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Impact of Infection Rates on Femoral Line Versus Jugular Line in Covid Patients Admitted at Tertiary Care Hospital

Rao Ramzan*, Arifa khatoon, Shabnam Bilal, Sidra Maqsood, Karima Qadir

Background & Objective: The current rapidly rising pandemic scenario due to the SARS COVID-19 infection is known to cause acute respiratory distress syndrome (ARDS). Severely ill patients required invasive device like central line. Aim of this study is to evaluate the rate of infection in femoral and jugular lines in the covid-19 patients.

Methods: A retrospective study conducted in the COVID unit of Indus hospital, Korangi campus, Karachi in confirmed COVID-19 cases. Aged >18 years were seen from 1 August 2020 to 31 October 2020. Adult patients from high dependency unit (HDU) and intensive care unit (ICU) were included. Admitted patients were monitored for the rate of infections in their line of insertion i-e femoral or jugular.

Results: Total 37 patients were observed with the mean age was 59.84 ± 16.2. Males were 25/37 (67.6%). Majority of the patients were admitted in ICU 28/37 (75.7%) while 9/37 (24.3%) were admitted in HDU. Femoral line was place in 29/37 (78.4%) patients while jugular line was place in 8/37 (21.6%). We have observed the total 17/37 (45.9%) positive culture in our study patients. In these 17 patients 13/17 (76.4%) femoral lines were positive for cultures, while 4/17 (24%) jugular lines were positive for the cultures.

Conclusion: We observed the less number of infections in COVID patients when use jugular line as compare to the femoral line.

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