Knowledge, Attitude and Practice among Nurses Regarding Prevention of Central Line Associated Bloodstream Infection in Tertiary Care Hospital of Peshawar: Prevention of Central Line Associated Bloodstream Infections

Mudassir Khan; Imran Waheed Ahmad; Mehwish Waheed; Haseena Tahir; Khush Hurain; . Monica

doi:10.54393/pjhs.v5i04.1409

Authors

Mudassir Khan Institute of Nursing Sciences, Khyber Medical University, Peshawar, Pakistan
Imran Waheed Ahmad Institute of Nursing Sciences, Khyber Medical University, Peshawar, Pakistan
Mehwish Waheed Institute of Nursing Sciences, Khyber Medical University, Peshawar, Pakistan
Haseena Tahir Institute of Nursing Sciences, Khyber Medical University, Peshawar, Pakistan
Khush Hurain Institute of Nursing Sciences, Khyber Medical University, Peshawar, Pakistan
. Monica Institute of Nursing Sciences, Khyber Medical University, Peshawar, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v5i04.1409

Keywords:

Central line-associated bloodstream infections, Nurse Education, Central Venous Catheters, Healthcare Associated Infections

Abstract

Healthcare Associated Infections (HAIs), particularly Central Line-Associated Bloodstream Infections (CLABSIs), remain a significant global public health concern. CLABSIs, associated with catheter use, pose critical challenges in critical care and cancer treatment settings, necessitating evidence-based measures for prevention. Objective: To assess the knowledge, attitude and practice of nurses regarding prevention of central line associated bloodstream infection in tertiary care hospital of Peshawar. Methods: This conducted study possessed a cross sectional study design with a random sample of 173 nurses who were presently working or had worked in ICUs of the hospital. Data were collected through a self-administered questionnaire. Data analysis was performed on SPSS version 22.0. Results: 45% of nurses demonstrated good knowledge with mean score of 12.35 and standard deviation of ± 1.45, positive attitudes were observed in 74% with mean score of 33.7 and standard deviation of ±2.1 and good practices in 80% of participants with mean score of 40.5 and standard deviation of 1.45 observe. Conclusions: This study clearly indicated that majority of the nurses (54.9%) have poor knowledge regarding CLABSI. Despite of the poor knowledge level most nurses (74%) followed standard practice. Interestingly, greater number of nurses (85%) were found to have positive attitude towards CLABSI.

References

Sham F, Sulaiman NH, Seman A, Shohor NA, Mun CY. Intensive care nurses'knowledge, practice and attitude in prevention of central line-associated bloodstream infection (CLABSI). Journal of Health and Translational Medicine (JUMMEC). 2023 Sep: 102-10. doi: 10.22452/jummec.sp2023no2.12. DOI: https://doi.org/10.22452/jummec.sp2023no2.12

Suppra S, Bhaumik A, Mehmood SA, Babar H. Interplay of Servant Leadership on Conflict Management Styles Mediating Procedural Justice in Pakistan’s Textile Industry. Journal of Positive School Psychology. 2023 Aug; 7(8): 54-70. doi: 10.26668/businessreview/2023.v8i8.3129. DOI: https://doi.org/10.26668/businessreview/2023.v8i8.3129

Chi X, Guo J, Niu X, He R, Wu L, Xu H. Prevention of central line-associated bloodstream infections: a survey of ICU nurses’ knowledge and practice in China. Antimicrobial Resistance & Infection Control. 2020 Dec; 9: 1-9. doi: 10.1186/s13756-020-00833-3. DOI: https://doi.org/10.1186/s13756-020-00833-3

Tomar S, Lodha R, Das B, Sood S, Kapil A. Central line-associated bloodstream infections (CLABSI): Microbiology and antimicrobial resistance pattern of isolates from the Pediatric ICU of a tertiary care Indian hospital. Clinical Epidemiology and Global Health. 2015 Jan; 3: S16-9. doi: 10.1016/j.cegh.2015.10.008. DOI: https://doi.org/10.1016/j.cegh.2015.10.008

Acharya R, Mishra SB, Ipsita S, Azim A. Impact of nursing education on CLABSI rates: an experience from a tertiary care hospital in eastern India. Indian journal of critical care medicine: Peer-Reviewed, Official Publication of Indian Society of Critical Care Medicine. 2019 Jul; 23(7): 316. doi: 10.5005/jp-journals-10071-23205. DOI: https://doi.org/10.5005/jp-journals-10071-23205

Myatra SN. Improving hand hygiene practices to reduce CLABSI rates: nurses education integral for success. Indian journal of critical care medicine: Peer-Reviewed, Official Publication of Indian Society of Critical Care Medicine. 2019 Jul; 23(7): 291. doi: 10.5005/jp-journals-10071-23200. DOI: https://doi.org/10.5005/jp-journals-10071-23200

Matlab AA, Al-Hussami MO, Alkaid Albqoor M. Knowledge and compliance to prevention of central line-associated blood stream infections among registered nurses in Jordan. Journal of Infection Prevention. 2022 Jul; 23(4): 133-41. doi: DOI: https://doi.org/10.1177/17571774211066778

Manzo BF, Duarte ED, de Abreu Felizardo MJ, Vimieiro VL, Sá NF, Sá RF et al. Knowledge and Practices for Central Line Infection Prevention Among Brazilian Nurses: A Mixed-Methods Study. Advances in Neonatal Care. 2022 Apr; 22(2): 180-7. doi: 10.1097/ANC.0000000000000893. DOI: https://doi.org/10.1097/ANC.0000000000000893

