Table 4.
Adherence to Infection Control Policies in Adult Intensive Care Units
| Overall | Medical | Medical Cardiac | Medical/Surgical | Surgical | Surgical Cardiothoracic | |
|---|---|---|---|---|---|---|
| n (%) | n (%) | n (%) | n (%) | n (%) | n (%) | |
| CLABSI Prevention | ||||||
| Insertion Checklist (n = 1228) | 636 (52) | 160 (53) | 70 (46) | 294 (54) | 51 (46) | 61 (50) |
| Monitor HH at insertion (n = 1237) | 764 (62) | 197 (66) | 93 (60) | 345 (63) | 60 (56) | 69 (55) |
| Maximal barrier precautions (n = 1266) | 787 (62) | 199 (64) | 89 (58) | 365 (65) | 60 (54) | 74 (57) |
| Chlorhexidine use at insertion* (n = 1275) | 909 (71) | 231 (74) | 107 (69) | 422 (75) | 68 (61) | 81 (63) |
| Optimal catheter site selection* (n = 1200) | 549 (46) | 150 (53) | 54 (36) | 250 (47) | 43 (42) | 52 (41) |
| Checking line daily for necessity (n = 1444) | 428 (37) | 100 (37) | 47 (32) | 194 (38) | 45 (45) | 42 (36) |
| VAP Prevention | ||||||
| Ventilator bundle checklist (n = 953) | 491 (52) | 123 (54) | 52 (44) | 229 (55) | 41 (48) | 46 (46) |
| Raising head of bed (n = 1184) | 575 (49) | 150 (53) | 60 (40) | 269 (51) | 45 (44) | 51 (42) |
| Sedation vacation (n = 1151) | 518 (45) | 124 (45) | 64 (44) | 241 (48) | 42 (41) | 47 (39) |
| Stomach ulcer prevention (n = 1101) | 593 (54) | 148 (56) | 71 (52) | 275 (55) | 43 (47) | 56 (51) |
| DVT prophylaxis (n = 1137) | 624 (55) | 153 (56) | 74 (53) | 295 (58) | 41 (43) | 61 (53) |
| Chlorhexidine mouthcare (n = 879) | 419 (48) | 98 (49) | 52 (43) | 185 (49) | 35 (40) | 49 (52) |
| CAUTI Prevention | ||||||
| Urinary reminder or stop-order (n = 184) | 184 (27) | 43 (27) | 25 (29) | 80 (26) | 13 (26) | 23 (32) |
| Nurse-initiated urinary catheter (n = 343) | 74 (22) | 20 (25) | 10 (23) | 29 (19) | 6 (24) | 9 (24) |
| Portable bladder ultrasounds (n = 863) | 102 (12) | 25 (12) | 9 (9) | 46 (12) | 7 (9) | 15 (15) |
| Condom catheters (n = 657) | 37 (6) | 8 (5) | 5 (6) | 12 (4) | 4 (7) | 8 (11) |
Note: The Overall column presents the variation in adherence to policies across all the ICU types.
*
p-value <0.05
HH: Hand Hygiene; DVT: Deep Vein Thrombosis