Knowledge and Compliance Regarding Central Line Associated Blood Stream Infections (CLABSIs) Prevention Among Public and Private Hospital Intensive Care Unit Nurses

Central Line Associated Blood Stream Infections

Authors

  • Muhammad Yaseen Nursing Department, Hayatabad College of Nursing & Allied Health Sciences Hayatabad, Peshawar, Pakistan
  • Muhammad Suliman Nursing Department, Upper Swat College of Nursing Swat, Pakistan
  • Adnan . Nursing Department, Sarhad College of Nursing Sciences Lund-khwar, Mardan, Pakistan
  • Mahnoor Yaseen Nursing Department, Hayatabad College of Nursing & Allied Health Sciences Hayatabad, Peshawar, Pakistan
  • Sardar Ali Nursing Department, Institute of Nursing Sciences, Khyber Medical University Peshawar Pakistan
  • Amir Sultan Nursing Department, Saidu Group of Teaching Hospital, Saidu Sharif, Swat, Pakistan

DOI:

https://doi.org/10.54393/tt.v3i02.60

Keywords:

CLABSI, Compliance, Hospital-Associated infections (HAIs), Prevention

Abstract

CLABSIs are some of the utmost fatal hospital-acquired infections. CLABSIs cost up to $45,000 per infection around the world. CDC reported that in U.S. hospitals around 41,000 preventable CLABSIs occur every year, so the magnitude of the problem could be worse in Pakistan where there are still gaps in documenting the hospital data. Objective: To identify the nurses' knowledge and compliance and their association regarding prevention of CLABSI in public and private sector hospitals of Peshawar. Methods: An analytical cross-sectional study was carried out among 140 Nurses working in Intensive Care Units of (LRH & RMI) who had at least one year of experience. Enumerative or census sampling method was used to take the entire eligible ICU nurses as a sample. Data was collected through a validated and pre pilot tested questionnaire and checklist. Results: Around 30% of the nurses had poor knowledge, 43.6% had an average knowledge, 22.1% good knowledge and only 3.6% had an excellent knowledge regarding CLABSIs. The compliance level was found as 83.6%. Very weak positive association was found between knowledge and compliance level of nurses regarding CLABSIs on Pearson Correlation test (r). Conclusions: The results of this study concluded that nurses were not well equipped with the knowledge regarding CLABSIs, while there was a weak positive relationship between knowledge and compliance level among nurses. Therefore, the findings suggest that nurses need to be updated with standard guidelines and training to prevent CLABSIs.

References

Boev C and Kiss E. Hospital-acquired infections: current trends and prevention. Critical Care Nursing Clinics. 2017 Mar; 29(1): 51-65. doi: 10.1016/j.cnc.2016.09.012

Dumont C and Nesselrodt D. Preventing central line-associated bloodstream infections CLABSI. Nursing2018. 2012 Jun; 42(6): 41-6. doi: 10.1097/01.NURSE.0000414623.31647.f5

O'grady NP, Alexander M, Burns LA, Dellinger EP, Garland J, Heard SO, et al. Guidelines for the prevention of intravascular catheter-related infections. Clinical infectious diseases. 2011 May; 52(9): e162-93. doi: 10.1093/cid/cir257

Centers for Disease Control and Prevention. Vital signs: central line-associated blood stream infections-United States, 2001, 2008, and 2009. Annals of emergency medicine. 2011 Nov; 58(5): 447-50. doi: 10.1016/j.annemergmed.2011.07.035

Schulman J, Stricof R, Stevens TP, Horgan M, Gase K, Holzman IR, et al. Statewide NICU central-line-associated bloodstream infection rates decline after bundles and checklists. Pediatrics. 2011 Mar; 127(3): 436-44. doi: 10.1542/peds.2010-2873

Rinke ML, Chen AR, Bundy DG, Colantuoni E, Fratino L, Drucis KM, et al. Implementation of a central line maintenance care bundle in hospitalized pediatric oncology patients. Pediatrics. 2012 Oct; 130(4): e996-1004. doi: 10.1542/peds.2012-0295

The Joint Commission. Preventing Central Line-Associated Bloodstream Infections: a global challenge, a global perspective. Oak Brook, IL: The Joint Commission Resources, May 2012. [cited on 11 March 2014]. Available from: https: //www.jointcommission.org/assets/1/18/CLABSI_Monograph.pdf.

Zingg W, Sandoz L, Inan C, Cartier V, Clergue F, Pittet D, et al. Hospital-wide survey of the use of central venous catheters. Journal of Hospital Infection. 2011 Apr; 77(4): 304-8. doi: 10.1016/j.jhin.2010.11.011

Freeman JT, Elinder-Camburn A, McClymont C, Anderson DJ, Bilkey M, Williamson DA, et al. Central line-associated bloodstream infections in adult hematology patients with febrile neutropenia an evaluation of surveillance definitions using differential time to blood culture positivity. Infection Control & Hospital Epidemiology. 2013 Jan; 34(1): 89-92. doi: 10.1086/668431.