Zeyada FY, El-Hay A, Seham A, Al-Metyazidy HA. Effect of educational guidelines on nurses' knowledge and practice Regarding Central line associated blood stream infection at Intensive Care Unit. Tanta Scientific Nursing Journal. 2021 Nov; 23(4): 160-87. doi: 10.21608/tsnj.2021.208735. DOI: https://doi.org/10.21608/tsnj.2021.208735

Ansharieta R, Effendi MH, Plumeriastuti H. Detection of multidrug-resistant (MDR) Escherichia coli isolated from raw milk in East Java Province, Indonesia. Indian Journal of Forensic Medicine & Toxicology. 2020; 14(4): 2287-91.

Sheth H, Trifan A, Feterik K, Jovin F. Expanding central line care bundle to address line manipulations. Canadian Journal of Infection Control. 2017 Dec; 32(4): 217-21.

Perumal V, Alheraish YA, Shahzad M, Maarof S, Perez M, Nair P. Knowledge, skills, and compliance of nurses related to central line-associated bloodstream infection in the Cardiovascular Department at King Faisal Hospital and Research Centre, Riyadh. Cureus. 2022 Oct; 14(10). doi: 10.7759/cureus.30597. DOI: https://doi.org/10.7759/cureus.30597

Valencia C, Hammami N, Agodi A, Lepape A, Herrejon EP, Blot S et al. Poor adherence to guidelines for preventing central line-associated bloodstream infections (CLABSI): results of a worldwide survey. Antimicrobial Resistance & Infection Control. 2016 Dec; 5: 1-8. doi: 10.1186/s13756-016-0139-y. DOI: https://doi.org/10.1186/s13756-016-0139-y

Almalki AI, Alghamdi HA, Tashkandy NA, Tashkandy N. Assessment of Knowledge, Attitude, and Adherence to National Guidelines for Preventing Central Line-Associated Bloodstream Infections Among ICU Nurses of Adult Patients in Jeddah, Saudi Arabia: A Cross-Sectional Survey. Cureus. 2023 Jul; 15(7). doi: 10.7759/cureus.42304. DOI: https://doi.org/10.7759/cureus.42304

Farrington CA and Allon M. Management of the hemodialysis patient with catheter-related bloodstream infection. Clinical Journal of the American Society of Nephrology. 2019 Apr; 14(4): 611-3. doi: 10.2215/CJN.13171118. DOI: https://doi.org/10.2215/CJN.13171118

Said NY, Yassien S, Ali Ameen D. Factors affecting nurses' performance toward central line associated blood stream infection in critical care units. Egyptian Journal of Health Care. 2020 Mar; 11(1): 234-47. doi: 10.21608/ejhc.2020.74786. DOI: https://doi.org/10.21608/ejhc.2020.74786

Yaseen M, Suliman M, Yaseen M, Ali S, Sultan A. Knowledge and compliance regarding central line associated blood stream infections (CLABSIs) prevention among public and private hospital intensive care unit nurses: Central line associated blood stream infections. THE THERAPIST (Journal of Therapies & Rehabilitation Sciences). 2022 Dec: 15-9. doi: 10.54393/tt.v3i02.60. DOI: https://doi.org/10.54393/tt.v3i02.60

Abbady A, Gaballah S, Abotakia A, Sherif W. Bundle of Care for Improving Nurses‟ Performance Related to Central Line Associated Blood Stream Infection. American Journal of Nursing Research. 2019; 7(4): 465-70.

Patel PK, Greene MT, Jones K, Rolle AJ, Ratz D, Snyder A et al. Quantitative results of a national intervention to prevent central line–associated bloodstream infection: A pre–post observational study. Annals of Internal Medicine. 2019 Oct; 171(7_Supplement): S23-9. doi: 10.7326/M18-3533. DOI: https://doi.org/10.7326/M18-3533

Esposito MR, Guillari A, Angelillo IF. Knowledge, attitudes, and practice on the prevention of central line-associated bloodstream infections among nurses in oncological care: A cross-sectional study in an area of southern Italy. PloS One. 2017 Jun; 12(6): e0180473. doi: 10.1371/journal.pone.0180473. DOI: https://doi.org/10.1371/journal.pone.0180473

Bianco A, Coscarelli P, Nobile CG, Pileggi C, Pavia M. The reduction of risk in central line-associated bloodstream infections: knowledge, attitudes, and evidence-based practices in health care workers. American Journal of Infection Control. 2013 Feb; 41(2): 107-12. doi: 10.1016/j.ajic.2012.02.038. DOI: https://doi.org/10.1016/j.ajic.2012.02.038

Sachan H, Manu J, Monika A. Effectiveness of education intervention on nurse's knowledge regarding the prevention of central line-associated bloodstream infection in the intensive care and haemodialysis units in selected hospitals, Kanpur. Indian Journal of Continuing Nursing Education. 2022 Jul; 23(2): 196-200. doi: 10.4103/ijcn.ijcn_81_22. DOI: https://doi.org/10.4103/ijcn.ijcn_81_22

Lopes Pires VÂ, da Silva Martins MD, Gomes Correia TI. Nurses' clinical practice for the prevention of central venous catheter-related infections. Revista de Enfermagem Referência. 2021 Jul; 1(7).