Analyzing central-line associated bloodstream infection prevention bundles in 22 countries: The results of ID-IRI survey

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Devrim I., Erdem H., El-Kholy A., Almohaizeie A., Logar M., Rahimi B. A., ...Daha Fazla

American Journal of Infection Control, cilt.50, sa.12, ss.1327-1332, 2022 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 50 Sayı: 12
  • Basım Tarihi: 2022
  • Doi Numarası: 10.1016/j.ajic.2022.02.031
  • Dergi Adı: American Journal of Infection Control
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, PASCAL, BIOSIS, CAB Abstracts, CINAHL, EMBASE, MEDLINE, Veterinary Science Database
  • Sayfa Sayıları: ss.1327-1332
  • Anahtar Kelimeler: CLABSI, Central line, Bundle, Sepsis, Catheter, Infection, INTENSIVE-CARE UNITS, VENOUS ACCESS DEVICES, MANAGEMENT, INFUSION, IMPACT, RATES
  • Atatürk Üniversitesi Adresli: Evet

Özet

© 2022 Association for Professionals in Infection Control and Epidemiology, Inc.Background: Because central line-associated bloodstream infections (CLABSIs) are a significant complication of central venous access, it is critical to prevent CLABSIs through the use of central line bundles. The purpose of this study was to take a snapshot of central venous access bundles in various countries. Methods: The participants in intensive care units (ICUs) completed a questionnaire that included information about the health center, infection control procedures, and central line maintenance. The countries were divided into 2 groups: those with a low or low-middle income and those with an upper-middle or high income. Results: Forty-three participants from 22 countries (46 hospitals, 85 ICUs) responded to the survey. Eight (17.4%) hospitals had no surveillance system for CLABSI. Approximately 7.1 % (n = 6) ICUs had no CLABSI bundle. Twenty ICUs (23.5%) had no dedicated checklist. The percentage of using ultrasonography during catheter insertion, transparent semi-permeable dressings, needleless connectors and single-use sterile pre-filled ready to use 0.9% NaCl were significantly higher in countries with higher and middle-higher income (P < .05). Conclusions: Our study demonstrated that there are significant differences in the central line bundles between low/low-middle income countries and upper-middle/high-income countries. Additional measures should be taken to address inequity in the management of vascular access in resource-limited countries.