Assessment of knowledge and practices of central line insertion and maintenance at a Tertiary Hospital in Cairo | ||||
Microbes and Infectious Diseases | ||||
Articles in Press, Accepted Manuscript, Available Online from 31 July 2025 | ||||
Document Type: Original Article | ||||
DOI: 10.21608/mid.2025.398492.2960 | ||||
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Authors | ||||
Nouran Maher Abd El Dayem Kuraish ![]() ![]() ![]() ![]() | ||||
1Military Institute of Health and Epidemiology, Military Medical Academy, Cairo, Egypt | ||||
2Medical Microbiology and Immunology, Military Medical Academy, Cairo, Egypt | ||||
3Microbiology and Immunology Department, Faculty of Medicine, Cairo University, Cairo, Egypt. | ||||
4Vice President and Faculty Member, Military Medical Academy, Cairo, Egypt. | ||||
Abstract | ||||
Background: Central lines (CLs) are life-saving devices frequently used in intensive care units. However, they are associated with numerous risks, including central line-associated bloodstream infections (CLABSIs), which are severe but often preventable when evidence-based protocols, such as central line care bundles, are strictly followed. Objective: To implement training program for the application of central line bundles and assess the effect of an intervention on knowledge and compliance. Methods: This pre-post intervention study was conducted at a tertiary care hospital in Cairo on healthcare personnel working in intensive care units who met the inclusion criteria. The study was carried out from November 2023 to October 2024 in three phases: pre-intervention phase, intervention phase, and post-intervention phase. Three tools were used in this study: knowledge assessment tools, educational tools, and practice assessment tools. Results: Significant improvements were observed in both knowledge and practice scores among nurses and physicians post-intervention (P < 0.05). CLABSI rate after the intervention reduced from 6.4 to 2.1 per 1000 catheter days. Conclusions: The educational intervention resulted in a significant improvement in the knowledge and practices of healthcare personnel regarding CLABSI prevention guidelines and was associated with a notable reduction in infection rates. | ||||
Keywords | ||||
Keywords: Central Line-Associated Bloodstream Infection; Central Line Care Bundle; Infection Control; Interventional Study; Intensive Care Unit | ||||
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