Valentina De Nicolò, Alessandra Sinopoli, Paola Santalucia, Maria Silvia Spinelli, Denise Rinaldo, Velia Bruno, Antonello Napoletano, Daniela Coclite
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引用次数: 0
Abstract
Background: Healthcare-associated infections (HAIs) are a global concern, with Italy reporting a 7.5% prevalence, one of the highest rates in Europe. They contribute to longer hospital stays, antimicrobial resistance, and annual costs exceeding EUR 7 billion across Europe. To address HAIs, WHO recommends infection prevention strategies, including Care Bundles (CBs), evidence-based interventions to improve patient safety. Despite their effectiveness, adoption of CBs in Italy remains low (20-25%).
Aim: This pilot survey aimed to test the feasibility of a large-scale study on healthcare workers' knowledge and use of CBs in high-risk wards.
Methods: The study took place from October to November 2024. An anonymous online questionnaire, developed according to CHERRIES and CROSS standards, investigated demographics, knowledge, use, and barriers/facilitators to CB implementation, as well as feedback on the tool. Participants-physicians and nursing/obstetric staff from various specialties-were recruited through Scientific Societies and Professional Associations.
Findings: A total of 753 healthcare professionals completed the questionnaire (73.5% response rate). Most respondents were from northern regions (43.6%). Nearly half of physicians (49%) were unfamiliar with CBs, though 90% of them expressed interest in training. Among those familiar with CBs, only 57% reported applying them. Anaesthetists and surgeons showed greater awareness than orthopaedists. While 64% of nurses noticed CBs, 53% of obstetricians were unaware, and only 23% of the latter group used them in practice.
Conclusion: The survey highlights gaps in the knowledge and application of CBs across professional groups, emphasizing the need for targeted strategies to enhance adoption in clinical practice.
期刊介绍：
The Journal of Hospital Infection is the editorially independent scientific publication of the Healthcare Infection Society. The aim of the Journal is to publish high quality research and information relating to infection prevention and control that is relevant to an international audience.
The Journal welcomes submissions that relate to all aspects of infection prevention and control in healthcare settings. This includes submissions that:
provide new insight into the epidemiology, surveillance, or prevention and control of healthcare-associated infections and antimicrobial resistance in healthcare settings;
provide new insight into cleaning, disinfection and decontamination;
provide new insight into the design of healthcare premises;
describe novel aspects of outbreaks of infection;
throw light on techniques for effective antimicrobial stewardship;
describe novel techniques (laboratory-based or point of care) for the detection of infection or antimicrobial resistance in the healthcare setting, particularly if these can be used to facilitate infection prevention and control;
improve understanding of the motivations of safe healthcare behaviour, or describe techniques for achieving behavioural and cultural change;
improve understanding of the use of IT systems in infection surveillance and prevention and control.
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