Impact on knowledge and practice of an intervention to control catheter infection in the ICU

Abstract

Information on the impact of care bundles has been mainly acquired in adult intensive care units (ICUs). However, specific data for educational programs are scarce. Our objective was to analyze the impact of an educational program on the knowledge and prevention of catheter-related bloodstream infection (CRBSI) in two pediatric intensive care units (P-ICUs). A prospective study was carried out at a large teaching institution in Madrid, Spain. Healthcare workers' (HCWs) knowledge of guidelines for the prevention of CRBSI was assessed before and after the educational program using a questionnaire covering 12 issues. A 20-min program was offered to all HCWs on each ICU shift. The incidence density of CRBSI was assessed before, during, and after the educational program. A total of 174 questionnaires were completed by HCWs from both the neonatal ICU (N-ICU) and the P-ICU before the intervention and 54 were completed after the intervention (120 participants were not present during this period). The incidence density of CRBSI before, during, and after the intervention was 6.2, 5.2, and 9.3 in the N-ICU and 2.2, 3.1, and 2.9 in the P-ICU (p > 0.05). A single 20-min educational intervention on the prevention of CRBSI significantly improved HCWs' knowledge, but was not enough to reduce the incidence density of CRBSI.

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

“…This finding is similar to those reported in developed countries, where the health care workers' knowledge about CVC-RI prevention guidelines was generally low. [10][11][12][20][21][22][23] The results of the present study are also consistent with other studies carried out in Egypt. 14,24 El-Nemr et al 14 recently found that health care workers' knowledge on the prevention of CVC infection in surgical and emergency ICUs in Al-Zagazig was approximately one third or less.…”

“…All previous studies recommended the need for involving the current evidence-based practice (EBP) guidelines in educational curricula and providing continuous educational programs for health care workers to help them in improving their knowledge. 10,11,[20][21][22][23] The mean of the total knowledge about prevention of CVC-RI was not significantly different between physicians and nurses in the present study, which was consistent with the results of another study conducted in Spain by Guembe et al 13 However, there was a significant difference between the knowledge of physicians and nurses of the pathophysiology of CVC-RI item, which was higher for the physicians. This result can be explained by the fact that nurses were not interested in learning how CVC-RIs occur because it is not their responsibility.…”

“…Previous studies also revealed high percentages of knowledge of frequent changes of CVCs ranging from 40%-76%. 10,13,20,21 The highest percentages of knowledge about this item could be explained by the fact that CVCs were changed only when indicated without determining the time of change in the intended ICUs.…”

Innovative Strategies for Preventing Central-Line Associated Infections

“…Other authors, who performed a pre-post interventional study by using an educational module, showed reduction in CRBSI rates by 66 % [27,32]. In contrast, in a previous study of our group, we were not able to demonstrate the beneficial effect of the implementation of a single lecture in pediatric and neonatal ICUs [33].…”

Strategies to Prevent Central Line–Associated Bloodstream Infections in Acute Care Hospitals: 2014 Update

“…61,232 D. Other educational job aides should be readily accessible in the clinical setting for quick reminders and reinforcement of the appropriate procedures. This includes but is not limited to facility policies and procedures, posters, fact sheets, small pocket cards, e-mail messages, and messages via computer screen savers.…”