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.

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.