Prevention of central venous catheter infections: A survey of paediatric ICU nurses' knowledge and practice

Nurse Education Today

Volumn 34, Issue 2, 2014, Pages 202-207

  Ullman, Amanda J ^a,b   Long, Debbie A ^a,b   Rickard, Claire M ^a,c,d  

^a GRIFFITH UNIVERSITY   (Australia)

^b ROYAL CHILDREN'S HOSPITAL   (Australia)

^c ROYAL BRISBANE AND WOMEN'S HOSPITAL   (Australia)

^d PRINCESS ALEXANDRA HOSPITAL   (Australia)

Author keywords

Central venous catheters; Critical care; Evidence based practice; Knowledge; Nursing; Paediatrics

Indexed keywords

ADVERSE EFFECTS; ATTITUDE TO HEALTH; AUSTRALIA; CATHETER-RELATED INFECTIONS; CENTRAL VENOUS CATHETERIZATION; CLINICAL COMPETENCE; CROSS-SECTIONAL STUDY; FEMALE; HUMAN; INFECTION CONTROL; INTENSIVE CARE UNIT; MALE; NEW ZEALAND; NURSING; PROCEDURES; QUESTIONNAIRE;

AUSTRALIA; CATHETER-RELATED INFECTIONS; CATHETERIZATION, CENTRAL VENOUS; CLINICAL COMPETENCE; CROSS-SECTIONAL STUDIES; FEMALE; HEALTH KNOWLEDGE, ATTITUDES, PRACTICE; HUMANS; INFECTION CONTROL; INTENSIVE CARE UNITS, PEDIATRIC; MALE; NEW ZEALAND; QUESTIONNAIRES;

EID: 84891346654     PISSN: 02606917     EISSN: 15322793     Source Type: Journal    
DOI: 10.1016/j.nedt.2013.09.002     Document Type: Article

References (52)

