Nursing actions in the prevention of central venous catheter-related infections: an integrative review

Authors

  • Saymom Fernando dos Santos Enfermeiro; Bacharel em Enfermagem pela Universidade Federal de Minas Gerais (UFMG)
  • Raquel Siqueira Viana Enfermeira; Bacharel em Enfermagem pela Universidade Federal de Minas Gerais (UFMG)
  • Carla Lúcia Goulart Constant Alcoforado MDC; Professora Assistente na Escola de Enfermagem da UFMG
  • Camila Cláudia Campos MDC; Professora Substituta na Escola de Enfermagem da UFMG
  • Selme Silqueira de Matos PhD; Professora Associada na Escola de Enfermagem da UFMG
  • Flávia Falci Ercole PhD; Professora Adjunto na Escola de Enfermagem da UFMG

DOI:

https://doi.org/10.5327/Z1414-4425201400040008

Keywords:

Nursing Care. Infections. Catheter-Related Infections.

Abstract

Objective: To identify nursing actions for the prevention of primary bloodstream infections. Method: It is an integrative literature review. We surveyed articles in online databases that addressed the prevention of central venous catheter-related infections. The studies were independently evaluated by two researchers, using an already validated collection instrument. Results: The sample was composed of 12 articles, where nine of them showed association of interventions through the care bundle, exhibiting great effectiveness in reducing infections. Three articles compared the use of sterile gauze and plastic film for the dressing. Conclusion: Evidences on nursing care to patients using central venous catheter serve as a basis to conduct an effective, safe, of good quality and low cost assistance.

References

Neves Junior MA, Melo RC, Goes Junior AMO, Protta TR, Almeida CC, Fernandes AR, et al. Infecções em cateteres venosos centrais de longa permanência: revisão de literatura. J Vasc Bras. 2010;9(1):46-50.

Ogston-Tuck S. Intravenous therapy: guidance on devices, management and care. Br J Community Nurs. 2012;17(10):474,476-9,482-4.

Brasil. Agência Nacional de Vigilância Sanitária [Internet]. Orientações para Prevenção de Infecção Primária de Corrente Sanguínea. Brasília: Anvisa; 2010 [citado 2013 Ago 15]. Disponível em: http://portal.anvisa.gov.br/wps/portal/anvisa/anvisa/home

Mermel LA. Prevention of intravascular catheter-related infections. Ann Intern Med. 2000;133(5):395-402.

Blot SI, Depuydt P, Annemans L, Benoit D, Hoste E, De Waele JJ, et al. Clinical and economic outcomes in critically ill patients with nosocomial catheter-related bloodstream infections. Clin Infect Dis. 2005;41(11):1591-8.

Mendonça KM, Neves HCC, Barbosa DFS, Souza ACS, Tipple AFV, Prado MA. Atuação da enfermagem na prevenção e controle de infecção de corrente sanguínea relacionada a cateter. Rev Enferm UERJ. 2011;19(2):330-3.

Brasil. Lei nº 7.498, de 25 de junho de 1986. Dispõe sobre a regulamentação do exercício da enfermagem e dá outras providências [Internet]. Brasília: Diário Oficial da União; 1986. [citado 2013 Set 15]. Disponível em: http:///www.planalto.gov.br/ccivil_03/leis/l7498.htm

Liangos O, Gul A, Madias NE, Jaber B. Long-term management of the tunneled venous catheter. Semin Dial. 2006;19(2):158-64.

Shea BJ, Grimshaw JM, Wells GA, Boers M, Andersson N, Hamel C, et al. Development of AMSTAR: a measurement to tool to acess the methodological quality of systematic reviews. BMC Medical Res Methodol. 2007 [citado 15 set 2013];7:(10). Available from: http://www.biomdcentral.com/1471-2288/7/10

Echevarria-Guanilo ME, Ciofi-Silva CL, Canini SR, Farina JA, Rossi LA. Preventing infections due to intravascular catheters in burn victims. Expert Rev Anti Infect Ther. 2009;7(9):1081-6.

Dumont C, Nesselrodt D. Preventing central line-associated bloodstream infections CLABSI. Nursing. 2012;42(6):41-6.

Guerin K, Wagner J, Rains K, Bessesen M. Reduction in central line-associated bloodstream infections by implementation of a postinsertion care bundle. Ajic J. 2010;38(6):430-3.

Rodríguez IC, Lemus MAB, Crehuet MR, Briso-Montiano PM, López CR. Bioconectores: ¿Son realmente eficaces en la reducción de las bacteriemias relacionadas con el catéter permanente para hemodiálisis? Enferm Nefrol. 2013;16(4):235-40.

Andrade MR, Silva HG, Oliveira BGRB, Cruz ICF. Risk of infection in central venous catheter: review study to nursing care. Online Braz J Nurs [Internet]. 2010 [cited 2014 Oct 24];9(2): Available from: http://www.objnursing.uff.br/index.php/nursing/article/view/3109

Pfaff B, Heithaus T, Emanuelsen M. use of a 1-piece chlorhexidine gluconate transparent dressing on critically ill patients. Crit Care Nurse. 2012;32(4):35-40.

Royer T. Implementing a better bundle to achieve and sustain a zero central line-associated bloodstream infection rate. J Infus Nurs. 2010;33(6):398-406.

Munoz-Price LS, Dezfulian C, Wyckoff M, Lenchus JD, Rosalsky M, Birnbach DJ, et al. Effectiveness of stepwise interventions targeted to decrease central catheter-associated bloodstream infections. Crit Care Med. 2012;40(5):1464-9.

Casey AL, Elliot TS. Prevention of central venous catheter-related infection: update. Br J Nurs. 2010;19(2):78-82.

O’Grady NP, Alexander M, Burns LA, Patchen ED, Garland J, Heard SO, et al. Guidelines for de Prevention of Intravascular Catheter- Related Infections. Clinical Infectious Diseases [Internet]. 2011 [cited 2013 Aug 25];52(9):e162-93. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3106269/pdf/cir257.pdf

Webster J, Gillies D, O’Riordan E, Sherriff KL, Rickard CM. Gauze and tape and transparent polyurethane dressings for central venous catheters. Cochrane Database System Rev. 2011;9(11):CD003827.

Andrade AM, Borges KS, Lima HO. A avaliação das coberturas para sítio de inserção do cateter venoso central no TMO: análise de custos. ver Min Enferm. 2011;15(2):233-41.

Vandijck DM, Labeau SO, Secanell M, Rello J, Blot SI. The role of nurses working in emergency and critical care environments in the prevention of intravascular catheter-related bloodstream infections. Int Emerg Nurs. 2009;17(1):60-8.

Marcondes CRR, Biojone CR, Cherri J, Moryia T, Piccinato CE. Complicações precoces e tardias em acesso venoso central. Análise de 66 implantes. Acta Cir Bras. 2000;15(2):73-5.

Hocking C, Pirret AM. Using a combined nursing and medical approach to reduce the incidence of central line associated bacteremia in a New Zealand critical care unit: A clinical audit. Intensive Crit Care Nursing. 2013;29:137-46.

Published

2014-12-31

How to Cite

Santos, S. F. dos, Viana, R. S., Alcoforado, C. L. G. C., Campos, C. C., Matos, S. S. de, & Ercole, F. F. (2014). Nursing actions in the prevention of central venous catheter-related infections: an integrative review. Revista SOBECC, 19(4), 219–225. https://doi.org/10.5327/Z1414-4425201400040008

Issue

Section

REVIEW ARTICLES