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Vol. 1 No. 2 (2024)

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March 19, 2026
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December 31, 2024

Copyright (c) 2024 Sulaiman Mohammed Ali Albalawi, Naif Ahmed Ghadyan Aljohani, Safiah Mohammed Jaber Hakami, Ahlam Ibrahim Essa Ahmadin, Khdigha Ahmed Ibrahim Bahri, Maram Baalghayth Mohammed, Atif Ogaybi Ahmed Alkhayri, Mohammed Ahmed Yahya Asiri, Elaf Rajeh Abdou Kodam, Zamzam Ali Mohalhel, Alanoud Mohammed Abkar Khadhi, Ali Abdo Sulaiman Hamdy, Saad Ali Faleh Aldawsari, Zainab Mohesen Mohmmed Majrashy

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Central Line-Associated Bloodstream Infections in the Intensive Care Unit: A Narrative Review of the Multidisciplinary Synthesis of Radiologic Confirmation, Microbial Epidemiology, Nursing Stewardship, and Patient-Centered Outcomes

https://doi.org/10.64483/202412682
Sulaiman Mohammed Ali Albalawi
Al-Ras Health Center, Al-Wajh Governorate, Ministry of Health, Saudi Arabia
Naif Ahmed Ghadyan Aljohani
Al-Ras Health Center, Al-Wajh Governorate, Ministry of Health, Saudi Arabia
Safiah Mohammed Jaber Hakami
Bish General Hospital, Jazan Health Cluster, Ministry of Health, Saudi Arabia
Ahlam Ibrahim Essa Ahmadin
Jizan, Bish, Ministry of Health, Saudi Arabia
Khdigha Ahmed Ibrahim Bahri
Bish General Hospital, Ministry of Health, Saudi Arabia
Maram Baalghayth Mohammed
Bish General Hospital, Ministry of Health, Saudi Arabia
Atif Ogaybi Ahmed Alkhayri
Bish General Hospital, Ministry of Health, Saudi Arabia
Mohammed Ahmed Yahya Asiri
Jazan Mental Health and Hope Hospital, Ministry of Health, Saudi Arabia
Elaf Rajeh Abdou Kodam
Sabia – SGH, Ministry of Health, Saudi Arabia
Zamzam Ali Mohalhel
Zubarah Primary Healthcare Center, Ministry of Health, Saudi Arabia
Alanoud Mohammed Abkar Khadhi
King Fahd Central Hospital, Ministry of Health, Saudi Arabia
Ali Abdo Sulaiman Hamdy
Health Center in a local village, Jazan, Ministry of Health, Saudi Arabia
Saad Ali Faleh Aldawsari
Riyadh First Health Cluster, Ministry of Health, Saudi Arabia
Zainab Mohesen Mohmmed Majrashy
Al-Madayah Health Center,Ministry of Health , Saudi Arabia

Corresponding Author(s) : Sulaiman Mohammed Ali Albalawi

salbalawi29@moh.gov.sa

Saudi Journal of Medicine and Public Health, Vol. 1 No. 2 (2024)

Abstract

Background: Central line-associated bloodstream infections (CLABSIs) represent a significant cause of morbidity, mortality, and increased healthcare costs in intensive care unit (ICU) patients. While substantial literature exists on prevention bundles and microbiological surveillance, the critical interface between radiology and nursing in the comprehensive management of central venous catheters remains underexplored.


Aim: This narrative review synthesizes current evidence on the multidisciplinary management of CLABSIs in the ICU, with particular focus on the integration of radiologic confirmation of line placement, microbial epidemiology, nursing prevention strategies, and patient-centered care.


Methods: A comprehensive literature search was conducted using PubMed, CINAHL, Cochrane Library, and CDC databases for articles published between 2010 and 2024. 


Results: Radiologic confirmation of central line placement using portable chest x-ray remains the standard for verifying tip position at the cavoatrial junction and ruling out pneumothorax, though emerging evidence supports ultrasound-based confirmation. The predominant pathogens include coagulase-negative staphylococci (12.5-31%), Staphylococcus aureus (6.3-16%), Enterococci, and Candida species, with increasing antimicrobial resistance. Nursing interventions, particularly standardized care bundles incorporating chlorhexidine bathing, dressing protocols, and daily line necessity assessments, reduce CLABSI rates by 21-68%. Patient-centered care addressing anxiety, discomfort, and education significantly improves satisfaction and clinical outcomes.


Conclusion: Effective CLABSI prevention and management requires seamless integration of radiologic verification, epidemiological surveillance, nursing vigilance, and compassionate patient care. Multidisciplinary collaboration, standardized protocols, and attention to the patient experience are essential for optimizing outcomes.

Keywords

CLABSI, central venous catheter, chest radiography, infection control bundle, patient-centered care
Albalawi, S. M. A., Naif Ahmed Ghadyan Aljohani, Safiah Mohammed Jaber Hakami, Ahlam Ibrahim Essa Ahmadin, Khdigha Ahmed Ibrahim Bahri, Maram Baalghayth Mohammed, … Zainab Mohesen Mohmmed Majrashy. (2024). Central Line-Associated Bloodstream Infections in the Intensive Care Unit: A Narrative Review of the Multidisciplinary Synthesis of Radiologic Confirmation, Microbial Epidemiology, Nursing Stewardship, and Patient-Centered Outcomes. Saudi Journal of Medicine and Public Health, 1(2), 2430–2440. https://doi.org/10.64483/202412682
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