INFECÇÃO DA CORRENTE SANGUÍNEA RELACIONADA AO CATETER VENOSO CENTRAL
DOI:
https://doi.org/10.5205/1981-8963.2019.242380Keywords:
Central Venous Catheters, Infection, Disease Prevention, Delivery of Health Care, Patient Safety, Catheter-Related Infections.Abstract
Objetivo: identificar as evidências na literatura científica 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 via PubMed, na Biblioteca Virtual SciELO e no Portal CAPES. Incluíram-se trabalhos na íntegra, dos últimos cinco anos, em inglês, português e espanhol, gratuitos e on-line. Apresentaram-se os resultados em forma de figuras. 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. Evidenciaram-se a falta de adesão às medidas de prevenção e a não adesão aos bundles como medida preventiva para as infecções primárias da corrente sanguínea.References
Mendonça KM, Neves HCC, Barbosa DFS, Souza ACS, Tipple AFV, Prado MA. Nursing care in the prevention and control of catheter-related bloodstream infections. Rev Enferm UERJ. 2011 Apr/June;19(2):330–3. DOI: http://dx.doi.org/10.1590/S0080-62342013000100005.
Mesiano ERAB, Merchán-Hamann E. Bloodstream infections among patients using central venous catheters in intensive care units. Rev Latino-Am Enfermagem. 2007 May/June;15(3):8.DOI: http://dx.doi.org/10.1590/S0104-11692007000300014
Ferreira MVF, Andrade D, Ferreira AM. Infection control related to central venous catheter impregnated with antiseptics: an integrative review. Rev Esc Enferm USP. 2011 Aug;45(4):993–7. DOI: http://dx.doi.org/10.1590/S0080-62342011000400030.
Ministério da Saúde (BR), Agência Nacional de Vigilância Sanitária. Medidas de prevenção de infecção relacionada à assistência à saúde. Série segurança do paciente e qualidade em serviços de saúde [internet]. Brasília: Ministério da Saúde; 2013 [cited 2019 Apr 16]. Available from: https://www20.anvisa.gov.br/segurancadopaciente/index.php/publicacoes/item/caderno-5
Crivelaro N, Contrin LM, Beccaria LM, Frutuoso IS, Silveira Am, Werneck AL. Adhesion of nursing to the blood current infection protocol. J Nurs UFPE on line. 2018 Sept;12(9):2361–7.DOI: https://doi.org/10.5205/1981-8963-v12i9a234886p2361-2367-2018
Belela-Anacleto ASC, Peterlini MAS, Pedreira MLG. Hand hygiene as a caring practice: a reflection on professional responsibility. Rev Bras Enferm. 2017 Mar/Apr; 70(2):442-5. DOI: http://dx.doi.org/10.1590/0034-7167-2016-0189
Stocco JGD, Hoers H, Pott FS, Crozeta K, Barbosa DA, Meier MJ. Second-Generation central venous catheter in the prevention of bloodstream infection: a systematic review. Rev Latino-Am Enfermagem. 2016 Aug; 24:e2722. DOI: http://dx.doi.org/10.1590/1518-8345.0756.2722
Siqueira GLG, Hueb W, Contreira R, Nogueron MA, Cancio DM, Caffaro RA. Catheter-associated bloodstream infections (CA-BSI) in wards: a prospective comparative study between subclavian and jugular access. J Vasc Bras. 2011 July/Sept;10(3):211–6. DOI: http://dx.doi.org/10.1590/S1677-54492011000300005
Entesari-Tatafi D, Orford N, Bailey MJ, Chonghaile MNI, Lamb-Jenkins J, Athan E. Effectiveness of a care bundle to reduce central line-associated bloodstream infections. Med J Aust. 2015 Mar;202(5):247–50. DOI: 10.5694/mja14.01644
Lopes APAT, Oliveira SLCB de, Sarat CNF. Infecção relacionada ao cateter venoso central em unidades de terapia intensiva. Ensaios e Ciência Biológicas, Agrárias e da Saúde [Internet]. 2012 [cited 2019 Apr 25];16(1):25–41. Available from: http://www.redalyc.org/pdf/260/26025372002.pdf
Silva AG, Oliveira AC. Medical and nursing team self-reported knowledge on bloodstream infection prevention measures. Texto contexto-enferm. 2018 Aug; 27(3):1–8. DOI: http://dx.doi.org/10.1590/0104-070720180003480017
Luciano MNF, Nascimento BB, Nunes EM, Oliveira LFM, Davim RMB, Alves ÉSRC. Adherence to hand hygienize by health professionals in an intensive Care Unit. J Nurs UFPE on line. 2017 Oct;11(10):3764–70. DOI: https://doi.org/10.5205/1981-8963-v11i10a22672p3764-3770-2017
Marra AR. Advances in infection control. Einstein. 2016 Jan/Mar;14(1):108–9. DOI: http://dx.doi.org/10.1590/S1679-45082016MD3433.
