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)

1 Dr Behcet Uz Children Res & Training Hosp
2 Cairo University
3 UMCL - University Medical Centre Ljubljana [Ljubljana, Slovenia]
4 Zagazig University
5 COMU - Çanakkale Onsekiz Mart University
6 Hacettepe University = Hacettepe Üniversitesi
7 JU - The University of Jordan
8 Central Research Institute of Epidemiology [Moscow]
9 Hospital de São João [Porto]
10 Università degli studi di Palermo - University of Palermo
11 SBUMS - Shahid Beheshti University of Medical Sciences [Tehran]
12 Medical Military Academy
13 Assiut University
14 Ataturk University
15 Galala University [Suez, Egypt]
16 IRCCS - Istituti di Ricovero e Cura a Carattere Scientifico
17 Centre Hospitalier Universitaire de Rennes [CHU Rennes] = Rennes University Hospital [Ponchaillou]
18 BRM - ARN régulateurs bactériens et médecine
19 AUB - American University of Beirut Faculty of Medicine and Medical Center

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.

Mots clés: Bundle; CLABSI; Catheter; Central line; Infection; Sepsis

Domaines: Maladies infectieuses

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, 2022, 50 (12), pp.1327-1332. ⟨10.1016/j.ajic.2022.02.031⟩. ⟨hal-03632313⟩