Investigation and Analysis of the Status Quo of Prevention and Control Practices of Catheter-Line Associated Bloodstream Infections (CLABSI) in Guangxi, China

Caijiao Wu,Qingjuan Jiang,Ying Ling,Galal A Al-Samhari,Huihan Zhao,Yanping Yin

doi:10.4236/aid.2021.114030

Abstract

The prevention and control of catheter line-associated bloodstream infections (CLABSI) have become the key content of medical care and have become the core improvement goal of nursing quality control. However, the prevention and control status of CLABSI in hospitals of different grades in Guangxi is not clear. In this study, we aim to investigate central venous catheter (CVC) placement and disinfectant use in second and third-level hospitals in Guangxi. This survey was conducted on the second and third-level hospitals in Guangxi, China from 13th April 2021 to 19th April 2021. The results show that a total of 283 questionnaires were collected, including 206 secondary hospitals and 77 tertiary hospitals. In terms of the CVC, tertiary hospitals were able to place CVC entirely under the guidance of B-ultrasound, which was 24 (31.6%) and secondary hospitals were 26 (20.6%). In secondary hospitals, Most CVC placements were performed in operating rooms 94 (74.6%) and 65 (85.5%) on the third level hospital, but 32.5% of secondary hospitals and 48.7% of tertiary hospitals were selected at the bedside of patients in general wards, and 27.8% of the second-level hospital, 43.4% of third-level hospitals was done in general ward treatment rooms, only 61.9% of secondary hospitals and 64.5% of tertiary hospitals could fully achieve the maximum sterile barrier. In terms of skin disinfectants, only 36.0% of tertiary hospitals and 16.4% of second-level CVC-operators chose > 0.5% chlorhexidine alcohol. In conclusion, the prevention and control of catheter line-associated bloodstream infections (CLABSI) in Guangxi are not ideal. The prevention and control department should increase training, implement guidelines and standardize management to reduce the incidence of CLABSI.

Highlights

central venous catheter (CVC) refers to the catheters that enter the jugular vein, subclavian vein, or femoral vein through skin puncture, and their head ends are located in the proximal superior vena cava, right atrium and inferior vena cava [1]
Most CVC placements were performed in operating rooms 94 (74.6%) and 65 (85.5%) on the third level hospital, but 32.5% of secondary hospitals and 48.7% of tertiary hospitals were selected at the bedside of patients in general wards, and 27.8% of the second-level hospital, 43.4% of third-level hospitals was done in general ward treatment rooms, only 61.9% of secondary hospitals and 64.5% of tertiary hospitals could fully achieve the maximum sterile barrier
A self-made questionnaire was used to investigate CVC placement and the use of disinfectants in medical institutions above the second level in Guangxi to provide a reference for promoting the prevention and control strategy of catheter line-associated bloodstream infections (CLABSI) and reducing the incidence of CLABSI

Summary

Introduction

CVC refers to the catheters that enter the jugular vein, subclavian vein, or femoral vein through skin puncture, and their head ends are located in the proximal superior vena cava, right atrium and inferior vena cava [1]. CVC is mainly used for infusion, blood transfusion, infusion stimulants, and hemodynamic monitoring in daily medical practice and has become an indispensable means of treatment and rescue. Their complications are becoming increasingly prominent, among which Central line-associated bloodstream infections (CLABSI) is one of the most serious complications [3] [4] [5].

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