Jardim JM, Lacerda RA, Soares NJD, Nunes BK. Evaluation of practices for the prevention and control of bloodstream infections in a government hospital. Rev Esc Enferm USP. 2013 Feb;47(1):38–45. DOI: http://dx.doi.org/10.1590/S0080-62342013000100005
Soares CB, Hoga LAK, Peduzzi M, Sangaleti C, Yonekura T, Silva DRAD. Integrative review: concepts and methods used in nursing. Rev Esc Enferm USP. 2014 Apr; 48(2):329-39. DOI: http://dx.doi.org/10.1590/S0080-6234201400002000020
Souza MT, Silva MD, Carvalho R. Integrative review: what is it? How to do it? Einstein. 2010 Mar;8(1):102-6. DOI: http://dx.doi.org/10.1590/s1679-45082010rw1134.
Melnyk BM, Fineout-Overholt E, Stillwell SB, Williamson KM. Evidence-based practice step by step the seven steps of evidence-based practice: searching for the evidence strategies to help you conduct a successful search. Am J Nurs. 2010 Jan;110(1):51-3. DOI: http://dx.doi.org/10.1097/01.NAJ.0000366056.06605.d2
Silva AG, Oliveira AC. Adherence to measures to prevent bloodstream infection related to the central venous catheter. Enferm Foco. 2017;8(2):36–41. DOI: https://doi.org/10.21675/2357-707X.2017.v8.n2.977
Perin DC, Erdmann AL, Higashi GDC, Sasso GTM. Evidence-based measures to prevent central line-associated bloodstream infections: a systematic review. Rev Latino-Am Enfermagem. 2016 Sept;24:e2787. DOI: http://dx.doi.org/10.1590/1518-8345.1233.2787
Dantas GD, Oliveira-Figueirêdo DST, Nobre AMD, Pimentel ERS. Nursing team adherence to measures for prevention of blood current infections. J Nurs UFPE online. 2017 Oct; 11(10):3698–706. DOI: 10.5205/reuol.12834-30982-1-SM.1110201701
Oliveira FT, Ferreira MMF, Araújo STC , Bessa ATT, Moraes ACB, Stipp MAC. Positive deviance as a strategy to prevent and control bloodstream infections in intensive care. Rev Esc Enferm USP. 2017 Apr; 51:01–08. DOI: http://dx.doi.org/10.1590/s1980-220x2016182303212
Walz JM, Ellison RT, Mack DA, Flaherty HM, McIlwaine JK, Whyte KG, et al. The Bundle “Plus”: The effect of a multidisciplinary team approach to eradicate central line-associated bloodstream Infections. Anesth Analg. 2015 Apr; 120(4):868–76. DOI: https://doi.org/10.1213/ANE.0b013e3182a8b01b
Silva AG, Oliveira AC. Impact of the bundles Implementation on the reduction of bloodstream infections: an Integrative Review. Texto contexto-enferm. 2018 Mar;27(1):01–13. DOI: http://dx.doi.org/10.1590/0104-07072018003540016.
Oliveira FT, Stipp MAC, Silva LD, Frederico M, Duarte SCM. Behavior of the multidisciplinary team about bundle of central venous catheter in intensive care. Esc Anna Nery Rev Enferm. 2016 Jan/Mar;20(1):55–62. DOI: http://dx.doi.org/10.5935/1414-8145.20160008.
Fortunatti CFP. Impact of two bundles on central catheter-related bloodstream infection in critically ill patients. Rev Latino-Am Enfermagem. 2017 Dec;25:e2951. DOI: http://dx.doi.org/10.1590/1518-8345.2190.2951
Dolci ME, Margatho AS, Silveira RCCP. Frequency of change of chlorhexidine-impregnated gel dressings for central venous catheters in critically ill patients. Esc Anna Nery Rev Enferm. 2017 Sept;21(4): e20170026. DOI: http://dx.doi.org/10.1590/2177-9465-ean-2017-0026
Pedrolo E, Danski MTR, Vayego SA. Chlorhexidine and gauze and tape dressings for central venous catheters: a randomized clinical trial. Rev Latino-Am Enfermagem. 2014 Sept/Oct;22(5):764–71. DOI: https://doi.org/10.1590/0104-1169.3443.2478
Oliveira FJG, Caetano JA, Silva VM, Almeida PC, Rodrigues AB, Siqueira JF. Use of clinical indicators in the evaluation of prevention and control practices for bloodstream infection. Texto contexto-enferm. 2015 Oct/Dec; 24(4):1018-26. DOI: http://dx.doi.org/10.1590/0104-0707201500004040014.
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