Haga Y, Miyanari N, Takahashi T, Koike S, Kobayashi R, Mizusawa H, et al. Risk factors for catheter-related bloodstream infections in adult hospitalized patients-multicenter cohort study. Scandinavian journal of infectious diseases. 2013 Oct; 45(10): 773-9. doi: 10.3109/00365548.2013.807936.

Herzer KR, Niessen L, Constenla DO, Ward WJ, Pronovost PJ. Cost-effectiveness of a quality improvement programme to reduce central line-associated bloodstream infections in intensive care units in the USA. BMJ open. 2014 Sep; 4(9): e006065. doi: 10.1136/bmjopen-2014-006065.

Hu B, Tao L, Rosenthal VD, Liu K, Yun Y, Suo Y, et al. Device-associated infection rates, device use, length of stay, and mortality in intensive care units of 4 Chinese hospitals: International Nosocomial Control Consortium findings. American journal of infection control. 2013 Apr ; 41(4): 301-6. doi: 10.1016/j.ajic.2012.03.037

Rosenthal VD, Lynch P, Jarvis WR. Socioeconomic impact on device-associated infections in limited resource neonatal intensive care units: Journal of International Nosocomial Infection Control Consortium. 2011; 39(5): 439-450 doi: 10.1007/s15010-011-0136-2

Ista E, van der Hoven B, Kornelisse RF, van der Starre C, Vos MC, Boersma E, Helder OK. Effectiveness of insertion and maintenance bundles to prevent central-line-associated bloodstream infections in critically ill patients of all ages: a systematic review and meta-analysis. The Lancet Infectious Diseases. 2016 Jun; 16(6): 724-34. doi: 10.1016/S1473-3099(15)00409-0

Gowhar N, Manzoor S, Jabeen SS. A descriptive study to assess the knowledge of staff nurses regarding central line associated blood stream infections (CLABSI) with a view to develop information booklet on prevention of (CLABSI) in selected hospital of Srinagar (J&K). International Journal of Medical Science and Diagnosis Research (IJMSDR). 2018; 2(6): 63-70.

Ferrara P, Albano L. The adherence to guidelines for preventing CVC-related infections: a survey among Italian health-care workers. BMC infectious diseases. 2018 Dec; 18(1): 1-8. doi: 10.1186/s12879-018-3514-x

Bukhari SZ, Banjar A, Baghdadi SS, Baltow BA, Ashshi AM, Hussain WM. Central line associated blood stream infection rate after intervention and comparing outcome with national healthcare safety network and international nosocomial infection control consortium data. Annals of Medical and Health Sciences Research. 2014; 4(5): 682-6. doi: 10.4103/2141-9248.141499

Aloush SM, Alsaraireh FA. Nurses' compliance with central line associated blood stream infection prevention guidelines. Saudi medical journal. 2018 Mar; 39(3): 273. doi: 10.15537/smj.2018.3.21497

Alkubati SA, Ahmed NT, Mohamed ON, Fayed AM, Asfour HI. Health care workers' knowledge and practices regarding the prevention of central venous catheter-related infection. American journal of infection control. 2015 Jan; 43(1): 26-30. doi: 10.1016/j.ajic.2014.09.021

Hakko E, Guvenc S, Karaman I, Cakmak A, Erdem T, Cakmakci M. Long-term sustainability of zero central-line associated bloodstream infections is possible with high compliance with care bundle elements. EMHJ-Eastern Mediterranean Health Journal. 2015; 21(4): 293-8. doi: 10.26719/2015.21.4.293

Sadaf S, Inayat S, Afzal M, Hussain M. Nurse's knowledge and practice regarding prevention of surgical site infection at allied hospital Faisalabad.. 2018 May; 9(5): 35 International Journal of Scientific & Engineering Research. 351-69

Downloads

Published

2022-12-31
CITATION
DOI: 10.54393/tt.v3i02.60
Published: 2022-12-31

How to Cite

Yaseen, M. ., Suliman, M. ., ., A., Yaseen, M. ., Ali, S. ., & Sultan, A. . (2022). Knowledge and Compliance Regarding Central Line Associated Blood Stream Infections (CLABSIs) Prevention Among Public and Private Hospital Intensive Care Unit Nurses: Central Line Associated Blood Stream Infections. THE THERAPIST (Journal of Therapies &Amp; Rehabilitation Sciences), 3(02), 15–19. https://doi.org/10.54393/tt.v3i02.60

Issue

Section

Original Article

Plaudit