6533b856fe1ef96bd12b1e17
RESEARCH PRODUCT
Analyzing central-line associated bloodstream infection prevention bundles in 22 countries: The results of ID-IRI survey
Ilker DevrimHakan ErdemAmani El-kholyAbdullah AlmohaizeieMateja LogarBilal Ahmad RahimiFatma AmerSevil Alkan-cevikerMeliha Cagla SonmezerMaya BelitovaJamal Wadi Al-ramahiNatalia PshenichnayaMaha Ali GadLurdes SantosReham KhedrAbdullahi Nur HassanElif BoncuogluAndrea CortegianiAndrea MarinoAnna LiskovaAtousa HakamifardCorneliu Petru PopescuMumtaz Ali KhanRalitsa MarinovaNikolaj PetrovEmmanuel NsutebuGhaydaa ShehataHamed Azhdari TehraniHandan AlayIvana MarekovićJoanna ZajkowskaAidos KonkayevManar Ezzelarab RamadanMichele PaganiHasan AginPierre TattevinRehab El-sokkaryRezaul Karim RiponRicardo FernandezRosa Fontana Del VecchioSimona Daniela PopescuSouha Kanjsubject
CatheterInfection ControlCatheterization Central VenousCross InfectionEpidemiologyHealth PolicyPublic Health Environmental and Occupational HealthBundle ; CLABSI ; Catheter ; Central line ; Infection ; SepsisBundleCLABSIIntensive Care UnitsInfectious Diseases[SDV.MHEP.MI]Life Sciences [q-bio]/Human health and pathology/Infectious diseasesCatheter-Related InfectionsSurveys and QuestionnairesSepsisCentral lineHumansCentral Venous CathetersInfectionPatient Care Bundlesdescription
International audience; 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.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2022-03-07 |