02323cam a2200253 a 4500003000900000005001700009008004100026040002800067041000800095100003000103245024100133246018800374260004900562300004500611502008700656520116300743530002201906653000901928653000901937653001001946700004301956700003701999856003302036EG-GiCUC20250223032205.0190213s2018    ua dh  f m    000 0 eng d  aEG-GiCUCbengcEG-GiCUC0 aeng0 aMoreen Wagih Heshmat Aziz10aEvaluation of central venous lineinsertion and its infection related pitfalls in pediatric intensive care units of Cairo university children hospital / cMoreen Wagih Heshmat Aziz ; Supervised Hala Mohamed Amin Fouad , Miriam Magdy Aziz15aتقييم القساطر الوريدية المركزيه واخطاءها ذات الصلة بالعدوي فى عنايه الاطفال المركزه بجامعه القاهره  aCairo : bMoreen Wagih Heshmat Aziz , c2018  a147 P. : bcharts , facsimiles ; c25cm   aThesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Pediatrics  aIntroduction: Catheter related bloodstream infections (CRBSI) are associated with increases in mortality, morbidity and hospitalization costs for pediatric patients. Objective: Evaluate common infection related pitfalls during CVCs insertion and care and its relation to blood stream infection. Sujects and methods: Cross sectional observational study was conducted at the PICUs of Cairo University Children Hospital to patients with CVC inserted during the period from July 2017 to January 2018.120 patients with 146 CVCs inserted were observed during the procedure and followed up for the occurrence of BSI till discharge or death. Results: Total duration of CVCs insertion ranged from 3 days to 27 days with median of 11 days and mean of 11.82±5.85 days. No CRI was recorded in 85 of CVCs (58.2%), confirmed CRI was recorded in 25 of CVCs (17.1%), suspected CRI was noticed in 36 of CVCs (24.7%). Number of days after which CRI was noticed to develop ranged from third day of CVC insertion till 22 day since CVC insertion with median of 9 days. Most common organisms in CVC tip culture were Pseudomonas and Staph aureus in 23.3% of cultured CVCs tip each  aIssued also as CD 4aCRI  4aCVCs 4aPICU 0 aHala Mohamed Amin Fouad , eSupervisor0 aMiriam Magdy Aziz , eSupervisor  uhttp://172.23.153.220/th.pdf