Abstract:
BACKGROUND:Since correct maintenance of intravascular catheters is an effective strategy for preventing central-line infections, the aim of this study was to assess the level of adherence to guidelines for CVC maintenance amongst Italian HCWs. METHODS:From July 2016 thru January 2017, a cross sectional survey was carried out in a random sample of 549 HCWs working in different hospitals of Campania region (Italy). RESULTS:The 68.9% of interviewees returned the questionnaire. Overall, respondents' level of knowledge about CDC guidelines was low, with only the 20.7% of HCWs acknowledging guidelines main recommendations: the nurse stuff, the availability of hospital internal protocols, the use of guidelines themselves as source of information, and higher number of years of practice were significantly associated with a higher level of knowledge. An extremely positive attitude towards the utility of guidelines for preventing CVC-related infections was shown, with a linear regression model indicating a stronger attitude in physicians, in who knew the CDC main recommendations and correct use of antibiotic ointments, as well as in HCWs needing additional information on the prevention of CVC-related infections. Regarding the behaviors, physicians were more likely to be adherent about recommended evidence-based practices. Two more multivariate logistic and ordinal logistic regression models were built to investigate characteristics associated with correct behavior regarding the removal of catheter dressing if patients have tenderness at insertion site or fever without an obvious source, respectively. CONCLUSIONS:This study reflected an important lack of evidence-based knowledge and practices regarding the CVC management, highlighting the baseline role of education and training programs, as well as pointing out the role of organizational interventions to address the adherence to best practices for the reduction of CLABSIs.
journal_name
BMC Infect Disjournal_title
BMC infectious diseasesauthors
Ferrara P,Albano Ldoi
10.1186/s12879-018-3514-xsubject
Has Abstractpub_date
2018-12-03 00:00:00pages
606issue
1issn
1471-2334pii
10.1186/s12879-018-3514-xjournal_volume
18pub_type
杂志文章abstract:BACKGROUND:Bedaquiline was recently introduced into World Health Organization (WHO)-recommended regimens for treatment of drug resistant tuberculosis. There is limited data on the long-term safety of bedaquiline. Because bedaquiline prolongs the QT interval, there are concerns regarding cardiovascular safety. The Weste...
journal_title:BMC infectious diseases
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journal_title:BMC infectious diseases
pub_type: 杂志文章,多中心研究
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pub_type: 杂志文章
doi:10.1186/1471-2334-9-110
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更新日期:2019-01-08 00:00:00
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更新日期:2011-10-25 00:00:00
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更新日期:2020-02-10 00:00:00
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