1. Berenholtz S.M., Pronovost P., Lipsett P.A., Hobson D., Earsing K., Farley J.E., Milanovich S., Garrett-Mayer E., Winters B.D., Rubin H.R., Dorman T., Perl T. Eliminating catheter-related bloodstream infections in the intensive care unit. Crit. Care Med. 2004, 32:2014-2020.
2. Bianco A., Coscarelli P., Nobile C., Pileggi C., Pavia M. The reduction of risk in central line-associated bloodstream infections: knowledge, attitudes and evidence-based practices in health care workers. Am. J. Infect. Control. 2013, 41:107-112.
3. Bizzarro M.J., Sabo B., Noonan M., Bonfiglio M.P., Northrup V., Diefenbach K. A quality improvement initiative to reduce central line-associated bloodstream infections in a neonatal intensive care unit. Infect. Control Hosp. Epidemiol. 2010, 31:241-248. Central Venous Catheter Initiative Committee.
4. Braun B.J., Kritchevsky S.B., Wong E.S., Solomon S.L., Steele L., Richards C.L., Simmons B.P. Preventing central venous catheter-associated primary bloodstream infections: characteristics of practices among hospitals participating in the evaluation of processes and indicators in infection control (EPIC) study. Infect. Control Hosp. Epidemiol. 2003, 24:926-935.
5. Brennan M., Bahrani-Mougeot F., Fox P., Kennedy T., Hopkins S., Boucher R., Lockhart P. The role of oral microbial colonization in ventilator-associated pneumonia. Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod. 2004, 98:665-671.
6. Carrer S., Bocchi A., Bortolotti M., Braga N., Gilli G., Candini M., Tartari S. Effect of different sterile barrier precautions and central venous catheter dressing on the skin colonization around the insertion site. Minerva Anestesiol. 2005, 71:197-206.
7. Coopersmith C.M., Rebmann T.L., Zack J.E., Ward M.R., Corcoran R.M., Schallom M.E., Sona C.S., Buchman T.G., Boyle W.A., Polish L.B., Fraser V. Effect of an education program on decreasing catheter-related bloodstream infections in the surgical intensive care unit. Crit. Care Med. 2002, 30:59-64.
8. Douglas L., Aspin A., Jimmeson N., Lawrance V. Central venous access devices: review of practice. Paediatr. Nurs. 2009, 21:19-22.
9. Fields A. Discovering Statistics Using SPSS 2009, SAGE Publications, London, UK. 2nd ed.
10. Gnass S.A., Barboza L., Bilicich D., Angeloro P., Treiyer W., Gerenovero S., Basualdo J. Prevention of central venous catheter-related bloodstream infections using non-technologic strategies. Infect. Control Hosp. Epidemiol. 2004, 25:675-677.
11. Han Z., Liang S., Marschall J. Current strategies for the prevention and management of central line-associated bloodstream infections. Infect. Drug Resist. 2010, 10:147-163.
12. Harron K., Ramachandra G., Mok Q., Gilbert R. Consistency between guidelines and reported practice for reducing the risk of catheter-related infection in British paediatric intensive care units. Intensive Care Med. 2011, 37:1641-1647. on behalf of the CATCH team.
13. Hatler C., Buckwald L., Salas-Allison Z., Murphy-Taylor C. Evaluating central venous catheter care in a pediatric intensive care unit. Am. J. Crit. Care 2009, 18:514-520.
14. Humar A., Ostromecki A., Direnfeld J., Marshall J., Lazar N., Houston P., Boiteau P., Conly J. Prospective randomised trial of 10% povidone-iodine versus 0.5% tincture of chlorhexidine as cutaneous antisepsis for prevention of central venous catheter infection. Clin. Infect. Dis. 2000, 31:1001-1007.
15. Institute for Healthcare Improvement Implement the IHI Central Line Bundle 2011.
16. Jeffries H., Mason W., Brewer M., Oakes K., Munoz E., Gornick W., Flowers L., Mullen J., Gilliam C., Fustar S., Thurm C., Logsdon T., Jarvis W. Prevention of central venous catheter-associated bloodstream infections in pediatric intensive care units: a performance improvement collaborative. Infect. Control Hosp. Epidemiol. 2009, 30:645-651.
17. Kline A. Pediatric catheter-related bloodstream infections. AACN Clin. Issues 2005, 16:185-198.
18. Koutzavekiaris I., Vouloumanou E., Gourni M., Rafailidis P., Michalopoulos A., Falagas M. Knowledge and practices regarding prevention of infections associated with central venous catheters: a survey of intensive care unit medical and nursing staff. Am. J. Infect. Control. 2011, 39:542-547.
19. Krein S., Hofer T., Kowalski C., Olmsted R., Kauffman C., Forman J. Use of central venous catheter-related bloodstream infection prevention practices by US hospitals. Mayo Clin. Proc. 2007, 82:672-678.
20. Labeau S., Vereecke A., Vandijck D., Claes B., Blot S. Critical care nurses' knowledge of evidence based guidelines for preventing infections associated with central venous catheters: an evaluation questionnaire. Am. J. Crit. Care 2008, 17:65-71.
21. Labeau S., Vandijck D., Rello J., Adam S., Rosa A., Wenisch C., Agbaht K., Csomos A., Seha M., Dimopoulos G., Vandewoude K., Blot S. 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. 2009, 37:320-323. for the EVIDENCE study investigators.
22. Lakshmi K.S., Jayashree M., Singhi S., Ray P. Study of nosocomial primary bloodstream infections in a pediatric intensive care unit. J. Trop. Pediatr. 2007, 53:87-92.
23. Li S., Bizzarro M.J. Prevention of central line associated bloodstream infections in critical care units. Curr. Opin. Pediatr. 2011, 23:85-90.
24. Long D., Young J., Rickard C.M., Mitchell M. Measuring paediatric intensive care nursing knowledge in Australia and New Zealand: how the basic knowledge assessment tool for pediatric critical care nurses (PEDS-BKAT4) performs. Aust. Crit. Care 2013, 26:36-42.
25. Maki D.G., Ringer M., Alvarado C.J. Prospective randomised trial of povidone-iodine alcohol, and chlorhexidine for prevention of infection associated with central venous and arterial catheters. Lancet 1991, 338:339-343.
26. Mermel L., McCormick R., Springman S., Maki D. The pathogenesis and epidemiology of catheter-related infection with pulmonary artery Swan-Ganz catheters: a prospective study utilising molecular subtyping. Am. J. Med. 1991, 91:S197-S205.
