title: Effectiveness of a training program in compliance with recommendations for venous lines care.
abstract: BACKGROUND
  The impact of training programs on the care and maintenance of venous lines (VL) has been assessed mainly in patients admitted to the intensive care unit (ICU). Data on the impact of such programs in a whole general hospital are scarce. The objective of this study was to assess compliance with VL care after an extensive training program aimed at nurses caring for adult ICU and non-ICU patients.
  
  
  METHODS
  We performed 2 point prevalence studies in a general hospital. A specialized nurse visited all hospitalized adult patients, performed a bedside inspection, and reviewed the nursing records for patients with a VL before and after a 1-year training program. The program included an interactive on-line teaching component and distribution of pocket leaflets and posters with recommendations on VL care.
  
  
  RESULTS
  Data recorded for the first and second prevalence studies were as follows: number of patients visited, 753 vs. 682; total number of patients with ≥ 1 VL implanted on the visit day, 653 (86.7%) vs 585 (85.8%); catheters considered unnecessary on the study day, 183 (22.9%) vs 48 (7.1%) (p < 0.001); number of catheters with local clinical evidence of infection on the study day, 18 (2.2%) vs 12 (1.8%) (p = 0.52); registration of insertion day (42.3% vs 50.1%; p = 0.003); and registration of day of dressing change (41.2% vs 49.1%; p = 0.003). Maintenance parameters improved more in non-ICU than in ICU patients.
  
  
  CONCLUSIONS
  A multidisciplinary teaching program to improve VL care and compliance with recommendations is effective. Point prevalence studies are easy to carry out and effective at demonstrating increases in compliance, mainly in non-ICU patients.
authors.affiliation: Cardiac Surgery Postoperative Care Unit, Hospital General Universitario Gregorio Marañón, Madrid, Spain. massus@hotmail.es.|Department of Clinical Microbiology and Infectious Diseases, Hospital General Universitario Gregorio Marañón, Doctor Esquerdo, 46; 28007, Madrid, Spain. massus@hotmail.es.|CIBER Enfermedades Respiratorias-CIBERES (CB06/06/0058), Madrid, Spain. massus@hotmail.es.
authors.forename: M J
authors.initials: MJ
authors.lastname: Pérez-Granda
authors.affiliation: Department of Clinical Microbiology and Infectious Diseases, Hospital General Universitario Gregorio Marañón, Doctor Esquerdo, 46; 28007, Madrid, Spain. mariaguembe@hotmail.com.
authors.forename: M
authors.initials: M
authors.lastname: Guembe
authors.affiliation: Cardiac Surgery Postoperative Care Unit, Hospital General Universitario Gregorio Marañón, Madrid, Spain. crisrsanz@yahoo.es.
authors.forename: C
authors.initials: C
authors.lastname: Rincón
authors.affiliation: Department of Clinical Microbiology and Infectious Diseases, Hospital General Universitario Gregorio Marañón, Doctor Esquerdo, 46; 28007, Madrid, Spain. pmunoz@hggm.es.|Medicine Department, School of Medicine, Universidad Complutense de Madrid, Madrid, Spain. pmunoz@hggm.es.|CIBER Enfermedades Respiratorias-CIBERES (CB06/06/0058), Madrid, Spain. pmunoz@hggm.es.
authors.forename: P
authors.initials: P
authors.lastname: Muñoz
authors.affiliation: Department of Clinical Microbiology and Infectious Diseases, Hospital General Universitario Gregorio Marañón, Doctor Esquerdo, 46; 28007, Madrid, Spain. emilio.bouza@gmail.com.|Medicine Department, School of Medicine, Universidad Complutense de Madrid, Madrid, Spain. emilio.bouza@gmail.com.|CIBER Enfermedades Respiratorias-CIBERES (CB06/06/0058), Madrid, Spain. emilio.bouza@gmail.com.
authors.forename: E
authors.initials: E
authors.lastname: Bouza
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002406:Catheterization, Peripheral / Q000451:nursing* / Q000592:standards* / Q000706:statistics & numerical data; D004509:Education, Nursing, Continuing / Q000592:standards; D005260:Female; D019983:Guideline Adherence / Q000592:standards; D006769:Hospitals, General / Q000706:statistics & numerical data; D006801:Humans; D007362:Intensive Care Units / Q000592:standards / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D015397:Program Evaluation