Skip to main content
SpringerLink
Log in

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

  • Article
  • Published:
European Journal of Clinical Microbiology & Infectious Diseases Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Pronovost P, Needham D, Berenholtz S, Sinopoli D, Chu H, Cosgrove S et al (2006) An intervention to decrease catheter-related bloodstream infections in the ICU. N Engl J Med 355(26):2725–2732

    Article  PubMed  CAS  Google Scholar 

  2. Vandijck DM, Labeau SO, Brusselaers N, De Wandel D, Vogelaers DP, Blot SI (2009) Impact of a prevention strategy targeting hand hygiene and catheter care on the incidence of catheter-related bloodstream infections. Crit Care Med 37(11):2998–2999, author reply 2999

    Article  PubMed  Google Scholar 

  3. Zingg W, Imhof A, Maggiorini M, Stocker R, Keller E, Ruef C (2009) Impact of a prevention strategy targeting hand hygiene and catheter care on the incidence of catheter-related bloodstream infections. Crit Care Med 37(7):2167–2173, quiz 2180

    Article  PubMed  Google Scholar 

  4. Richards MJ, Edwards JR, Culver DH, Gaynes RP (1999) Nosocomial infections in medical intensive care units in the United States. National Nosocomial Infections Surveillance System. Crit Care Med 27(5):887–892

    Article  PubMed  CAS  Google Scholar 

  5. Richards MJ, Edwards JR, Culver DH, Gaynes RP (2000) Nosocomial infections in combined medical-surgical intensive care units in the United States. Infect Control Hosp Epidemiol 21(8):510–515

    Article  PubMed  CAS  Google Scholar 

  6. Pérez Parra A, Cruz Menárguez M, Pérez Granda MJ, Tomey MJ, Padilla B, Bouza E (2010) A simple educational intervention to decrease incidence of central line-associated bloodstream infection (CLABSI) in intensive care units with low baseline incidence of CLABSI. Infect Control Hosp Epidemiol 31(9):964–967

    Article  PubMed  Google Scholar 

  7. Labeau SO, Vandijck DM, Rello J, Adam S, Rosa A, Wenisch C et al (2009) Centers for Disease Control and Prevention guidelines for preventing central venous catheter-related infection: results of a knowledge test among 3405 European intensive care nurses. Crit Care Med 37(1):320–323

    Article  PubMed  Google Scholar 

  8. Esteve F, Pujol M, Ariza J, Gudiol F, Verdaguer R, Cisnal M et al (2009) Impact of a prevention program for catheter-related bloodstream infection in the intensive care unit of a tertiary hospital. Enferm Infecc Microbiol Clin 27(10):561–565

    Article  PubMed  Google Scholar 

  9. Kilbride HW, Powers R, Wirtschafter DD, Sheehan MB, Charsha DS, LaCorte M et al (2003) Evaluation and development of potentially better practices to prevent neonatal nosocomial bacteremia. Pediatrics 111(4 Pt 2):e504–e518

    PubMed  Google Scholar 

  10. Peredo R, Sabatier C, Villagrá A, González J, Hernández C, Pérez F et al (2010) Reduction in catheter-related bloodstream infections in critically ill patients through a multiple system intervention. Eur J Clin Microbiol Infect Dis 29(9):1173–1177

    Article  PubMed  CAS  Google Scholar 

  11. Marra AR, Cal RG, Durão MS, Correa L, Guastelli LR, Moura DF Jr et al (2010) Impact of a program to prevent central line-associated bloodstream infection in the zero tolerance era. Am J Infect Control 38(6):434–439

    Article  PubMed  Google Scholar 

  12. Sannoh S, Clones B, Munoz J, Montecalvo M, Parvez B (2010) A multimodal approach to central venous catheter hub care can decrease catheter-related bloodstream infection. Am J Infect Control 38(6):424–429

    Article  PubMed  Google Scholar 

  13. O’Grady NP, Alexander M, Burns LA, Dellinger EP, Garland J, Heard SO et al (2011) Guidelines for the prevention of intravascular catheter-related infections. Am J Infect Control 39(4 Suppl 1):S1–S34

    Article  PubMed  Google Scholar 

  14. Kilbride HW, Wirtschafter DD, Powers RJ, Sheehan MB (2003) Implementation of evidence-based potentially better practices to decrease nosocomial infections. Pediatrics 111(4 Pt 2):e519–e533

    PubMed  Google Scholar 

  15. Andersen C, Hart J, Vemgal P, Harrison C (2005) Prospective evaluation of a multi-factorial prevention strategy on the impact of nosocomial infection in very-low-birthweight infants. J Hosp Infect 61(2):162–167

