Assessment of Compliance with Bundle Programs for the Prevention of Bloodstream Infections

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dc.authoridKarakoc, ebru/0000-0002-2995-5893
dc.contributor.authorKahraman, Hasip
dc.contributor.authorErdem, Huseyin Aytac
dc.contributor.authorMermer, Sinan
dc.contributor.authorErdem Kivrak, Esra
dc.contributor.authorCaglayan, Derya
dc.contributor.authorKarakoc, Ebru
dc.contributor.authorErben, Nurettin
dc.date.accessioned2024-08-31T07:46:37Z
dc.date.available2024-08-31T07:46:37Z
dc.date.issued2024
dc.departmentEge Üniversitesien_US
dc.description.abstractIntroduction: Bloodstream infections are a significant public health problem in hospitals, leading to increased hospital stays, costs, mortality, and morbidity. This study aims to evaluate compliance with the National Healthcare -Associated Infections Prevention Bundle Guidelines, published in March 2021. Materials and Methods: This study was conducted as a multicenter research between August and September 2022, involving physicians and nurses providing services in adult, pediatric, and neonatal intensive care units. Surveys were administered to collect data on participants' demographic information, professional experiences, and practices related to catheter insertion and care. Results: The study included 156 nurses and 81 physicians from 24 different centers. Among the participating physicians, 41 were female, with an average age of 36.4 +/- 9.1 years. It was observed that physicians had a compliance rate of 95% for hand hygiene before catheter insertion and 100% for using sterile gloves. The utilization rates for masks, sterile gowns, and caps were found to be 95%, 72.8%, and 56%, respectively. It was noted that a sterile full -body drape was used in 81% of cases. For skin antisepsis, 75.3% of physicians used povidone-iodine, 13.6% used chlorhexidine, 9.9% used povidone-iodine/alcohol, and 1.2% used chlorhexidine/ alcohol. Additionally, 76.5% of physicians reported waiting for the antiseptic to dry, while 19.9% stated that they would continue with the procedure despite being warned about the inadequate maintenance of sterility during the process. In the study, 136 (87.2%) of the participating nurses were female, with an average age of 31.7 +/- 7.6 years. Hand hygiene compliance before catheter contact was 96.8%, while it was 99.4% after contact. 94.9% of the participants reported providing disinfection before touching the catheter, and 90.4% stated they performed disinfection after contact. The usage rate of checklists during catheter insertion was 87.2%, and during catheter care, it was 86.5%. 28 (34.6%) of the physicians and 74 (47.4%) of the nurses reported receiving training on bloodstream infection prevention bundles within the last year. Conclusion: The National Healthcare -Associated Infections Prevention Bundle Guidelines are an important step to reduce hospital infections in our country. Nevertheless, there is an observed lack of standardization across different hospitals in the implementation of these guidelines. It is believed that integrating bundle practices into routine applications and promoting behavioral changes can lead to improvements in infection rates in our country.en_US
dc.identifier.doi10.5578/flora.202401929
dc.identifier.endpage84en_US
dc.identifier.issn1300-932X
dc.identifier.issn2602-2842
dc.identifier.issue1en_US
dc.identifier.startpage77en_US
dc.identifier.trdizinid1228191en_US
dc.identifier.urihttps://doi.org/10.5578/flora.202401929
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/1228191
dc.identifier.urihttps://hdl.handle.net/11454/104141
dc.identifier.volume29en_US
dc.identifier.wosWOS:001258693500008en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.language.isotren_US
dc.publisherBilimsel Tip Yayinevien_US
dc.relation.ispartofFlora Infeksiyon Hastaliklari ve Klinik Mikrobiyoloji Dergisien_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmz20240831_Uen_US
dc.subjectBundle Programsen_US
dc.subjectBloodstream Infectionsen_US
dc.subjectHealthcare-Associated Infectionsen_US
dc.subjectInfection Control Measuresen_US
dc.titleAssessment of Compliance with Bundle Programs for the Prevention of Bloodstream Infectionsen_US
dc.typeArticleen_US

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