Assessment of staff knowledge level and evaluation of medical staff for the prevention of central-line-associated bloodstream infections
Soad S. Hashad, Hala M. Etayari, Esam M. Mejrab
Abstract
Although most of the central line-associated bloodstream infections can be prevented by following evidence-based recommendations, the extent to which these guidelines are followed in Libyan hospitals and their intensive care units remains unclear. This cross-sectional study aims to evaluate medical staff’s behavior, knowledge, and attitudes toward the prevention of central line-associated bloodstream infections. A standardized structural questionnaire (The CLABSI TAP Facility Assessment Tool V4.0 - last updated May 2022) was distributed to healthcare providers working at Tripoli Children's Teaching Hospital from March 2024 to June 2024. The questionnaire collected data on demographic and occupational traits as well as awareness of evidence-based strategies for CLABSI prevention. 49 staff physicians and nurses from Tripoli Children's Teaching Hospital were chosen using an easy sampling technique. Most participants showed good knowledge about central line insertion sites and techniques, but there is a considerable gap in adherence to established safety practices. Several expressed dissatisfactions with current infection control measures, highlighting the critical need for enhanced training and stricter enforcement of guidelines.
Keywords
References
- Perin DC, Erdmann AL, Higashi GD, Dal Sasso GT. Evidence-based measures to prevent central line-associated bloodstream infections: a systematic review. Revista Latino-Americana de Enfermagem. 2016; 24: e2787. doi: 10.1590/1518-8345.1233.2787
- Ullman AJ, Long DA, Rickard CM. Prevention of central venous catheter infections: a survey of paediatric ICU nurses’ knowledge and practice. Nurses Education Today. 2014; 34: 202-207. doi: 10.1016/j.nedt.2013.09.002
- Bianco A, Coscarelli P, Nobile CGA, Pileggi C, Pavia M. The reduction of risk in central line-associated bloodstream infections: Knowledge, attitudes, and evidence-based practices in health care workers. The American Journal of Infection Control. 2013; 41(2): 107-112. doi: 10.1016/j.ajic.2012.02.038
- Dedunska K, Dyk D. No Prevention of central venous catheter-associated bloodstream infections: a questionnaire evaluating the knowledge of the selected 11 evidence-based guidelines by Polish nurses. American Journal of Infection Control. 2015; 43(12): 1368-13671. doi: 10.1016/j.ajic.2015.07.022
- Pujol M, Hornero A, Saballs M, Argerich MJ, Verdaguer R, Cisnal M, Peña C, Ariza J, Gudiol F. Clinical epidemiology and outcomes of peripheral venous catheter-related bloodstream infections at a university-affiliated hospital. The Journal of Hospital Infection. 2007; 67(1): 22-29. doi: 10.1016/j.jhin.2007.06.017
- Khare MD, Bukhari SS, Swann A, Spiers P, McLaren I, Myers J. Reduction of catheter-related colonization by the use of a silver zeolite-impregnated central vascular catheter in adult critical care. Journal of Infection. 2007; 54(2): 146-150. doi: 10.1016/j.jinf.2006.03.002
- Foka M, Nicolaou E, Kyprianou T, Palazis L, Kyranou M, Papathanassoglou E, Lambrinou E. Prevention of central line-associated bloodstream infections through educational interventions in adult intensive care units: A systematic review. Cureus. 2021; 13(8): 1729. doi: 10.7759/cureus.17293
- Al-Abdely HM, Alshehri AD, Rosenthal VD, Mohammed YK, Banjar W, Orellano PW, et al. Prospective multicentre study in intensive care units in five cities from the Kingdom of Saudi Arabia: Impact of the International Nosocomial Infection Control Consortium (INICC) multidimensional approach on rates of central line-associated bloodstream infection. Journal of Infection Prevention. 2016; 18(1): 25-34. doi: 10.1177/ 1757177416669424
- Woeltje KF, McMullen KM, Butler AM, Goris AJ, Doherty JA. Electronic surveillance for healthcare-associated central line-associated bloodstream infections outside the intensive care unit. Infection Control and Hospital Epidemiology. 2011; 32: 1086-1090. doi:10.1086/662181
- Nguyen H-P, Ha V-T, Tran T-V-A, Ha H-A. Antibiotic stewardship in a Vietnamese public security hospital: Addressing antimicrobial resistance challenges through the AWaRe framework. Mediterranean Journal of Pharmacy and Pharmaceutical Sciences. 2025; 5(3): 19-27. doi: 10.5281/zenodo.15870874
- Marques M, Cesar R. Ultrasound-guided central venous catheterization: A protocol to be followed in pediatrics? Open Journal of Pediatrics. 2017; 7: 128-139. doi: 10.4236/ojped.2017.73016
- Karakitsos D, Labropoulos N, De Groot E, Patrianakos AP, Kouraklis G, Poularas J, et al. Real-time ultrasound-guided catheterization of the internal jugular vein: A prospective comparison with the landmark technique in critical care patients. Critical Care. 2006; 10(6): e162. doi: 10.1186/cc5101
- Andualem M, Kebede G, Kumie A. Information needs and seeking behavior among health professionals working at public hospital and health centres in Bahir Dar, Ethiopia. BMC Health Services Research. 2013; 13: 534. doi: 10.1186/1472-6963-13-534
- Chi X, Guo J, Niu X, He R, Wu L, Xu H. Prevention of central line-associated bloodstream infections: a survey of ICU nurses' knowledge and practice in China. Antimicrobial Resistance and Infection Control. 2020; 9(1): 186. doi: 10.1186/s13756-020-00833-3
- O’Grady NP, Alexander M, Dellinger EP, Gerberding JL, Heard SO, Maki DG, et al. Guidelines for the prevention of intravascular catheter-related infections. Morbidity and Mortality Weekly Report. Recommendations and Reports. 2002; 51: 1-29. doi: Nil.
- Pronovost PJ, Watson SR, Goeschel CA, Hyzy RC, Berenholtz SM. Sustaining reductions in central line-associated bloodstream infections in Michigan intensive care units: A 10-year analysis. American Journal of Medical Quality. 2016; 31: 197-202. doi: 10.1177/1062860614568647
- Pronovost PJ, Watson SR, Goeschel CA, Hyzy RC, Berenholtz SM. Sustaining reductions in central line-associated bloodstream infections in Michigan intensive care units: A 10-year analysis. American Journal of Medical Quality. 2016; 31: 197-202. doi: 10.1177/1062860614568647
- Giwa HB, Jamiu MO, Aiyelero OM, Abdul A, Giwa A, Eniayewu OI, Giwa FAS. Budget impact analysis of alternative strategies for initiating antiretroviral therapy in Nigeria. Mediterranean Journal of Pharmacy and Pharmaceutical Sciences. 2025; 5(4): 11-20. doi: 10.5281/zenodo.17307273
- Almalki AI, Alghamdi HA, Tashkandy NA. Assessment of knowledge, attitude, and adherence to National Guidelines for Preventing Central Line-Associated Bloodstream Infections among ICU nurses of adult patients in Jeddah, Saudi Arabia: A cross-sectional survey. Cureus. 2023; 15(7): e42304. doi: 10.7759 cureus. 42304
- Matlab AA, Al-Hussami MO, Alkaid Albqoor M. Knowledge and compliance to prevention of central line-associated blood stream infections among registered nurses in Jordan. Journal of Infection Prevention. 2022; 23(4): 133-141. doi: 10.1177/17571774211066778
Submitted date:
09/05/2025
Reviewed date:
10/25/2025
Accepted date:
10/30/2025
