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Compliance of Middle Eastern hospitals with the central line associated bloodstream infection prevention guidelines
Sami M Aloush1, Khaled Al-Sayaghi2, Ahmad Tubaishat1
1Al al bayt University, School of Nursing, Mafraq, Jordan.
Insights
Compliance with Central Line Associated Bloodstream Infection (CLABSI) prevention guidelines significantly reduces infection rates and mortality. Hospital characteristics, like patient-nurse ratios, predict compliance, impacting patient outcomes.
Area of Science:
- Healthcare quality improvement
- Infection control
- Patient safety
Background:
- Central Line Associated Bloodstream Infection (CLABSI) prevention guidelines aim to reduce patient mortality.
- Hospital adherence to these guidelines, such as those from the CDC, is variable and requires further investigation.
Purpose of the Study:
- To evaluate compliance rates with CLABSI prevention guidelines.
- To identify factors predicting compliance.
- To determine the impact of compliance on CLABSI rates and mortality.
Main Methods:
- A prospective observational study was conducted over three months in 58 Middle Eastern intensive care units.
- Compliance was assessed using an observational checklist based on CDC guidelines.
- CLABSI rates and mortality data were collected from patient records.
Main Results:
- Compliance, CLABSI rates, and mortality varied significantly across hospitals.
- Hospital characteristics explained 82% of the variance in compliance.
- Lower intensive care unit bed numbers and patient-nurse ratios were associated with higher compliance and reduced CLABSI rates and mortality.
Conclusions:
- Adherence to CLABSI prevention guidelines improves patient outcomes.
- Reducing patient-nurse ratios and intensive care unit bed numbers can enhance guideline compliance.
Aims:
The purposes of this study were to (1) assess compliance with the CLABSI prevention guidelines, (2) assess the predictors of compliance, and (3) investigate the effect of compliance on the rate of CLABSI and related mortality.
Background:
Implementation of the Central Line Associated Bloodstream Infection (CLABSI) prevention guidelines from the Centers for Disease Control and Prevention (CDC) helps to reduce the rate of CLABSI and related mortality, although the extent to which hospitals implement these guidelines is questionable.
Methods:
A prospective design was used in this study. Observations were conducted over three months in the intensive care units of 58 hospitals in three Middle Eastern countries. An observational checklist, based on the CDC guidelines, was used to assess compliance. The rate of CLABSI and related mortality were obtained from patients' records.
Results:
The degree of compliance, rate of CLABSI and mortality were highly variable. The multiple regression model showed that the hospitals' characteristics explained 82.0% of the variance of compliance (R2Adj= 0.820, F=29.82, p<0.05). The number of beds in the intensive care unit and patient-nurse ratio were significant predictors of compliance. A lower number of beds and a lower patient-to-nurse ratio were related to higher compliance. Moreover, higher compliance with CLABSI prevention guidelines was associated with lower rate of CLABSI and related mortality.
Conclusions:
Improvement in the patients' outcome can be achieved through compliance with the CLABSI prevention guidelines. lowering patient-nurse ratio and the number of beds in the ICUs would help to improve compliance.
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