La prevenzione delle infezioni catetere venoso centrale correlate: uno studio osservazionale in terapia intensiva

Introduction: catheter-related bloodstream infection are one of the most frequent infections in hospital and they are associated with increased mortality. The aim of this study was to describe knowledge on recommendations for the prevention of catheter-related bloodstream infection in intensive care pre-post training intervention and their application. Materials and Methods: we conducted an observational study before and after. We included nurses and physicians in the intensive care unit. Knowledge was measured with a questionnaire built ad hoc, while their implementation by observations with a checklist. Results: thirty-six nurses and 10 physicians were included. Seventy-eight two percent of the staff wore jewelry during work. Dressing management was compliant in 100% of cases, but hand hygiene only in 81.3%. The knowledge wasn’t always increased and good practices were not always applied. Conclusions: training support to improve knowledge, but its implementation isn't always adequate. Training is necessary, but with different strategies such as simulations and focused on the most critical aspects. The check list could be adopted to monitor and to conduct prevalence survey.