Abstract
Background: In resource-limited countries, device-associated infections (DAIs) pose a real threat to patient safety as one of the most significant causes of morbidity and mortality. Nevertheless, inadequate data from ICUs in the developing world is available. The study aimed to assess the compliance with the device care bundle and evaluate the impact of device care bundle implementation on the incidences rate of device-associated infections and the mortality rates. Health care workers' compliance with care bundles was observed. DAIs and mortality rates were calculated. Results: The compliance rate was (44/84; 52.4%) to each of ventilator care and central catheter care bundles and (45/84; 53.6%) to urinary catheter insertion care bundle. The incidence rate of total DAI was 35.3/1000 device-days. The overall crude excess mortality rates is 39.2% (relative risk, 5.7; 95% CI, 3.04- 10.68; P <0.001) & 15.9% (relative risk, 2.91; 95% CI, 1.55-5.40; P <0.001), for DAIs and for non-infected cases respectively. Conclusion: A highly recommended practice is continuous monitoring of the device care bundle implementation. For ICU staff members, a pre-employment package of training must be provided.