EVALUATION OF THE LEVEL OF KNOWLEDGE, ATTITUDES AND PRACTICE OF HEALTHCARE WORKERS REGARDING WORK WITH VASCULAR CATHETERS AND THE PREVENTION OF INFECTIOUS COMPLICATIONS OF VASCULAR CATHETERIZATION

Authors

  • A. V. Berezhna Kharkiv National Medical University
  • S. D. Novikov Kharkiv National Medical University
  • T. O. Chumachenko Kharkiv National Medical University

DOI:

https://doi.org/10.11603/1681-2727.2020.3.11553

Keywords:

cross-sectional study, catheter-related bloodstream infections, infection control, hand hygiene

Abstract

The aim of the study was to evaluate the knowledge, attitudes and practice (KAP) of healthcare workers (HCW) regarding vascular catheterization (VC) and the prevention of infectious VC complications.

Materials and methods. A cross-sectional study was conducted among 123 HCW of healthcare settings in Ukraine in September–November 2019 and January 2020 using the author’s questionnaire. The questionnaire contained three blocks and 48 questions. Microsoft Excel 2007 and Epi Info Epi Info™ for Windows version 7.2 were used for statistical analysis of the data. The significance level for χ2-test was set at P<0.05.

Results and discussion. The most of respondents (78.3 %) noted the need for more facts about possible VC complications, and 79.3 % of them required for additional data on infection control and prevention (ICP) of catheter-associated infections. A statistically significant association between the need to obtain extra information about the VC complications and the respondents’ position was established: χ2=7.9758, p=0.004741.

Insufficient knowledge of risk groups and factors were identified in HCW. 31.1 % of them believed that HCW had small impact on infectious VC complications occurrences. 33.4 % of HCW knew about inexpediency of routine replacement of central venous catheters (CVCs), peripheral inserted CVCs, and hemodialysis catheters.

99.2 % of HCW considered that before and after any VC it is necessary to perform hand hygiene (HH) using a soap and water or alcohol based hand rubs. In routine practice, 97.5 % of HCW always used gloves with VC. 11.6 % of HCW considered that gloving can replace HH with VC.

HCW neglected the use of gloves with VC because insufficient gloves provision (29.7 %). The quarter of respondents (25.0 %) replaced gloves with HH. Due to allergic reactions or contact dermatitis as a result of the gloves usage, 20.3 % of HCW refused to use its.

Conclusions. An insufficient level of KAP of HCW on epidemiology, ICP of infectious VC complications was determined.

Author Biographies

A. V. Berezhna, Kharkiv National Medical University

PhD student of the Department of Epidemiology, Kharkiv National Medical University

S. D. Novikov, Kharkiv National Medical University

student, Kharkiv National Medical University

T. O. Chumachenko, Kharkiv National Medical University

MD, Professor, Head of the Department of Epidemiology, Kharkiv National Medical University

References

European Centre for Disease Prevention and Control. (2019). Healthcare-associated infections in intensive care units. Annual Epidemiological Report for 2017. Stockholm. Retrieved from: https://www.ecdc.europa.eu/sites/default/files/documents/AER_for_2017-HAI.pdf.

Alkubati, S., Ahmed, N., Mohamed, O., Fayed, A., & Asfour, H. (2015). Health care workers’ knowledge and practices regarding the prevention of central venous catheter-related infection. American Journal of Infection Control, 43 (1), 26-30. DOI: 10.1016/j.ajic.2014.09.021. DOI: https://doi.org/10.1016/j.ajic.2014.09.021

Bianco, A., Coscarelli, P., Nobile, C., Pileggi, C., & Pavia, M. (2013). The reduction of risk in central line-associated bloodstream infections: Knowledge, attitudes, and evidence-based practices in health care workers. American Journal of Infection Control, 41 (2), 107-112. DOI: 10.1016/j.ajic.2012.02.038. DOI: https://doi.org/10.1016/j.ajic.2012.02.038

Kurian, R.N., & John, N. (2016). A study to assess the knowledge of staff nurses regarding central line associated blood stream infection (CLABSI) with a view to develop information-booklet on prevention of CLABSI in a selected hospital of Delhi. International Journal of Nursing and Midwifery Research, 3 (2&3), 17-20.

Chumachenko, T., Berezhna, A. (2019). Copyright certificate. Ukraine. Questionnaire «Using of intravascular catheters in clinical practice». 84621 [in Ukrainian].

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Published

2020-12-03

How to Cite

Berezhna, A. V., Novikov, S. D., & Chumachenko, T. O. (2020). EVALUATION OF THE LEVEL OF KNOWLEDGE, ATTITUDES AND PRACTICE OF HEALTHCARE WORKERS REGARDING WORK WITH VASCULAR CATHETERS AND THE PREVENTION OF INFECTIOUS COMPLICATIONS OF VASCULAR CATHETERIZATION. Infectious Diseases – Infektsiyni Khvoroby, (3), 50–59. https://doi.org/10.11603/1681-2727.2020.3.11553

Issue

No. 3 (2020)

Section

Original investigations

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