Vol. 6, Issue 1 (2020)
Prevention and control of central venous catheter infection in Omdurman military hospital, Khartoum state, Sudan (2016-2019)
Author(s): Marwa Adam Abdelrhman Adam
Abstract: Central venous catheters (CVCs) are life-sustaining devices but are associated with a risk for infections that can increase morbidity and mortality, Infections associated with intravascular catheters account for 10% to 20% of all nosocomial infections. The mean rate of CVC-related bloodstream infection in the intensive care unit (ICU) is 5.3 per 1000 catheter days From 10% to 70% of all CVC-related infections are preventable, therefore based guidelines have been publish (Galpern, D., Guerrero2013), this study was conducted to study Prevention and control of Central Venous Catheter infection in Omdurman military hospital, Khartoum State, Sudan (2016-2019) Total of 150 intensive care unit nurses in Omdurman military hospital were selected, A well-structured questionnaire for interviewing the respondents, Check list included the nurse's practice regarding infection prevention of central venous catheters, data was analyzed using statistical package of social science (SPCC).55% of the participant using stander precautions in pretest and they improving in posttest by 60% regarding the hand washing compliancy the participant need more awareness and encouragement to perform proper hands washing only 40% of the participant performing hand hygiene before touching the patients, in the posttest 42% performing hand haygeine,53% of the participant performing hand washing after touching patients, in the posttest 39% only performing,20% of the respondent performing hand hygiene after early procedure which is minimum percentage and it is increased in posttest by 30%,37% of the respondent performing hand washing after removing gloves and the is alight improvement in posttest by 39%,55% of the participant aware about organisms that cause central venous catheter 24% of the participants aware about the factor associated with central venous Catheter infection, only 40% of pretest and posttest participant aware about the inserting the central venous catheter, the compliancy of hands hygiene increased from 20%in pretest participant to 30% in posttest participant, using of stander precaution increased from 23%-30%.the participant need more awareness regarding hand hygiene and use of stander precaution the study recommended that Cautiously updating the staff of infection control programmes and policies, Determine a clinical resource nurse to update and evaluate the staff regarding their knowledge and practice and Availability of equipment and solutions needed during hand washing and inserting of central venous catheters.