Anesthesia Provider Compliance with Intravenous Injection Port Disinfection Protocols

Background and Review of Literature: Intravenous (IV) catheter-associated bloodstream infections (CABIs) are a substantial problem in healthcare. Recently, intraoperative care was identified as a risk factor for the development of CABIs. Patient IV stopcocks (i.e. injection ports), which are bacterially contaminated during anesthesia administration, serve as a vector for bacterial transmission and subsequent infection development in patients. IV injection port disinfection was shown to reduce this bacterial contamination and decrease postoperative infection rates. Current clinical practice guidelines (CPGs) and hospital policies recommend IV injection port disinfection prior to IV access. Purpose: The purpose of this DNP project is to determine anesthesia provider compliance with intraoperative IV injection port disinfection protocols and anesthesia provider attitudes regarding intraoperative IV injection port disinfection. Methods: To investigate this, an online survey will be administered using the survey software program Qualtrics. Implementation Plan/Procedure: Anesthesia providers at IU Health Arnett Hospital will be invited to participate via e-mail. Participation will be entirely voluntary and confidential. All survey responses will be sent to Qualtrics and stored in a password protected electronic format. Implications/Conclusion: The survey completion rate among anesthesia providers was 41.38%. Survey respondents estimated scrubbing the IV injection port 68.83% of the time and allowing drying time after scrubbing the IV injection port 51.33% of the time prior to IV-line access. Only 49.99% of survey respondents agreed that intraoperative IV-line care contributes to bacterial transmission to patients. Furthermore, 58.33% of survey respondents disagreed that intraoperative IV-line care contributes to the development of postoperative infections. These results suggest that improvement is needed in this area of intraoperative infection control. They also suggest that certain anesthesia provider attitudes regarding intraoperative IV-line care may serve as a rationale for noncompliance. Future research and quality improvement (QI) initiatives should focus on such attitudes as a potential avenue for intervention for improving IV injection port disinfection compliance among anesthesia providers.

Creator

• Brechbuhl, Brittany

Language

• English

关键词

• intraoperative bacterial transmission
• catheter hub disinfection
• stopcock contamination
• anesthesia workplace
• intraoperative infection control

Date created

• 2022

Resource type

• Research Paper

Rights statement

• http://rightsstatements.org/vocab/InC/1.0/