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. 2022 Dec;50(12):1327-1332.
doi: 10.1016/j.ajic.2022.02.031. Epub 2022 Mar 7.

Analyzing central-line associated bloodstream infection prevention bundles in 22 countries: The results of ID-IRI survey

Ilker Devrim  1 , Hakan Erdem  2 , Amani El-Kholy  3 , Abdullah Almohaizeie  4 , Mateja Logar  5 , Bilal Ahmad Rahimi  6 , Fatma Amer  7 , Sevil Alkan-Ceviker  8 , Meliha Cagla Sonmezer  9 , Maya Belitova  10 , Jamal Wadi Al-Ramahi  11 , Natalia Pshenichnaya  12 , Maha Ali Gad  13 , Lurdes Santos  14 , Reham Khedr  15 , Abdullahi Nur Hassan  16 , Elif Boncuoglu  17 , Andrea Cortegiani  18 , Andrea Marino  19 , Anna Liskova  20 , Atousa Hakamifard  21 , Corneliu Petru Popescu  22 , Mumtaz Ali Khan  23 , Ralitsa Marinova  24 , Nikolaj Petrov  24 , Emmanuel Nsutebu  25 , Ghaydaa Shehata  26 , Hamed Azhdari Tehrani  27 , Handan Alay  28 , Ivana Mareković  29 , Joanna Zajkowska  30 , Aidos Konkayev  31 , Manar Ezzelarab Ramadan  32 , Michele Pagani  33 , Hasan Agin  34 , Pierre Tattevin  35 , Rehab El-Sokkary  7 , Rezaul Karim Ripon  36 , Ricardo Fernandez  37 , Rosa Fontana Del Vecchio  38 , Simona Daniela Popescu  39 , Souha Kanj  40
Affiliations
Free article

Analyzing central-line associated bloodstream infection prevention bundles in 22 countries: The results of ID-IRI survey

Ilker Devrim et al. Am J Infect Control. 2022 Dec.
Free article

Abstract

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.

Keywords: Bundle; CLABSI; Catheter; Central line; Infection; Sepsis.

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