• Overall adherence to device-associated infection prevention was 77.9%. • Adherence was lowest for VAP prevention (73.5%) and highest for CAUTI (82.0%). • Surgical ICUs had higher catheter-care adherence than general ICUs. • Primary barriers were organizational: insufficient training rates were highest for CAUTI (82.0%) and lowest for VAP (73.5%). Surgical ICUs demonstrated significantly higher adherence for CLABSI (p=.008) and CAUTI (p=.015) prevention compared to general ICUs. The most frequently cited barrier was a lack of periodic staff training (reported by 50% for CLABSI). Adherence to DAI prevention protocols was moderate, with VAP prevention a key challenge. The primary barriers were organizational, including insufficient training and staff shortages, not a lack of guidelines. Improving adherence requires systemic solutions that address institutional infrastructure, provide sustained training, and ensure adequate staffing.
Ghavidel‐Sardsahra et al. (Sun,) studied this question.