Relation between Health Care Providers´ Compliance with Central Venous Catheter Care Bundle Elements and The Length of Stay in Cardiac Care Units, National Heart Institute. | ||
| The Egyptian Journal of Community Medicine | ||
| Article 9, Volume 36, Issue 4, October 2018, Pages 87-93 PDF (349.27 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejcm.2018.23000 | ||
| Abstract | ||
| Background: Catheter related blood stream infection (CRBSI) is the main complication of central venous catheter (CVC) use which increases the duration of hospital stay and increases the costs of applied health services. Objective: (1) Estimating incidence rate of CRBSI in the National Heart Institute over six months. (2) To identify the relation between the compliance of health care providers to care bundle elements of CVC recommended by CDC and hospital LOS. Methods: A Prospective cohort study was conducted on one hundred and eleven cardiac patients in cardiac care units, (NHI) from August 2017 to January 2018. All patients subjected to central venous catheter (CVC) in cardiac care units, NHI, were included except: Patients with obvious source of infection, patients having infective endocarditis and patients whose catheter was put outside the NHI. Results: Noncompliance of health care providers to care bundle elements of CVC of Centers for Disease Control and Prevention (CDC) and CRBSI occurrence are statistically significant factors which increase hospital length of stay (LOS). Conclusion: This study revealed that noncompliance to care bundle elements through insertion and handling of CVC leads to increase length of hospital stay. Recommendation: Health care providers should adhere to care bundle elements recommended by CDC during insertion and handling of CVC. | ||
| Keywords | ||
| Central venous catheter; Length of stay; Blood stream infection | ||
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