The Effect of Using Disinfecting Cap on Central Line Associated Blood Stream Infection Among Critical Ill Patients in Egypt

Mohamed, Ahmed Soliman; Abdelwanees, Aida Faried; Sultan, Mohamed Ahmed; Abo Seaada, Asmaa Ebrahim

doi:10.21608/mnj.2025.330158.1452

The Effect of Using Disinfecting Cap on Central Line Associated Blood Stream Infection Among Critical Ill Patients in Egypt

Document Type : Original Article

Authors

¹ Critical Care Nursing , Mansoura, Egypt

² Critical Care and emergency Nursing, Mansura university , Egypt

³ Anesthesia and Intensive Care, Faculty of Medicine, Mansoura, Egypt.

⁴ faculty of nursing Mansoura university

10.21608/mnj.2025.330158.1452

Abstract

Background: Central line-associated bloodstream infections are considered one of the most common types of healthcare-associated infections , it has a significant concern in critical care environments, Causing greater sickness, fatalities, and healthcare costs, many strategies Have been used to mitigate the risk of central line-associated bloodstream infection Aim: This study aimed to investigate the effect of using disinfecting cap on central line- associated blood stream infection among critically ill patients in Egypt. Methods: This research used a quasi-experimental design at Mansoura University Emergency Hospital’s trauma intensive Care Units. Ninety-six adult patients requiring internal jugular Central venous catheter patients with insertions lasting over 48 hours were randomly assigned to an intervention group. (n=48, disinfecting cap applied) or a control group (n=48, routine care). For data collection, a central line disinfecting cap tool was used. Results: The intervention group had a significantly lower central line-associated bloodstream infection rate (6.1%) compared to the control group (20.8%) (p = 0.033). The groups did not differ significantly in demographic characteristics, health-related factors, or central venous catheter insertion variables, more than 90% of cases who developed central line-associated bloodstream infection in both groups had central venous catheter duration more than 7days. Conclusion: Disinfecting caps have been shown to decrease the risk of central line-associated bloodstream infections. This simple and cost-effective intervention should be considered as part of routine central line maintenance bundles to safeguard patients and minimize the impact of infections contracted in hospitals.

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