Evidence map›Paper›PMID 32741732›Full record

ArticleJournal of infection and public health2020

Assessment knowledge and practices of central line insertion and maintenance in adult intensive care units at a tertiary care hospital in Saudi Arabia.

Rasha S Almahmoud, Maha A Alfarhan, Walaa M Alanazi, Farah K Alhamidy, Hanan H Balkhy, Majid Alshamrani, Aiman El-Saed, Betule A Sairafi, Salim A Bahron

Open access · goldAbstract read
In one paragraph

Article in Journal of infection and public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.4field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 2 countries.

Rasha S AlmahmoudKing Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia. Electronic address: rashaalmahmoud067@gmail.com.
Maha A AlfarhanKing Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia. Electronic address: alfarhan091@gmail.com.
Walaa M AlanaziKing Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia. Electronic address: walaaa444@gmail.com.
Farah K AlhamidyKing Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia. Electronic address: farahalhamidi@gmail.com.
Hanan H BalkhyWorld Health Organization, Saudi Arabia. Electronic address: balkhyh@who.int.
Majid AlshamraniKing Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia; Infection Prevention and Control Department, King Abdulaziz Medical City (KAMC), Ministry of National Guard Health Affairs (MNGHA), Riyadh, Saudi Arabia. Electronic address: alshamranima2@ngha.med.sa.
Aiman El-SaedKing Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia; Infection Prevention and Control Department, King Abdulaziz Medical City (KAMC), Ministry of National Guard Health Affairs (MNGHA), Riyadh, Saudi Arabia. Electronic address: amest30@yahoo.com.
Betule A SairafiKing Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia. Electronic address: sairafi.b@gmail.com.
Salim A BahronIntensive Care Department, King Abdulaziz Medical City (KAMC), Ministry of National Guard Health Affairs (MNGHA), Riyadh, Saudi Arabia. Electronic address: baharons@ngha.med.sa.
King Saud bin Abdulaziz University for Health Sciences · SAKing Abdulaziz Medical City · SAWorld Health Organization - Pakistan · PK

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundAwareness of central line bundle by healthcare workers (HCWs) is essential for preventing catheter-associated bloodstream infections (CLABSI). The objective was to assess the knowledge and practice of insertion and maintenance central line bundles among HCWs in intensive care units (ICUs).

methodsA cross-sectional study was conducted at King Abdul-Aziz medical city in Riyadh between November 2017 and April 2018. The target was nurses and physicians working in three ICUs. The knowledge and practice were assessed using a structured study questionnaire that included also demographic characteristics.

resultsA total 171 nurses and 41 physicians were included in the current analysis. More than 90% of HCWs correctly answered 9 out of 12 knowledge questions, specially questions related hand hygiene, maximal barrier, daily assessment, and dressing change. The overall knowledge score was 82% and was significantly higher among those who received central line bundle training. Self-reported compliance (all or most of the time) with 10 different bundle recommendations ranged between 50% and 97%, being highest with hand hygiene, maximal barrier, and using chlorhexidine (97% each) and lowest with using the subclavian site (50%). The overall self-reported compliance score was 87% and was significantly higher among nurses. There was weak positive correlation between knowledge and practice (correlation coefficient 0.266, p=0.001).

conclusionKnowledge and compliance of central line bundle were generally high in our HCWs. Training is important in improving knowledge of central line bundle. Future educational activities should focus on specific compliance deficiencies such as using the subclavian site and dressing change.

Indexed as

Catheter-Related InfectionsCross InfectionGuideline AdherenceAdultCross-Sectional StudiesFemaleHumansInfection ControlIntensive Care UnitsMaleSaudi ArabiaTertiary Care Centers

Identifiers

PMID32741732
PMCPMC7606903
OpenAlexW3046692453

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.