    Article  PubMed  CAS  Google Scholar 

  16. Camara D (2001) Minimizing risks associated with peripherally inserted central catheters in the NICU. MCN Am J Matern Child Nurs 26(1):17–21, quiz 22

    Article  PubMed  CAS  Google Scholar 

  17. Ahmed SS, McCaskey MS, Bringman S, Eigen H (2012) Catheter-associated bloodstream infection in the pediatric intensive care unit: a multidisciplinary approach. Pediatr Crit Care Med 13(2):e69–e72

    Article  PubMed  Google Scholar 

  18. Schulman J, Stricof R, Stevens TP, Horgan M, Gase K, Holzman IR et al (2011) Statewide NICU central-line-associated bloodstream infection rates decline after bundles and checklists. Pediatrics 127(3):436–444.

    Article  PubMed  Google Scholar 

  19. Csomós A, Orbán E, Konczné Réti R, Vass E, Darvas K (2008) Intensive care nurses’ knowledge about the evidence-based guidelines of preventing central venous catheter related infection. Orv Hetil 149(20):929–934

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

We thank the members of the “GEIDI” Group for their contribution to the work: José Eugenio Guerrero, Milagros Sancho, Braulio de la Calle, Carlos Sotillo, Guiomar Sánchez, Esther Bermejo López, Lorenzo Fernández Quero, Ana Lajara, Isabel Frías, Carmen Heras, María Jesús Pérez, José Maria Barrio, Alejandro Garrido Sanchez, Patricia Muñoz, Marta Rodríguez-Créixems, Mar Santos, Eduardo Verde, Fernando González García, Emilia Bastida, Maite López Gil, Teresa Blanco, Cristina Cuerda, Laura Frías, José María Tellado, Antonio Echenagusia, Fernando Camúñez, Gracia Rodríguez Rosales, Gonzalo Simó, Mikel Echenagusia, Sonia Zamorano Caballero, Ana Barrientos Guerrero, Abilio Calderón Martín, Carmen Flores Sánchez, Mª Jesús Ruano Sta. Engracia, Esperanza Arranz García, Mª Ana Luna Caballero, Mar San Segundo Sánchez, Amelia V. Fernández Alonso, Mª Nieves Moro Tejedor.

We thank Thomas O’Boyle for his help in the preparation of the manuscript and Juan José Granizo for the statistical analysis.

Funding

This study was partially financed by grants from Fondo de Investigaciones Sanitarias (FIS/PI0790780).

Conflict of interest

The authors declare no conflicts of interest.

Author information

Authors and Affiliations

  1. Department of Clinical Microbiology and Infectious Diseases, Hospital General Universitario Gregorio Marañón, Universidad Complutense, C/. Dr. Esquerdo 46, 28007, Madrid, Spain

    M. Guembe, A. Pérez-Parra, B. Padilla, P. Martín-Rabadán & E. Bouza

  2. Red Española de Investigación en Patología Infecciosa (REIPI), RD06/0008/1025, Madrid, Spain

    P. Martín-Rabadán & E. Bouza

  3. Neonatal Intensive Care Unit, Hospital General Universitario Gregorio Marañón, Universidad Complutense, Madrid, Spain

    M. Sánchez-Luna, E. Zamora & A. Cuenca

  4. Pediatric Intensive Care Unit, Hospital General Universitario Gregorio Marañón, Universidad Complutense, Madrid, Spain

    E. Gómez, A. Bustinza & A. Carrillo-Álvarez

  5. Servicio de Microbiología Clínica y Enfermedades Infecciosas, Hospital General Universitario “Gregorio Marañón”, C/. Dr. Esquerdo 46, 28007, Madrid, Spain

    M. Guembe

Authors
  1. M. Guembe
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. A. Pérez-Parra
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. E. Gómez
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. M. Sánchez-Luna
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. A. Bustinza
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. E. Zamora
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. A. Carrillo-Álvarez
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. A. Cuenca
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. B. Padilla
    View author publications

    You can also search for this author in PubMed Google Scholar

  10. P. Martín-Rabadán
    View author publications

    You can also search for this author in PubMed Google Scholar

  11. E. Bouza
    View author publications

    You can also search for this author in PubMed Google Scholar

Consortia

on behalf of the GEIDI Study Group

Corresponding author

Correspondence to M. Guembe.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Guembe, M., Pérez-Parra, A., Gómez, E. et al. Impact on knowledge and practice of an intervention to control catheter infection in the ICU. Eur J Clin Microbiol Infect Dis 31, 2799–2808 (2012). https://doi.org/10.1007/s10096-012-1630-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10096-012-1630-x

Keywords

Search

Navigation