Document Detail


Barriers to adherence to cystic fibrosis infection control guidelines.
MedLine Citation:
PMID:  18671274     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: In 2003, the American Cystic Fibrosis (CF) Foundation published revised, evidence-based guidelines for infection control. We sought to assess potential barriers to adherence to these guidelines experienced by health care professionals (HCPs) caring for CF patients. METHODS: From April 2004 to December 2005, a knowledge, attitude, and practice survey was administered to HCPs at randomly selected CF centers in the United States to explore potential barriers to adherence to selected guidelines: (1) obtaining quarterly cultures from CF patients, (2) discouraging socialization among CF patients during hospitalization, (3) educating patients and families about hand hygiene, (4) educating patients and families to clean and disinfect home nebulizers, and (5) cleaning the clinic exam rooms between CF patients. RESULTS: The survey was completed by 528 HCPs from 25 sites (5-50 respondents per site). Only 60% of respondents were aware of the guidelines, but despite awareness, 31-47% were unfamiliar with the specific guidelines. Self-reported adherence was low; only 23-63% of respondents reported practicing the selected guidelines >75% of the time/opportunities. Lack of self-efficacy, that is, confidence in adequately performing the guidelines, was commonly experienced by respondents. Access to a copy of the guidelines was associated with increased agreement with the recommendations and increased self-efficacy. CONCLUSIONS: Strategies to reduce barriers to adherence to CF infection control guidelines are needed. Strategies could include quality improvement initiatives with enhanced education and skills workshops, sharing successful interventions among CF centers, and linking adherence to improved patient outcomes.
Authors:
Elizabeth Garber; Manisha Desai; Juyan Zhou; Luis Alba; Denise Angst; Michael Cabana; Lisa Saiman;
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Publication Detail:
Type:  Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Pediatric pulmonology     Volume:  43     ISSN:  1099-0496     ISO Abbreviation:  Pediatr. Pulmonol.     Publication Date:  2008 Sep 
Date Detail:
Created Date:  2008-09-01     Completed Date:  2009-02-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8510590     Medline TA:  Pediatr Pulmonol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  900-7     Citation Subset:  IM    
Copyright Information:
(c) 2008 Wiley-Liss, Inc.
Affiliation:
Division of Infectious Diseases, Department of Pediatrics, Columbia University, New York, New York 10032, USA.
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MeSH Terms
Descriptor/Qualifier:
Child
Cystic Fibrosis / complications*
Guideline Adherence / statistics & numerical data*
Humans
Infection Control*
Investigator
Investigator/Affiliation:
Robert A Kaslovsky / ; Scott A Schroeder / ; Raj Padman / ; Amy Szymanski / ; John McNamara / ; Mary Sachs / ; David A Hicks / ; Ofelia Vargas-Shiraishi / ; Thomas Scanlin / ; Howard B Panitch / ; Barbara T Jansma / ; William M Gershan / ; Mary Ellen Freeman / ; Lynne M Quittell / ; Samiya Razvi / ; Karen McCoy / ; Beth D'Antonio / ; Nancy N Dambro / ; Janet Garbarz / ; Thomas Murphy / ; Barbara McLurkin / ; Kimberly Jones / ; Antoinette Gardner / ; Amanda Dove / ; Kathleen Buckley / ; Joel H Schmidt / ; Andrew J Lipton / ; Monica Leupold / ; Henry A Wojtczak / ; Jerri Gray / ; Laurie Varlotta / ; Deborah Conklin / ; Daniel B Rosenbluth / ; Jane Quante / ; Ran D Anbar / ; Donna Lindner / ; Thomas Lahiri / ; Jackie Swartz / ; Paula J Anderson / ; Larry Gann / ; Bettina Hilman / ; Rodolfo Amaro / ; Monya Rucker / ; Scott H Davis / ; Joanna Reboul / ; Mary H Wagner / ; Terry Spencer / ; Cindy Capen / ; Catherine Kier / ; Teresa Carney / ; Michael J Rock / ; Cynthia Moodie / ; Dana G Kissner / ; Yvette LeFlore /

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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