Assessment of Nursing Knowledge and Compliance regarding Central Line Associated Blood Stream Infection in Neonatal Intensive Care Unit (NICU)

Mahmoud Abul-Fattouh Khalaf, Nehal; El-Sayed Hussein, Hussein; Ebrahim Abdelfadial Mohamed, Eman; El-Sakhawy, Eman

doi:10.21608/ejhc.2025.456421

Assessment of Nursing Knowledge and Compliance regarding Central Line Associated Blood Stream Infection in Neonatal Intensive Care Unit (NICU)

Document Type : Original Article

Authors

¹ Military Institute of Health and Epidemiology, Military Medical Academy

² Assistant Professor in Military Medical Academy

³ Assistant professor in Nursing & Hospital Management in Military Medical Academy

⁴ Lecturer in Nursing & Hospital Management in Military Medical Academy

10.21608/ejhc.2025.456421

Abstract

Background: Hospital-acquired infections are a significant concern in neonatal intensive care units due to newborns’ immature immunity and frequent invasive procedures, with central line–associated bloodstream infection (CLABSI) being one of the most serious complications. Aim of the study: To assess nurses' knowledge and compliance regarding central line associated blood stream infection in neonatal Intensive Care Unit (NICU). Research design: A descriptive study design was used in this study. Setting: The study was conducted at Al Galaa Military Medical Complex. Sample: Convenience sample of 60 nurses working in Neonatal Intensive Care Unit (NICU) at Al Galaa Military Medical Complex. Tools: Data was collected by using 2 tools: Tool I: self-administrated questionnaire that consists of 2 main parts as follow: 1st part: Demographic data sheet of studied nurses, and 2nd part: is Knowledge assessment questionnaire. Tool II: observational checklist. Results: The study result revealed that, more than half (53.3%) of studied nurses had average level of knowledge, and 30% had good level of knowledge, while 16.7% had poor level of knowledge. Also, 58.3% of studied nurses had adequate level of compliance while 41.7% had inadequate level of compliance. There was highly statistically significant relation between nurses' knowledge, and practices. Conclusion: The study showed that over half of nurses had average knowledge of CLABSI prevention in NICUs, nearly one-third had good knowledge, and fewer had poor knowledge. More than half demonstrated adequate compliance, while some showed inadequate adherence. Recommendation: Implement regular educational programs and workshops focusing on evidence-based CLABSI prevention protocols tailored to NICU settings.

Keywords