Infecção da corrente sanguínea relacionada ao cateter venoso central

Rafael Lemes de Aquino, Flavio Santos Marques Junior, Newton Ferreira de Paula Junior

Resumo


Objetivo: identificar as evidências sobre as estratégias das equipes multiprofissionais para minimizar a infecção da corrente sanguínea relacionada ao manuseio do cateter venoso central. Método: trata-se de um estudo bibliográfico, descritivo, tipo revisão integrativa. Realizou-se a busca na BVS, na base de dados MEDLINE, na Biblioteca Virtual SciELO e no Portal CAPES. Incluíram-se trabalhos na íntegra, De 2014 a 2018, em inglês, português e espanhol. Apresentaram-se os resultados em forma de figuras, seguida da análise descritiva de duas categorias: adesão da equipe multiprofissional às medidas de prevenção e bundles na redução das infecções da corrente sanguínea. Resultados: aponta-se que chegou à amostra de 11 artigos. Concentraram-se os achados, quanto ao ano e número de estudos, em sua maioria, de 2017 (45%), seguido de 2015 e 2016 (18%) e 2014 e 2018 (9%); quanto ao delineamento, houve maior prevalência, estudos observacionais, quase-experimental e transversal (18%), seguidos de ensaios clínicos randomizados, revisão sistemática, longitudinal e quantitativo (9%). Conclusão: conclui-se que os achados apresentaram os cuidados e manuseio com CVC mais recentes encontrados na literatura pesquisada. Descritores: Cateteres Venosos Centrais; Infecção; Prevenção de Doenças; Assistência à Saúde; Segurança do Paciente; Infecções Relacionadas a Cateter.

Abstract

Objective: to identify evidence on the strategies of multidisciplinary teams to minimize bloodstream infection related to central venous catheter handling. Method: this is a bibliographic, descriptive, integrative review study. The search was performed in the VHL, in the MEDLINE database, in the SciELO Virtual Library and in the CAPES Portal. Full papers were included, from 2014 to 2018, in English, Portuguese and Spanish. The results were presented as figures, followed by a descriptive analysis of two categories: adherence of the multiprofessional team to prevention measures and bundles to reduce bloodstream infections. Results: it is pointed that reached the sample of 11 articles. The findings were concentrated in terms of year and number of studies, mostly 2017 (45%), followed by 2015 and 2016 (18%) and 2014 and 2018 (9%); Regarding the design, there was a higher prevalence, observational, quasi-experimental and cross-sectional studies (18%), followed by randomized clinical trials, systematic, longitudinal and quantitative review (9%). Conclusion: it is concluded that the findings presented the most recent care and handling with CVC found in the literature. Descriptors: Central Venous Catheters; Infection; Disease Prevention; Delivery of Health Care; Patient Safety; Catheter-Related Infections.

Resumen

Objetivo: identificar evidencia sobre las estrategias de equipos multiprofesionales para minimizar la infección de la corriente sanguínea relacionada con el manejo del catéter venoso central. Método: este es un estudio de revisión bibliográfico, descriptivo, integrador. La búsqueda se realizó en la BVS, en la base de datos MEDLINE, en la Biblioteca Virtual SciELO y en el Portal CAPES. Se incluyeron documentos completos, de 2014 a 2018, en inglés, portugués y español. Los resultados se presentaron en forma de figuras, seguidos de un análisis descriptivo de dos categorías: adhesión del equipo multiprofesional a medidas de prevención y bundles para reducir las infecciones de la corriente sanguínea. Resultados: se señala que alcanzó la muestra de 11 artículos. Los hallazgos se concentraron en términos de año y número de estudios, principalmente 2017 (45%), seguidos de 2015 y 2016 (18%) y 2014 y 2018 (9%); en cuanto al diseño, hubo una mayor prevalencia, estudios observacionales, cuasi experimentales y transversales (18%), seguidos de ensayos clínicos aleatorios, revisión sistemática, longitudinal y cuantitativa (9%). Conclusión: se concluye que los hallazgos presentaron la atención y el manejo más recientes con CVC encontrados en la literatura investigada. Descriptores: Catéteres Venosos Centrales; Infección; Prevención de Enfermedades; Prestación de Atención de Salud; Seguridad del Paciente; Infecciones Relacionadas con Catéteres.


Palavras-chave


Cateteres Venosos Centrais; Infecção; Prevenção de Doenças; Assistência à Saúde; Segurança do Paciente; Infecções Relacionadas a Cateter.

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Referências


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DOI: https://doi.org/10.5205/1981-8963.2019.242380



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