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

Ilker Devrim 1, * Hakan Erdem Amani El-Kholy 2 Abdullah Almohaizeie Mateja Logar 3 Bilal Ahmad Rahimi Fatma Amer 4 Sevil Alkan-Ceviker 5 Meliha Cagla Sonmezer 6 Maya Belitova Jamal Wadi Al-Ramahi 7 Natalia Pshenichnaya 8 Maha Ali Gad Lurdes Santos 9 Reham Khedr 2 Abdullahi Nur Hassan Elif Boncuoglu Andrea Cortegiani 10 Andrea Marino Anna Liskova Atousa Hakamifard 11 Corneliu Petru Popescu Mumtaz Ali Khan Ralitsa Marinova 12 Nikolaj Petrov 12 Emmanuel Nsutebu Ghaydaa Shehata 13 Hamed Azhdari Tehrani 11 Handan Alay 14 Ivana Mareković Joanna Zajkowska Aidos Konkayev Manar Ezzelarab Ramadan 15 Michele Pagani 16 Hasan Agin Pierre Tattevin 17, 18 Rehab El-Sokkary Rezaul Karim Ripon Ricardo Fernandez Rosa Fontana Del Vecchio Simona Daniela Popescu Souha Kanj 19 
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.
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Submitted on : Tuesday, April 12, 2022 - 1:12:33 PM
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Ilker Devrim, Hakan Erdem, Amani El-Kholy, Abdullah Almohaizeie, Mateja Logar, et al.. Analyzing central-line associated bloodstream infection prevention bundles in 22 countries: The results of ID-IRI survey. American Journal of Infection Control, Elsevier, 2022, ⟨10.1016/j.ajic.2022.02.031⟩. ⟨hal-03632313⟩



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