27. Miller M.R., Griswold M., Harris J.M., Yenokyan G., Huskins W.C., Moss M., Rice T.B., Ridling D., Campbell D., Margolis P., Muething S., Brilli R.J. Decreasing PICU catheter-associated bloodstream infections: NACHRI's quality transformation efforts. Pediatrics 2010, 125:206-213.
28. Miller M.R., Niedner M.F., Huskins W.C., Colantuoni E., Yenokyan G., Moss M., Rice T.B., Ridling D., Campbell D., Brilli R.J. Reducing PICU central line-associated bloodstream infections: 3-year results. Pediatrics 2011, 128:e1077-e1083. the National Association of Children's Hospitals, Related Institutions Pediatric Intensive Care Unit Central Line-Associated Bloodstream Infection Quality Transformation Teams.
29. Mimoz O., Pieroni L., Lawrence C., Edouard A., Costa Y., Samii K., Brun-Buisson C. Prospective, randomized trial of two antiseptic solutions for prevention of central venous or arterial catheter colonization and infection in intensive care unit patients. Crit. Care Med. 1996, 24:1818-1823.
30. Morritt M., Petty S., Harrod M., Maurice L., Crisp J., Harvey A., Senner A., Hardy J., Galway R., Donnellan R. Handwashing practice and policy variability when caring for central venous catheters in paediatric intensive care. Aust. Crit. Care 2006, 19:15-21.
31. O'Grady N.P., Alexander M., Dellinger E.P., Gerberding J.L., Heard S.O., Maki D.G., Masur H., McCormick R.D., Mermel L.A., Pearson M.L., Raad I.I., Randolph A., Weinstein R.A. Guidelines for the prevention of intravascular catheter-related infections. MMWR Morbidity and Mortality Weekly Report 2002, 51:1-29.
32. O'Grady N.P., Alexander M., Burns L.A., Dellinger E.P., Garland J., O'Heard S., Lipsett P.A., Masur H., Mermel L.A., Pearson M.L., Raad I.I., Randolph A., Rupp M.E., Saint S. Guidelines for the prevention of intravascular catheter-related infections. Clin. Infect. Dis. 2011, 52:e162-e193. Healthcare Infection Control Practices Advisory Committee (HICPAC).
33. Paolucci H., Albert N. RN knowledge of vascular access devices management. J. Assoc. Vasc. Access 2011, 16:221-225.
34. Pronovost P., Sexton B. Assessing safety culture: guidelines and recommendations. Qual. Saf. Health Care 2005, 14:231-233.
35. Pronovost P., Needham D., Berenholtz S., Sinopoli D., Chu H., Cosgrove S., Sexton B., Hyzy R., Welsh R., Roth G., Bander J., Kepros J., Goeschel C. An intervention to decrease catheter-related bloodstream infections in the ICU. N. Engl. J. Med. 2006, 355:2725-2732.
36. Pronovost P., Needham D., Berenholtz S., Sinopoli D., Chu H., Cosgrove S., Sexton B., Hyzy R., Welsh R., Roth G., Bander J., Kepros J., Goeschel C. An intervention to decrease catheter-related bloodstream infections in the ICU. N. Engl. J. Med. 2006, 355:2725-2732.
37. Raad I., Hohn D., Gilbreath B., Suleiman N., Hill L., Bruso P., Marts K., Mansfield P., Bodey G. Prevention of central venous catheter-related infections by using maximal sterile barrier precautions during insertion. Infect. Control Hosp. Epidemiol. 1994, 15:231-238.
38. Raad I., Hanna H., Maki D. Intravascular catheter-related infections: advances in diagnosis, prevention, and management. Lancet 2007, 7:645-657.
39. Ramelet A.S., Gill F. A delphi study on national PICU nursing research priorities in Australia and New Zealand. Aust. Crit. Care 2012, 25:41-57. ACCCN Paediatric Intensive Care Special Interest Group.
40. Ramritu P., Halton K., Cook D., Whitby M., Graves N. Catheter-related bloodstream infections in intensive care units: a systematic review with meta-analysis. J. Adv. Nurs. 2008, 62:3-21.
41. Rello J., Koulenti D., Blot S., Sierra R., Diaz E., De Waele J., Macor A., Agbaht K., Rodriguez A. Oral care practices in intensive care units: a survey of 59 European ICUs. Intensive Care Med. 2007, 33:1066-1070.
42. Reyes J., Habash M., Taylor R. Femoral venous catheters are not associated with higher rates of infection in the pediatric critical care population. Am. J. Infect. Control. 2012, 40:43-47.
43. Richards M., Edwards J., Culver D., Gaynes R. Nosocomial infections in pediatric intensive care units in the United States. Pediatrics 1999, 103:1-7. National Nosocomial Infections Surveillance System.
44. Rickard C., Courtney M., Webster J. Central venous catheters: a survey of ICU practices. J. Adv. Nurs. 2004, 48:247-256.
45. Schwebel C., Lucet J.C., Vesin A., Arrault X., Calvino-Gunther S., Bouadma L., Timsit J.F. Economic evaluation of chlorhexidine-impregnated sponges for preventing catheter-related infections in critically ill adults in the Dressing Study. Crit. Care Med. 2012, 40:11-17.
46. Timsit J.F., Duboid Y., Minet C., Bonadona A., Lugosi M., Ara-Somohano C. New materials and devices for preventing catheter-related infections. Annals Intensive Care 2011, 1:34.
47. Vandijck D.M., Labeau S.O., Secanell M., Rello J., Blot S.I. The role of nurses working in emergency and critical care environments in the prevention of intravascular catheter-related bloodstream infections. Int. Emerg. Nurs. 2009, 17:60-68.
48. Ward D.J. The role of education in the prevention and control of infection: a review of the literature. Nurse Educ. Today 2011, 31:9-17.
49. Warren D., Zack J.E., Cox M., Cohen M., Fraser V. An educational intervention to prevent catheter-associated bloodstream infections in a nonteaching, community medical center. Crit. Care Med. 2003, 31:1959-1963.
50. Warren D., Yokoe D., Climo M., Herwaldt L., Noskin G., Zuccotti G., Tokars J., Perl T., Fraser V. Preventing catheter-associated bloodstream infections: a survey of policies for insertion and care of central venous catheters from hospitals in the prevention epicenter program. Infect. Control Epidemiol. 2006, 27:8-13.
51. World Health Organization Preventing Bloodstream Infections from Central Line Venous Catheters 2012.
52. Yamamoto A., Solomon J., Soulen M., Tang J., Parkinson K., Lin R., Schears G. Sutureless securement device reduces complications of peripherally inserted central venous catheters. J. Vasc. Interv. Radiol. 2002, 13:77-81.