366694

Assessment of device-associated infection and compliance of healthcare workers to infection prevention and control standards at burn ICU unit of Ain Shams University Hospital.

Article

Last updated: 05 Jan 2025

Subjects

-

Tags

prevention of hospital infections

Abstract

Background: Burn victims are susceptible to infections due to altered immune response and loss of skin integrity. Burn ICU patients are particularly susceptible to device-associated infections (DAI) such as catheter-associated urinary tract infections (CAUTI), central line-associated blood stream infections (CLABSI), and ventilator-associated pneumonia (VAP). The importance of prevention, and surveillance for these infections has been well established. Objectives: This study aimed to determine the incidence rates of DAI in the burn ICU unit of Ain Shams University Hospital together with assessment of compliance of healthcare workers (HCWs) to preventive bundles for VAP, CLABSI and CAUTI. Methodology: Prospective surveillance for DAI was conducted in burn ICU at Ain Shams University Hospitals between June 2022 to November 2022. The rates of VAP, CAUTI, and (CLABSI) were calculated following CDC definitions. Compliance to preventive bundles for VAP, CLABSI and CAUTI were measured using observation checklists. Results: CLABSI had the highest incidence (46.9/1,000 central line days) compared with VAP (44.4/1,000 ventilator days) and CAUTI (11.6/1,000 urinary catheter days). Compliance to VAP preventive bundle was the highest among HCWs; 96%. Compliance to CAUTI preventive bundle was 91.8% and 93% for insertion and maintenance bundles respectively. Compliance to insertion and maintenance bundles of central line preventive bundle were the least (51% and 54%, respectively). Conclusion: CLABSI was the most common infection among burn ICU patients. This could be attributed to poor compliance to prevention bundles. Therefore, educational strategies should focus on prevention of this life-threatening infection.

DOI

10.21608/ejmm.2024.295473.1257

Keywords

surveillance, Device associated-infection, Compliance, Prevention bundles

Authors

First Name

Rana

Last Name

Ali

MiddleName

Salah El-Deen

Affiliation

Infection prevention and control practitioner at El Galaa Teaching Hospital

Email

roona1712@gmail.com

City

Cairo

Orcid

-

First Name

Dina

Last Name

Erfan

MiddleName

M.

Affiliation

Department of Medical Microbiology and Immunology, Faculty of Medicine -Ain Shams University

Email

drdinaerfan@gmail.com

City

Cairo

Orcid

-

First Name

Raghda

Last Name

Tallal

MiddleName

El Sayed

Affiliation

Department of Plastic and Reconstructive Surgery, Faculty of Medicine -Ain Shams University

Email

raghdatallal@med.asu.edu.eg

City

Cairo

Orcid

-

First Name

Mahmoud

Last Name

El Sayed

MiddleName

Khalil

Affiliation

Department of Medical Microbiology and Immunology, Faculty of Medicine -Ain Shams University

Email

dr.mahmoudkhalil11@gmail.com

City

Cairo

Orcid

-

Volume

33

Article Issue

3

Related Issue

47674

Issue Date

2024-07-01

Receive Date

2024-06-28

Publish Date

2024-07-01

Page Start

133

Page End

140

Print ISSN

1110-2179

Online ISSN

2537-0979

Link

https://ejmm.journals.ekb.eg/article_366694.html

Detail API

https://ejmm.journals.ekb.eg/service?article_code=366694

Order

366,694

Type

New and original researches in the field of Microbiology.

Type Code

2,038

Publication Type

Journal

Publication Title

Egyptian Journal of Medical Microbiology

Publication Link

https://ejmm.journals.ekb.eg/

MainTitle

Assessment of device-associated infection and compliance of healthcare workers to infection prevention and control standards at burn ICU unit of Ain Shams University Hospital.

Details

Type

Article

Created At

28 Dec 2024