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

被引：10

作者：

Devrim, Ilker ^{[1
]}

Erdem, Hakan ^{[2
]}

El-Kholy, Amani ^{[3
]}

Almohaizeie, Abdullah ^{[4
]}

Logar, Mateja ^{[5
]}

Rahimi, Bilal Ahmad ^{[6
]}

Amer, Fatma ^{[7
]}

Alkan-Ceviker, Sevil ^{[8
]}

Sonmezer, Meliha Cagla ^{[9
]}

Belitova, Maya ^{[10
]}

Al-Ramahi, Jamal Wadi ^{[11
]}

Pshenichnaya, Natalia ^{[12
]}

Gad, Maha Ali ^{[13
]}

Santos, Lurdes ^{[14
]}

Khedr, Reham ^{[15
]}

Hassan, Abdullahi Nur ^{[16
]}

Boncuoglu, Elif ^{[1
]}

Cortegiani, Andrea ^{[17
,18
]}

Marino, Andrea ^{[19
]}

Liskova, Anna ^{[20
]}

Hakamifard, Atousa ^{[21
]}

Popescu, Corneliu Petru ^{[22
]}

Khan, Mumtaz Ali ^{[23
]}

Marinova, Ralitsa ^{[24
]}

Petrov, Nikolaj ^{[24
]}

Nsutebu, Emmanuel ^{[25
]}

Shehata, Ghaydaa ^{[26
]}

Tehrani, Hamed Azhdari ^{[27
]}

Alay, Handan ^{[28
]}

Marekovic, Ivana ^{[29
]}

Zajkowska, Joanna ^{[30
]}

Konkayev, Aidos ^{[31
]}

Ramadan, Manar Ezzelarab ^{[32
]}

Pagani, Michele ^{[33
]}

Agin, Hasan ^{[34
]}

Tattevin, Pierre ^{[35
]}

El-Sokkary, Rehab ^{[36
]}

Ripon, Rezaul Karim ^{[37
]}

Fernandez, Ricardo ^{[38
]}

Del Vecchio, Rosa Fontana ^{[39
]}

Popescu, Simona Daniela ^{[40
]}

Kanj, Souha ^{[41
]}

机构：

[1] Dr Behcet Uz Childrens Hosp, Pediat Infect Dis Dept, Izmir, Turkey

[2] King Hamad Univ Hosp, Bahrain Oncol Ctr, Dept Infect Dis, Busaiteen, Bahrain

[3] Cairo Univ, Fac Med, Dept Clin Pathol, Giza, Egypt

[4] King Faisal Specialist Hosp Specialist Hosp & Res, Pharmaceut Care Div, Riyadh, Saudi Arabia

[5] UMC Ljubljana, Dept Infect Dis, Ljubljana, Slovenia

[6] Kandahar Univ, Teaching Hosp, Dept Infect Dis, Fac Med, Kandahar, Afghanistan

[7] Zagazig Univ, Fac Med, Dept Med Microbiol & Immunol, Zagazig, Egypt

[8] Onsekiz Mart Univ, Med Fac Hosp, Dept Infect Dis & Clin Microbiol, Canakkale, Turkey

[9] Hacettepe Univ, Sch Med, Dept Infect Dis & Clin Microbiol, Ankara, Turkey

[10] EAD, Univ Hosp Queen Giovanna ISUL, Dept Anesthesiol & Intens Care, Sofia, Bulgaria

[11] Univ Jordan, Sch Med, Dept Infect Dis, Amman, Jordan

[12] Cent Res Inst Epidemiol, Moscow, Russia

[13] Cairo Univ, Fac Med, Clin & Chem Pathol Dept, Cairo, Egypt

[14] Ctr Hosp Univ Sao Joao, Infect Dis Intens Care Unit, Porto, Portugal

[15] Cairo Univ, Children Canc Hosp Egypt, Natl Canc Inst, Dept Pediat Oncol, Cairo, Egypt

[16] Algomed Hosp, Dept Infect Dis & Clin Microbiol, Adana, Turkey

[17] Univ Palermo, Dept Surg Oncol & Oral Sci Di Chir On S, Palermo, Italy

[18] Policlin Paolo Giaccone, Dept Anesthesia Intens Care & Emergency, Palermo, Italy

[19] Garibaldi Nesima Hosp, Dept Infect Dis, Catania, Italy

[20] St Elisabeth Univ Hlth Care & Social Work, Hosp Nitra, Bratislava, Slovakia

[21] Shahid Beheshti Univ Med Sci, Infect Dis & Trop Med Res Ctr, Tehran, Iran

[22] Dr Victor Babes Clin Hosp Infect & Trop Dis, Bucharest, Romania

[23] Natl Inst Hlth, Islamabad, Pakistan

[24] Mil Med Acad, Sofia, Bulgaria

[25] Sheikh Shakhbout Med City, Infect Dis Div, Abu Dhabi, U Arab Emirates

[26] Assiut Univ, Dept Neurol, Assiut, Egypt

[27] Shahid Beheshti Univ Med Sci, Dept Hematol & Med Oncol, Tehran, Iran

[28] Ataturk Univ, Fac Med, Dept Infect Dis & Clin Microbiol, Erzurum, Turkey

[29] Univ Hosp Ctr Zagreb, Dept Clin & Mol Microbiol, Zagreb, Croatia

[30] Univ Teaching Hosp, Bialystok, Poland

[31] Astana Med Univ, Inst Trauma & Orthoped, Nur Sultan, Kazakhstan

[32] Suez Univ, Fac Med, Med Parasitol, Suez, Egypt

[33] Fdn IRCCS Policlin San Matteo, UOC Anestesia & Rianimaz 1, Pavia, Italy

[34] Dr Behcet Uz Childrens Hosp, Pediat Intens Care Unit, Izmir, Turkey

[35] Univ Hosp Pontchaillou, Dept Infect & Trop Dis, Rennes, France

[36] Zagazig Univ, Dept Med Microbiol & Immunol, Fac Med, Zagazig, Egypt

[37] Jahangirnagar Univ, Dept Publ Hlth & Informat, Savar, Dhaka, Bangladesh

[38] Hosp Municipal San Juan, San Juan, PR USA

[39] Umberto I Hosp, Infect Dis Unit, Siracusa, Italy

[40] Elias Emergency Univ Hosp, Bucharest, Romania

[41] Amer Univ Beirut, Med Ctr, Beirut, Lebanon

来源：

AMERICAN JOURNAL OF INFECTION CONTROL | 2022年 / 50卷 / 12期

关键词：

CLABSI; Central line; Bundle; Sepsis; Catheter; Infection; INTENSIVE-CARE UNITS; VENOUS ACCESS DEVICES; MANAGEMENT; INFUSION; IMPACT; RATES;

D O I：

10.1016/j.ajic.2022.02.031

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

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 bun-dle. Twenty ICUs (23.5%) had no dedicated checklist. The percentage of using ultrasonography during cathe-ter 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. (c) 2022 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

引用

页码：1327 / 1332

页数：6

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