Risk factors and microbial profile of central venous catheter related blood stream infection in medical cardiac care units, National Heart Institute, Egypt

IF 1.4 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Egyptian Heart Journal Pub Date : 2018-12-01 DOI:10.1016/j.ehj.2018.07.001

Ghada Mahmoud Khalil , Mahmoud Mostafa Azqul

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引用次数: 7

Abstract

Introduction

Catheter related blood stream infection (CRBSI) is the main complication of central venous catheter (CVC) use. The aim of the study is to improve the safety of patients with central venous catheter in National Heart Institute (NHI) medical cardiac care units.

Methods

A Prospective cohort study was conducted on one hundred and eleven cardiac patients in (NHI) cardiac care units from August 2017 to February 2018. All patients subjected to central venous catheter (CVC) in cardiac care units, NHI, were included except: 1. Patients with obvious source of infection, 2. Immunocompromised patients, 3. patients having infective endocarditis, 4. patients whose catheter was put outside NHI.

Results

Noncompliance of health care providers to care bundle elements of CVC of Centers for Disease Control and Prevention (CDC) represents a risk factor for CRBSI occurrence. Coagulase negative staphylococci was the most common isolated organism.

Conclusion

Health care providers should adhere care bundle elements recommended by CDC during insertion and handling of CVC. This will in turn decrease CRBSI.

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埃及国家心脏研究所心脏医疗护理单位中心静脉导管相关血流感染的危险因素和微生物特征

导读:导管相关性血流感染(CRBSI)是中心静脉导管(CVC)使用的主要并发症。该研究的目的是提高中心静脉导管患者在国家心脏研究所(NHI)医疗心脏护理单位的安全性。方法对2017年8月至2018年2月在(NHI)心脏护理单位就诊的111例心脏病患者进行前瞻性队列研究。所有在NHI心脏护理单元接受中心静脉导管(CVC)的患者均被纳入，除了:1。2.感染源明显的患者;免疫功能低下患者3例。感染性心内膜炎患者;在NHI外放置导管的患者。结果医护人员不遵守美国疾病控制与预防中心(CDC) CVC护理包要素是发生CRBSI的危险因素之一。凝固酶阴性葡萄球菌是最常见的分离菌。结论在CVC的插入和处理过程中，医护人员应遵循CDC推荐的护理包内容。这将反过来降低CRBSI。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Egyptian Heart Journal CARDIAC & CARDIOVASCULAR SYSTEMS-

CiteScore

2.10

自引率

0.00%

发文量

审稿时长

9 weeks

期刊介绍： The Egyptian Heart Journal is the official journal of the Egyptian Society of Cardiology. It is an international journal that publishes peer-reviewed articles on all aspects of cardiovascular disease, including original clinical studies and translational investigations. The journal publishes research, review articles, case reports and commentary articles, as well as editorials interpreting and commenting on the research presented. In addition, it provides a forum for the exchange of information on all aspects of cardiovascular medicine, including educational issues.