The practice of arterial catheters in ICUs and nurses’ perceptions of infection prevention: A multicentre cross-sectional study

医学 横断面研究 重症监护 感染控制 洗必泰 急诊医学 防腐剂 导管 优势比 重症监护医学 内科学 外科 牙科 病理
作者
Yuan Cui,Yi Wang,Yanyan Xiao,Gui Fang Du
出处
期刊:Journal of Vascular Access [SAGE]
卷期号:: 112972982211290-112972982211290
标识
DOI:10.1177/11297298221129000
摘要

Peripheral arterial catheters (AC) are increasingly used in intensive care units (ICUs). Arterial catheter-related bloodstream infection is a serious complication that can increase patients' morbidity and length of stay. Standardised infection prevention practices are important when using AC. However, the current practices regarding AC insertion, use and removal and the perceived infection prevention attitudes of nurses in ICUs are unknown.This was a multicentre cross-sectional study; 20 tertiary general hospitals were selected with a stratified random method in Beijing, China, using a self-reported internet survey.A total of 981 valid questionnaires were collected. Overall, some infection prevention practices, such as AC insertion and disinfection of the blood sample hub, were generally consistent with clinical guidelines, whereas others were inconsistent: eye protection, skin antiseptic solution, dressing choice, blood sample collection and replacement of AC. More than 60% of participants mentioned occasionally or never having used eye protection. Only 6.0% of them stated using the chlorhexidine dressings. Among the participants, 80.6% reported that they replaced AC routinely rather than based on clinical indications, 64.2% self-rated that they did not routinely culture a catheter specimen after removal and 53.4% of participants positively agreed that AC could cause infection. Nurses with a higher education level were more likely to agree that an infection risk with AC exists (trend χ2 = 5.456, p = 0.019*).Significant heterogeneity exists across hospitals in China in terms of antiseptic techniques and perception of infection prevention during AC insertion, use and removal. Critical care nurses' practices partially complied with guideline recommendations. Educational level was found to be a risk factor for their perceived infection prevention attitudes. Nurses with a lower education level underestimated the infection risk of AC. Future research may examine optimal preventive strategies for reducing infection.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
大幅提高文件上传限制,最高150M (2024-4-1)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
lmr完成签到,获得积分10
刚刚
顾矜应助1234采纳,获得10
1秒前
找北ing发布了新的文献求助10
1秒前
大气建辉完成签到 ,获得积分10
1秒前
乐乐应助Anonymity采纳,获得10
1秒前
伊伊完成签到,获得积分10
3秒前
南宫誉发布了新的文献求助10
3秒前
Iris发布了新的文献求助10
3秒前
4秒前
刻苦黎云发布了新的文献求助10
4秒前
温柔的以蓝完成签到,获得积分20
5秒前
揍鱼发布了新的文献求助10
5秒前
Akim应助wangdafa采纳,获得10
5秒前
香蕉觅云应助wly9399375采纳,获得10
6秒前
丘比特应助隐形的乐枫采纳,获得10
6秒前
传奇3应助清风采纳,获得10
6秒前
遥远的尧发布了新的文献求助50
6秒前
科研通AI2S应助Desamin采纳,获得10
6秒前
鲤鱼问雁完成签到,获得积分10
6秒前
欧耶欧耶完成签到 ,获得积分10
6秒前
7秒前
英俊的铭应助汐尘采纳,获得10
8秒前
英姑应助学吧采纳,获得10
9秒前
9秒前
Akim应助危机的河马采纳,获得10
9秒前
隐形曼青应助277采纳,获得20
11秒前
李健的粉丝团团长应助1234采纳,获得10
11秒前
糖糖完成签到,获得积分10
12秒前
彭于彦祖应助CS采纳,获得40
12秒前
JamesPei应助铁拳爱丽丝采纳,获得10
12秒前
12秒前
12秒前
楠瓜完成签到,获得积分10
13秒前
摩的起亚完成签到,获得积分20
13秒前
碳酸氢钠完成签到,获得积分10
15秒前
bkagyin应助Revovler采纳,获得10
15秒前
15秒前
李健应助揍鱼采纳,获得10
15秒前
15秒前
wangdafa发布了新的文献求助10
17秒前
高分求助中
Evolution 10000
юрские динозавры восточного забайкалья 800
English Wealden Fossils 700
Mantiden: Faszinierende Lauerjäger Faszinierende Lauerjäger 600
A new species of Coccus (Homoptera: Coccoidea) from Malawi 500
A new species of Velataspis (Hemiptera Coccoidea Diaspididae) from tea in Assam 500
PraxisRatgeber: Mantiden: Faszinierende Lauerjäger 500
热门求助领域 (近24小时)
化学 医学 生物 材料科学 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 基因 遗传学 催化作用 物理化学 免疫学 量子力学 细胞生物学
热门帖子
关注 科研通微信公众号,转发送积分 3156848
求助须知:如何正确求助?哪些是违规求助? 2808269
关于积分的说明 7877026
捐赠科研通 2466691
什么是DOI,文献DOI怎么找? 1312998
科研通“疑难数据库(出版商)”最低求助积分说明 630334
版权声明 601919