Impact of Nursing Education on CLABSI Rates: An Experience from a Tertiary Care Hospital in Eastern India.
Central line associated bloodstream infections
hand hygiene
Journal
Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine
ISSN: 0972-5229
Titre abrégé: Indian J Crit Care Med
Pays: India
ID NLM: 101208863
Informations de publication
Date de publication:
Jul 2019
Jul 2019
Historique:
entrez:
14
8
2019
pubmed:
14
8
2019
medline:
14
8
2019
Statut:
ppublish
Résumé
Central line associated bloodstream infections (CLABSI) have a higher incidence in the intensive care units of developing countries. The baseline CLABSI rate in intensive care unit (ICU) was evaluated for 6 months. An educational program for nurses on basic hand hygiene steps was conducted. Objective assessment tests were done to assess their knowledge and percentage of non-compliance with hand hygiene practice. CLABSI rate over the post-intervention 6 month period was assessed. Thirty-four nurses were enrolled. The pre-intervention CLABSI rate was 12.5 per 1000 catheter days, pretest score 15.9 +/- 3.35 and 53.4% opportunities for hand hygiene were missed. Post workshop, there was significant (p=0.02) decrease in CLABSI rate i.e. 8.6, improvement in test score 17.76 +/- 2.1 ( The effectiveness of educational program on hand hygiene compliance was reflected in the improvement of posttest score, reduced number of missed opportunities and reduction of CLABSI rates in ICU. The posttest scores and hand hygiene compliance, however, decreased 6 months post-intervention necessitating repeated feedbacks and reminders. Educational interventions on hand hygiene can have a significant impact in CLABSI control particularly in ICUs with a high infection rate and resource constraints. Acharya Ranjita, Mishra SB, Ipsita S, Azim A. Impact of Nursing Education on CLABSI Rates: An Experience from a Tertiary Care Hospital in Eastern India. Indian J Crit Care Med 2019;23(7):316-319.
Sections du résumé
BACKGROUND AND AIMS
OBJECTIVE
Central line associated bloodstream infections (CLABSI) have a higher incidence in the intensive care units of developing countries.
MATERIALS AND METHODS
METHODS
The baseline CLABSI rate in intensive care unit (ICU) was evaluated for 6 months. An educational program for nurses on basic hand hygiene steps was conducted. Objective assessment tests were done to assess their knowledge and percentage of non-compliance with hand hygiene practice. CLABSI rate over the post-intervention 6 month period was assessed.
RESULTS
RESULTS
Thirty-four nurses were enrolled. The pre-intervention CLABSI rate was 12.5 per 1000 catheter days, pretest score 15.9 +/- 3.35 and 53.4% opportunities for hand hygiene were missed. Post workshop, there was significant (p=0.02) decrease in CLABSI rate i.e. 8.6, improvement in test score 17.76 +/- 2.1 (
DISCUSSION
CONCLUSIONS
The effectiveness of educational program on hand hygiene compliance was reflected in the improvement of posttest score, reduced number of missed opportunities and reduction of CLABSI rates in ICU. The posttest scores and hand hygiene compliance, however, decreased 6 months post-intervention necessitating repeated feedbacks and reminders.
CONCLUSION
CONCLUSIONS
Educational interventions on hand hygiene can have a significant impact in CLABSI control particularly in ICUs with a high infection rate and resource constraints.
HOW TO CITE THIS ARTICLE
UNASSIGNED
Acharya Ranjita, Mishra SB, Ipsita S, Azim A. Impact of Nursing Education on CLABSI Rates: An Experience from a Tertiary Care Hospital in Eastern India. Indian J Crit Care Med 2019;23(7):316-319.
Identifiants
pubmed: 31406435
doi: 10.5005/jp-journals-10071-23205
pmc: PMC6686584
doi:
Types de publication
Journal Article
Langues
eng
Pagination
316-319Déclaration de conflit d'intérêts
Source of support: Nil Conflict of interest: None
Références
N Engl J Med. 2006 Dec 28;355(26):2725-32
pubmed: 17192537
Indian J Crit Care Med. 2011 Oct;15(4):213-23
pubmed: 22346032
Infect Control Hosp Epidemiol. 2014 Aug;35(8):937-60
pubmed: 25026608
Crit Care Nurse. 2012 Apr;32(2):49-54
pubmed: 22467612
Eur J Clin Microbiol Infect Dis. 2012 Oct;31(10):2799-808
pubmed: 22565225
Am J Infect Control. 2007 Jun;35(5):290-301
pubmed: 17577475
Clin Infect Dis. 2009 Dec 15;49(12):1899-907
pubmed: 19911941
Indian J Crit Care Med. 2014 Oct;18(10):689-93
pubmed: 25316980
Indian J Crit Care Med. 2011 Jan;15(1):6-15
pubmed: 21633540
Crit Care. 2010;14(2):212
pubmed: 20236456
Int J Infect Dis. 2013 Dec;17(12):e1218-24
pubmed: 24084244
J Hosp Infect. 2007 May;66(1):6-14
pubmed: 17276546
Indian J Anaesth. 2012 Jul;56(4):376-81
pubmed: 23087461
Ann Intern Med. 2000 Apr 18;132(8):641-8
pubmed: 10766683
Crit Care Med. 2017 Nov;45(11):e1165-e1172
pubmed: 28857850
Health Aff (Millwood). 2011 Sep;30(9):1751-61
pubmed: 21900667
MMWR Morb Mortal Wkly Rep. 2011 Mar 4;60(8):243-8
pubmed: 21368740
Chest. 2004 Nov;126(5):1612-8
pubmed: 15539735
Am J Infect Control. 2011 May;39(4 Suppl 1):S1-34
pubmed: 21511081
J Hosp Infect. 2007 Oct;67(2):168-74
pubmed: 17905477
Infect Control Hosp Epidemiol. 2007 Jun;28(6):689-94
pubmed: 17520542