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P003: Current status of infection control practice for prevent of central venous catheter-associated bloodstream infection in Korea
© Choe et al; licensee BioMed Central Ltd. 2013
Published: 20 June 2013
There are evidence-based guidelines for the prevention of central line-associated bloodstream infections (CLA-BSI), but the current status of these practices in intensive care units (ICU) of Korea is unknown.
To evaluate the current status of infection control practice for CLA-BSI in ICUs of Korea.
We conducted a cross-sectional survey in ICUs of the KOrean Study group for Infection Control and prevention (KOSIC) at April 2012.
Thirty-five ICUs of 15 hospitals were enrolled in this study. Fourteen of the 35 ICUs (40%) were medical ICUs, 4 (11%) were surgical ICUs, 9 (26%) were neurosurgical ICUs, and 8 (23%) were combined medical and surgical ICUs. The median bed size was 15 beds (interquartile range [IQR], 14-20), and median patient-to-nurse ratio was 1.5 (IQR, 1.3-1.9). During the survey period, the incident rate of CLA-BSI was 3.33 per 1,000 catheter-days (medical ICUs, 5.12; surgical & neurosurgical ICUs, 1.91; combined ICUs, 2.25).
All ICUs had documented guidelines for the prevention of CLA-BSI and conducted surveillance for CLA-BSI. Nineteen (54%) ICUs provided regular education programs for CLA-BSI prevention and 15 (43%) ICUs accessed the adherence to guidelines using a central line insertion checklist. Twenty-nine (83%) ICUs used a sterile full body drape during an insertion practice and 3 (8%) ICUs used chlorhexidine preparation with alcohol for an insertion skin preparation. Twenty (57%) ICUs used antimicrobial-impregnated coated central venous catheter.
All ICUs conducted hand hygiene promotion program including adherence monitoring and 23 (66%) ICUs conducted active surveillance for multidrug resistant organisms. Hand hygiene adherence was significantly associated with the patient to nurse ratio in ICU (γ = 0.648, P < 0.001).
This study demonstrates that although ICUs in Korea had documented guideline and surveillance system for CLS-BSI, infection control practice in real clinic did not meet the recommended practice standard.
Disclosure of interest
This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.