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

Ilker Devrim; Hakan Erdem; Amani El-Kholy; Abdullah Almohaizeie; Mateja Logar; Bilal Ahmad Rahimi; Fatma Amer; Sevil Alkan-Ceviker; Meliha Cagla Sonmezer; Maya Belitova; Jamal Wadi Al-Ramahi; Natalia Pshenichnaya; Maha Ali Gad; Lurdes Santos; Reham Khedr; Abdullahi Nur Hassan; Elif Boncuoglu; Andrea Cortegiani; Andrea Marino; Anna Liskova; Atousa Hakamifard; Corneliu Petru Popescu; Mumtaz Ali Khan; Ralitsa Marinova; Nikolaj Petrov; Emmanuel Nsutebu; Ghaydaa Shehata; Hamed Azhdari Tehrani; Handan Alay; Ivana Mareković; Joanna Zajkowska; Aidos Konkayev; Manar Ezzelarab Ramadan; Michele Pagani; Hasan Agin; Pierre Tattevin; Rehab El-Sokkary; Rezaul Karim Ripon; Ricardo Fernandez; Rosa Fontana Del Vecchio; Simona Daniela Popescu; Souha Kanj

doi:10.1016/j.ajic.2022.02.031

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

Ilker Devrim
, Hakan Erdem
, Amani El-Kholy
, Abdullah Almohaizeie
, Mateja Logar
, Bilal Ahmad Rahimi
, Fatma Amer
, Sevil Alkan-Ceviker
, Meliha Cagla Sonmezer
, Maya Belitova
, Jamal Wadi Al-Ramahi
, Natalia Pshenichnaya
, Maha Ali Gad
, Lurdes Santos
, Reham Khedr
, Abdullahi Nur Hassan
, Elif Boncuoglu
, Andrea Cortegiani
, Andrea Marino
, Anna Liskova

Atousa Hakamifard, Corneliu Petru Popescu, Mumtaz Ali Khan, Ralitsa Marinova, Nikolaj Petrov, Emmanuel Nsutebu, Ghaydaa Shehata, Hamed Azhdari Tehrani, Handan Alay, Ivana Mareković, Joanna Zajkowska, Aidos Konkayev, Manar Ezzelarab Ramadan, Michele Pagani, Hasan Agin, Pierre Tattevin, Rehab El-Sokkary, Rezaul Karim Ripon, Ricardo Fernandez, Rosa Fontana Del Vecchio, Simona Daniela Popescu, Souha Kanj

Dr. Behçet Uz Children's Hospital
King Hamad University Hospital
Cairo University
King Faisal Specialist Hospital and Research Centre
University of Ljubljana
Kandahar University
Zagazig University
Canakkale Onsekiz Mart University
Hacettepe University
University Hospital 'Queen Giovanna'
University of Jordan
Central Research Institute of Epidemiology
Centro Hospitalar Universitário de São João
Children's Cancer Hospital 57357
Algomed Hospital
University of Palermo
Garibaldi Nesima Hospital
St. Elisabeth University of Health Care and Social Work
Shahid Beheshti University of Medical Sciences
Victor Babes National Institute
Ministry of National Health Services, Regulations and Coordination
Military Medical Academy, Sofia
Assiut University
Ataturk University
University of Zagreb
University Teaching Hospital
Astana Medical University
Faculty of Medicine
IRCCS Fondazione Policlinico San Matteo - Pavia
CHU de Rennes
Jahangirnagar University
Hospital Municipal de San Juan
Umberto I Hospital
Carol Davila University of Medicine and Pharmacy
American University of Beirut

Research output: Contribution to journal › Article › peer-review

12 Scopus citations

Abstract

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.

Original language	English
Pages (from-to)	1327-1332
Number of pages	6
Journal	American Journal of Infection Control
Volume	50
Issue number	12
DOIs	https://doi.org/10.1016/j.ajic.2022.02.031
State	Published - Dec 2022

Keywords

Bundle
CLABSI
Catheter
Central line
Infection
Sepsis

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10.1016/j.ajic.2022.02.031

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Devrim, I., Erdem, H., El-Kholy, A., Almohaizeie, A., Logar, M., Rahimi, B. A., Amer, F., Alkan-Ceviker, S., Sonmezer, M. C., Belitova, M., Al-Ramahi, J. W., Pshenichnaya, N., Gad, M. A., Santos, L., Khedr, R., Hassan, A. N., Boncuoglu, E., Cortegiani, A., Marino, A., ... Kanj, S. (2022). Analyzing central-line associated bloodstream infection prevention bundles in 22 countries: The results of ID-IRI survey. American Journal of Infection Control, 50(12), 1327-1332. https://doi.org/10.1016/j.ajic.2022.02.031

