Adherence to guidelines and central-line-associated bloodstream infection occurrence during insertion and maintenance of intravascular catheters: evidence from 20 tertiary hospitals

• Published in: The Journal of hospital infection 2024-08, Vol.150, p.17-25
• Main Authors: Zang, F., Liu, J., Wen, Y., Jin, X., Yang, Y., Li, L., Di, J., Tang, H., Wu, J., Liu, H., Huang, J., Zhang, J., Li, S., Yang, L., Wang, X., Geng, S., Xing, H., Xie, J., Hua, J., Xue, X., Zhao, Y., Ouyang, L., Song, P., Zhuang, G., Chen, W.
• Format: Article
• Language: English
• Subjects: Adherence; Central line-associated bloodstream infections; Intravascular catheters
• ISSN: 0195-6701; 1532-2939; 1532-2939
• DOI: 10.1016/j.jhin.2024.05.011

To investigate adherence to intravascular catheter (IVC) insertion and maintenance guidelines in Chinese tertiary hospitals. A cross-sectional questionnaire survey of adult inpatients with IVC placements was conducted from July to September 2022 in 20 tertiary hospitals in China. One clinical staff member from each department in each hospital was assigned to participate in the survey. Questionnaires were uniformly collected and reviewed after three months. This study included 1815 cases (62.69%) of central venous catheter, 471 cases (16.27%) of peripherally inserted central catheter, 461 cases (15.92%) of PORT, and 147 cases (5.08%) of haemodialysis catheter insertions. Statistically significant differences in compliance were observed across the four IVC types, specifically in relation to the insertion checklist, standard operating procedure, and insertion environment (P