Alfa Institute of Biomedical Sciences, Athens, Greece, USA.
Am J Infect Control. 2011 Sep;39(7):542-7. doi: 10.1016/j.ajic.2010.11.003. Epub 2011 Apr 15.
Infections associated with central venous catheters (CVCs) are associated with considerable morbidity and mortality.
We conducted a survey to evaluate the theoretical knowledge and practices of intensive care unit doctors and nursing staff regarding CVC-related infections.
A questionnaire was distributed to 345 doctors and nurses. The response rate was 71.6%. Of the responders, 84.9% worked in public hospitals, 40% had been trained in CVC-related infection issues, and 27% were familiar with the relevant Centers of Disease Control and Prevention guidelines. The mean percentage of correct answers (± standard deviation) on the 3 parts of the questionnaire were 42.9% ± 16.2%, 86.9% ± 9.5%, and 85.4% ± 7.2%. In the subset of questions referring to procedures that were doctors' exclusive responsibility, 13.6% of the doctors answered all questions correctly. Age >37 years, awareness of relevant official guidelines, working in a private hospital, and being a doctor were identified as independent variables associated with high scores in knowledge regarding the prevention of CVC-related infections. Female sex and training in infection prevention were associated with higher scores on the part evaluating adherence to specific practices regarding CVC insertion, whereas being a nurse was associated with higher scores on the part evaluating CVC maintenance.
Our findings suggest that there is a need for increased theoretical knowledge and improvement in practices regarding CVC care. Educational programs directed at doctors and nurses working in intensive care units may aid this effort.
与中心静脉导管（CVC）相关的感染与相当大的发病率和死亡率有关。
我们进行了一项调查，以评估重症监护病房医生和护理人员对与 CVC 相关感染的理论知识和实践。
向 345 名医生和护士分发了问卷。回复率为 71.6%。在应答者中，84.9%在公立医院工作，40%接受过与 CVC 相关感染问题的培训，27%熟悉相关疾病控制和预防中心的指南。问卷 3 部分的正确答案平均百分比（±标准差）为 42.9%±16.2%、86.9%±9.5%和 85.4%±7.2%。在涉及医生独家负责的程序的问题子集，13.6%的医生正确回答了所有问题。年龄>37 岁、意识到相关官方指南、在私立医院工作和是医生被确定为与预防 CVC 相关感染的知识得分较高的独立变量。女性和感染预防培训与插入 CVC 时特定实践的遵守评估部分的更高分数相关，而护士与 CVC 维护评估部分的更高分数相关。
我们的发现表明，需要增加有关 CVC 护理的理论知识和改进实践。针对重症监护病房的医生和护士的教育计划可能有助于这一努力。
