Health care workers' knowledge and practices regarding the prevention of central venous catheter-related infection

Alkubati, Sameer A.; Ahmed, Nadia; Mohamed, Osama Nasr El-Deen; Fayed, Akram M.; Asfour, Hayam I.

doi:10.1016/j.ajic.2014.09.021

Cited by 36 publications

(40 citation statements)

References 26 publications

(44 reference statements)

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“…These findings are comparatively higher than the values observed in nurses in the adult ICU with knowledge of 10% [30] and of 43.4% and 26.2% [26], in ICU and outside ICUs with 37.4% and 62% [27], in ICUs and other wards with 63.9% [24], and in neonatal and pediatric ICUs with 16.7% and 71.8% [31]. In contrast, there are wide areas where the knowledge was lower, particularly regarding the agent for the skin antisepsis, since 30% did not know that hydrogen peroxide is not indicated.…”

Section: Discussioncontrasting

confidence: 53%

“…Low adherence to hand hygiene (40–72%) on the nurses’ practice toward CVC’s care has been reported in teaching and non-teaching hospital ICUs in Yemen [33] and only 26% of the sample that washed their hands successful in Mongolia [34]. Before central venous catheter insertion, only 22.5% of nurses performed hand hygiene in the ICUs in Egypt [30]. Regarding the use of chlorhexidine 2%, only 27% of the sample used it as antiseptic agent to clean the access port or needleless connectors.…”

Section: Discussionmentioning

confidence: 99%

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Knowledge, attitudes, and practice on the prevention of central line-associated bloodstream infections among nurses in oncological care: A cross-sectional study in an area of southern Italy

2017

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The objectives of the cross-sectional study were to delineate the knowledge, attitudes, and behavior among nurses regarding the prevention of central line-associated bloodstream infections (CLABSIs) and to identify their predisposing factors. A questionnaire was self-administered from September to November 2011 to nurses in oncology and outpatient chemotherapy units in 16 teaching and non-teaching public and private hospitals in the Campania region (Italy). The questionnaire gathered information on demographic and occupational characteristics; knowledge about evidence-based practices for the prevention of CLABSIs; attitudes towards guidelines, the risk of transmitting infections, and hand-washing when using central venous catheter (CVC); practices about catheter site care; and sources of information. The vast majority of the 335 nurses answered questions correctly about the main recommendations to prevent CLABSIs (use sterile gauze or sterile transparent semipermeable dressing to cover the catheter site, disinfect the needleless connectors before administer medication or fluid, disinfect with hydrogen peroxide the catheter insertion site, and use routinely anticoagulants solutions). Nurses aged 36 to 50 years were less likely to know these main recommendations to prevent CLABSIs, whereas this knowledge was higher in those who have received information about the prevention of these infections from courses. Nurses with lower education and those who do not know two of the main recommendations on the site’s care to prevent the CLABSIs, were more likely to perceive the risk of transmitting an infection. Higher education, attitude toward the utility allow to dry antiseptic, and the need of washing hands before wearing gloves for access to port infusion were predictors of performing skin antiseptic and aseptic technique for dressing the catheter insertion site. Educational interventions should be implemented to address the gaps regarding knowledge and practice regarding the prevention of CLABSIs and to ensure that nurses use evidence-based prevention interventions.

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Section: Discussioncontrasting

confidence: 53%

Section: Discussionmentioning

confidence: 99%

Knowledge, attitudes, and practice on the prevention of central line-associated bloodstream infections among nurses in oncological care: A cross-sectional study in an area of southern Italy

2017

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“…Regarding the results of this study, it can be highlighted that nursing professionals showed good/great self-reported knowledge about bundled strategies. Different findings of other study, developed in a university hospital in Alexandria, Egypt, showed low knowledge of health care professionals regarding the prevention of central venous catheters and low compliance with standard guidelines for the device (12) . Another study conducted in a neonatal ICU in Belo Horizonte, 59 catheter insertions were observed and only three procedures followed all the recommendations of the bundled strategy of catheter prevention (13) .…”

Section: Discussioncontrasting

confidence: 70%

“…Thus, the authors showed the importance of the implementation and application of a set of measures and investment in staff training to reduce CVC infection rates. Consequently, a regular scientific-based program of continuing education with a focus on nurses, residents and doctors responsible for catheter insertion and maintenance is essential and can significantly reduce CVC infection rates (2,(12)(13)(14)(15)(16) .…”

Section: Discussionmentioning

confidence: 99%

Knowledge and behavior of professionals about bundled strategies of central venous catheter

et al. 2019

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Objective: To investigate the factors that influence the knowledge and behavior of professionals of neonatal and pediatric units about bundled strategies of insertion of central venous catheter. Method: This is a cross-sectional study, conducted in one neonatal and one pediatric intensive care units in a public hospital in Belo Horizonte, Brazil, from April to July, 2016. The sample consisted of 255 professionals who answered a structured instrument. Descriptive and comparative analyses were made using the SPSS software. Results: The category nursing professional (p = 0.010), working hours of 12×36 scale (p < 0.001), training as a form of acquiring knowledge (p < 0.001) and participation in training programs (p < 0.001) are associated to greater knowledge about the bundle. Regarding behavior, no significant associations were observed. Conclusion: The study showed that there are factors that influence the knowledge about bundled strategies of insertion of central venous catheter, reflecting the need to consider these practices for making more effective educational practices in health care.

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“…The infection usually occurs in indwelling devices following three possible routes, namely bacterial colonization onto the outer/inner catheter surface, bloodstream or urethral fluids infection, and skin exit site infection (Alkubati et al 2015). Despite the high rates of CRIs, these have been considered to be preventable nosocomial infections since various practices as easy-to-perform rules for hygiene viz.…”

Section: Introductionmentioning

confidence: 99%

Antimicrobial lubricant formulations containing poly(hydroxybenzene)-trimethoprim conjugates synthesized by tyrosinase

Gonçalves

Botelho

Teixeira

et al. 2015

Appl Microbiol Biotechnol

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Poly(hydroxybenzene)-trimethoprim conjugates were prepared using methylparaben as substrate of the oxidative enzyme tyrosinase. MALDI-TOF MS analysis showed that the enzymatic oxidation of methylparaben alone leads to the poly(hydroxybenzene) formation. In the presence of trimethoprim, the methylparaben tyrosinase oxidation leads poly(hydroxybenzene)-trimethoprim conjugates. All of these compounds were incorporated into lubricant hydroxyethyl cellulose/glycerol mixtures. Poly(hydroxybenzene)-trimethoprim conjugates were the most effective phenolic structures against the bacterial growth reducing by 96 and 97% of Escherichia coli and Staphylococcus epidermidis suspensions, respectively (after 24 h). A novel enzymatic strategy to produce antimicrobial poly(hydroxybenzene)-antibiotic conjugates is proposed here for a wide range of applications on the biomedical field.

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Health care workers' knowledge and practices regarding the prevention of central venous catheter-related infection

Cited by 36 publications

References 26 publications

Knowledge, attitudes, and practice on the prevention of central line-associated bloodstream infections among nurses in oncological care: A cross-sectional study in an area of southern Italy

Knowledge, attitudes, and practice on the prevention of central line-associated bloodstream infections among nurses in oncological care: A cross-sectional study in an area of southern Italy

Knowledge and behavior of professionals about bundled strategies of central venous catheter

Antimicrobial lubricant formulations containing poly(hydroxybenzene)-trimethoprim conjugates synthesized by tyrosinase

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