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Table 2 Responses to the ‘Knowledge of CLABSI Prevention Questionnaire’

From: Prevention of central line-associated bloodstream infections: a survey of ICU nurses’ knowledge and practice in China

Question number

Question

Number

Percentage of answers (%)

1

It is recommended to replace Central Venous Catheters (CVCs) routinely

  

(A) Yes, every 7 days

383

45.87

(B) Yes, every 3 weeks

227

27.19

(C) No, only when indicated*

136

16.29

(D) I do not know

89

10.66

2

In settings with a high rate of catheter-related infections it is recommended to use a CVC coated or impregnated with an antiseptic agent

  

(A) Yes, in patients whose CVC is expected to remain in place for > 5 days*

485

58.08

(B) No, because the use of such catheters is not cost-effective

102

12.22

(C) No, because the use of such catheters does not result in a significant decrease in the rate of catheter-related infections

115

13.77

(D) I do not know

133

15.93

3

It is recommended to change the dressing on the catheter insertion site…

  

(A) Every 2 days

257

30.78

(B) Every 7 days

205

24.55

(C) When indicated (e.g., soiled, loosened) and at least weekly*

280

33.53

(D) I do not know

93

11.14

4

It is recommended to cover up the catheter insertion site with…

  

(A) Polyurethane dressing (transparent, semipermeable)

374

44.79

(B) Gauze dressing

128

15.33

(C) Both are recommended because they do not affect the risk for catheter-related infections*

237

28.38

(D) I do not know

96

11.50

5

It is recommended to disinfect the catheter insertion site with…

  

(A) 70% alcohol

275

32.93

(B) 2% chlorhexidine gluconate with alcohol*

328

39.28

(C) Povidone-iodine

118

14.13

(D) I do not know

114

13.65

6

It is recommended to apply an antibiotic ointment at the insertion site of CVC

  

(A) Yes, because it decreases the risk for catheter-related infections

356

42.63

(B) No, because it causes antibiotic resistance*

178

21.32

(C) No, because it does not decrease the risk for catheter-related infections

153

18.32

(D) I do not know

148

17.72

7

When blood, blood products, or lipid emulsions are administered through a CVC, it is recommended to replace the administration set…

  

(A) Within 24 h*

467

55.93

(B) Every 72 h

184

22.04

(C) Every 96 h

69

8.26

(D) I do not know

115

13.77

8

When liquids other than blood, blood products, or fat emulsions are administered continuously the administration set should be replaced

  

(A) Every 24 h

448

53.65

(B) Every 48 h

183

21.92

(C) Every 96 h*

91

10.90

(D) I do not know

113

13.53

9

It is recommended to use an antiseptic agent to clean the access hub or connector before the connection of the administration set or after unscrewing the dead-end cap closes the catheter

  

(A) Yes, by spraying the access site with 70% alcohol solution or alcohol chlorhexidine solution

285

34.13

(B) Yes, by wiping with 70% alcohol solution or alcohol and chlorhexidine solution for no less than 15 s*

309

37.01

(C) It is not recommended because no evidence has been found for the relation between the disinfections of the connecting site of the administration set and the contamination of fluids or the insertion hub

124

14.85

(D) I do not know

117

14.01

10

When manipulating the catheter insertion site and hubs, it is recommended…

  

(A) To obviate hand hygiene if gloves are used and water for hand hygiene before manipulation

203

24.31

(B) To use clean or sterile gloves and alcohol solutions/antiseptic soap*

493

59.04

(C) Hand hygiene is only necessary before catheter insertion

36

4.31

(D) I do not know

103

12.34

11

It is recommended to replace pressure transducers and tubing routinely…

  

(A) Yes, every 4 days*

354

42.40

(B) Yes, every 7 days

280

33.53

(C) No, only when indicated

90

10.78

(D) I do not know

111

13.29

 

Total correct answers (%)

 

36.56

  1. *Indicates the correct answer