@article{08df8ca7f8984625b4b9baa233c2cac8,

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

abstract = "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.",

keywords = "Bundle, CLABSI, Catheter, Central line, Infection, Sepsis",

author = "Ilker Devrim and Hakan Erdem and Amani El-Kholy and Abdullah Almohaizeie and Mateja Logar and Rahimi, \{Bilal Ahmad\} and Fatma Amer and Sevil Alkan-Ceviker and Sonmezer, \{Meliha Cagla\} and Maya Belitova and Al-Ramahi, \{Jamal Wadi\} and Natalia Pshenichnaya and Gad, \{Maha Ali\} and Lurdes Santos and Reham Khedr and Hassan, \{Abdullahi Nur\} and Elif Boncuoglu and Andrea Cortegiani and Andrea Marino and Anna Liskova and Atousa Hakamifard and Popescu, \{Corneliu Petru\} and Khan, \{Mumtaz Ali\} and Ralitsa Marinova and Nikolaj Petrov and Emmanuel Nsutebu and Ghaydaa Shehata and Tehrani, \{Hamed Azhdari\} and Handan Alay and Ivana Marekovi{\'c} and Joanna Zajkowska and Aidos Konkayev and Ramadan, \{Manar Ezzelarab\} and Michele Pagani and Hasan Agin and Pierre Tattevin and Rehab El-Sokkary and Ripon, \{Rezaul Karim\} and Ricardo Fernandez and Vecchio, \{Rosa Fontana Del\} and Popescu, \{Simona Daniela\} and Souha Kanj",

note = "Publisher Copyright: {\textcopyright} 2022 Association for Professionals in Infection Control and Epidemiology, Inc.",

year = "2022",

month = dec,

doi = "10.1016/j.ajic.2022.02.031",

language = "English",

volume = "50",

pages = "1327--1332",

journal = "American Journal of Infection Control",

issn = "0196-6553",

publisher = "Elsevier Inc.",

number = "12",

}

Devrim, I, Erdem, H, El-Kholy, A, Almohaizeie, A, Logar, M, Rahimi, BA, Amer, F, Alkan-Ceviker, S, Sonmezer, MC, Belitova, M, Al-Ramahi, JW, Pshenichnaya, N, Gad, MA, Santos, L, Khedr, R, Hassan, AN, Boncuoglu, E, Cortegiani, A, Marino, A, Liskova, A, Hakamifard, A, Popescu, CP, Khan, MA, Marinova, R, Petrov, N, Nsutebu, E, Shehata, G, Tehrani, HA, Alay, H, Mareković, I, Zajkowska, J, Konkayev, A, Ramadan, ME, Pagani, M, Agin, H, Tattevin, P, El-Sokkary, R, Ripon, RK, Fernandez, R, Vecchio, RFD, Popescu, SD & Kanj, S 2022, 'Analyzing central-line associated bloodstream infection prevention bundles in 22 countries: The results of ID-IRI survey', American Journal of Infection Control, vol. 50, no. 12, pp. 1327-1332. https://doi.org/10.1016/j.ajic.2022.02.031

TY - JOUR

T1 - Analyzing central-line associated bloodstream infection prevention bundles in 22 countries

T2 - The results of ID-IRI survey

AU - Devrim, Ilker

AU - Erdem, Hakan

AU - El-Kholy, Amani

AU - Almohaizeie, Abdullah

AU - Logar, Mateja

AU - Rahimi, Bilal Ahmad

AU - Amer, Fatma

AU - Alkan-Ceviker, Sevil

AU - Sonmezer, Meliha Cagla

AU - Belitova, Maya

AU - Al-Ramahi, Jamal Wadi

AU - Pshenichnaya, Natalia

AU - Gad, Maha Ali

AU - Santos, Lurdes

AU - Khedr, Reham

AU - Hassan, Abdullahi Nur

AU - Boncuoglu, Elif

AU - Cortegiani, Andrea

AU - Marino, Andrea

AU - Liskova, Anna

AU - Hakamifard, Atousa

AU - Popescu, Corneliu Petru

AU - Khan, Mumtaz Ali

AU - Marinova, Ralitsa

AU - Petrov, Nikolaj

AU - Nsutebu, Emmanuel

AU - Shehata, Ghaydaa

AU - Tehrani, Hamed Azhdari

AU - Alay, Handan

AU - Mareković, Ivana

AU - Zajkowska, Joanna

AU - Konkayev, Aidos

AU - Ramadan, Manar Ezzelarab

AU - Pagani, Michele

AU - Agin, Hasan

AU - Tattevin, Pierre

AU - El-Sokkary, Rehab

AU - Ripon, Rezaul Karim

AU - Fernandez, Ricardo

AU - Vecchio, Rosa Fontana Del

AU - Popescu, Simona Daniela

AU - Kanj, Souha

PY - 2022/12

Y1 - 2022/12

N2 - 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.

AB - 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.

KW - Bundle

KW - CLABSI

KW - Catheter

KW - Central line

KW - Infection

KW - Sepsis

UR - https://www.scopus.com/pages/publications/85127358025

U2 - 10.1016/j.ajic.2022.02.031

DO - 10.1016/j.ajic.2022.02.031

M3 - Article

C2 - 35263612

AN - SCOPUS:85127358025

SN - 0196-6553

VL - 50

SP - 1327

EP - 1332

JO - American Journal of Infection Control

JF - American Journal of Infection Control

IS - 12

ER -

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

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Keywords

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