Guidelines for Application of Central Venous Catheters in Pediatric ICU of Assiut University Children Hospital (Clinical Audit)

Abstract
Background: Central venous catheterization can be life-saving but is associated with complication rates of approxi-mately 26.2%. Operator experience, familiarity with the advantages and disadvantages of the various catheterization sites, and strict attention to detail during insertion help in reducing mechanical complications associated with catheter-ization.
Aim of Study: Evaluation of health care providers com-pliance to guidelines of application of CVL (central line-associated blood stream infection (CLABSI) guidelines 2013) in PICU (Assuit University Children Hospital).
Patients and Methods: The study was conducted on patients 1m to 17 years of age for whom CVCs was applied on attending Assuit University Children Hospital in PICU. The study included 80 cases during aperiod of one year from 1/9/2016 till 1/9/2017. The study data were collected by using checklist and observing health care provider compliance to guidelines of application of CVL.
Results: Central venous catheterization can be lifesaving but is associated with complication rates of approximately 26.2% and the main indication for CVC application was shock 56.6%and stick of application of guidlines ranged between 65%-100%.
Conclusion: We need to stick with the international guidelines as a reference standard and proper catheter main-tenance care to decrease the frequency of complication mainly displacement and catheter-related infections.