On evaluation he was found to have pancreatic tumor and subsequently underwent whipples procedure (pancreato-duodenectomy). He was doing well till fifth postoperative day when he deteriorated and was reexplored and found to have leak at pancreas jejunum junction which was corrected. Arterial line and internal jugular vein central line were inserted intraoperatively On seventh POD from re-exploration he developed fever spikes of 101 °F and was worked up for development of nosocomial infection. His chest X-ray did not show any infiltrates, surgical site was clean. Urinary catheter was changed. Paired blood cultures were sent with one set from periphery.