Electronic smart device surveillance: the effect of clinical nursing practice of central line-associated bloodstream infections on patients’ outcomes

Abdalla, Rasmia Ibrahim; Abde-Aziz, Mervat Anwar; Mohamed, Amany Omar

doi:10.21608/asnj.2025.428404.2185

Electronic smart device surveillance: the effect of clinical nursing practice of central line-associated bloodstream infections on patients’ outcomes

Document Type : Original Article

Authors

¹ Specialist Nurse at Main Hospital Assiut university, Egypt.

² Professor of Critical Care and Emergency Nursing, Faculty of Nursing, Assiut University, Egypt.

³ Professor of Chest Disease, Faculty of Medicine, Assiut University, Egypt.

10.21608/asnj.2025.428404.2185

Abstract

Background: Surveillance is the backbone to determine local issues, priorities, and to assess the effectiveness of infection control policies. Aim: The study aimed to evaluate the effect of clinical nursing practice of central line-associated bloodstream infections on patients’ outcomes by using electronic smart device surveillance. Design: This study used a quasi-experimental research design. Setting: The study was conducted in Trauma and Chest Intensive Care Units at Assiut University Hospital. Sample size: The sample used in the study included 112 critically ill patients who were divided into two equal groups, each with 56 patients, control group and study group, which was monitored by electronic smart devices. Tools: three tools were used to gather study data. Tool I: Patient assessment sheet, Tool II: Electronic smart device surveillance, and Tool III: Patient outcomes. Results: the most prevalent pathogen for the central line-associated bloodstream infections was 42.9% Klebsiella in control group, but 31.3% Enterobacter in study group, also there is a significant statistical difference in the control and study groups for the primary infection type and the outcome of admission with p-value p<0.017* and 0.000*, respectively. Conclusion: Based on findings of the current study, it can be concluded that 57.1, 23.2, and 19.6% of patients respectively, had died, been discharge or been transferred as outcome for infection types in intensive care units. Recommendation: raise the awareness of ICUs staff on the value of surveillance program and how it can help lower HAIs.

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