Care nurse in the prevention of infection related to central venous catheter - a systematic literature review

Juliana Cezário Ferreira da Silva, Isabel CF da Cruz

Abstract


Hospital infection constitutes a serious public health problem. Patients admitted to the Intensive Care Unit (ICU) are subject to greater risk due to the severity of symptoms and the frequency of invasive procedures such as urinary catheterization, intravascular catheters, endotracheal intubation and mechanical ventilation. The scientific literature reports that the vascular catheter-related infection is the leading cause of hospital infection, accounting for 40% of infections occurring in ICU, and also mentions that the clinical manifestations of catheter-associated infection can be difficult to characterize because they may missing local signs of infection. Therefore, the proper handling of venous catheters, as well as monitoring for early detection of signs of inflammation, constitute tasks of nurses, with great impact on the evolution of critical patients. This study deals with a computerized literature search, conducted in the databases BDENF SCIELO, MEDLINE, LILACS, between 2006 to 2010, assessing their applicability to practice nursing. The clinical question was: On account of high complexity, which is the effectiveness of care with central venous catheter for prevention of hospital infection? Were selected 10 articles, 04 in Portuguese and 06 in English, for study and analysis and discussion of results. We conclude that a number of factors provides the increased risk of infection related to use of central venous catheter and the nurse, acting as an agent of patient care, a professional should be cognizant of new techniques and routines that effectively reduce the chance of patient acquired an infection. To this end, this research reinforces the importance of updating knowledge and development of new studies related to the topic.

Keywords


catheter-related infections; central venous catheter; prevention and control; cross infection

Full Text:

HTML

References


Andrade M, Silva H, Oliveira B, Cruz ICF. Risk Of Infection In Central Venous Catheter: Review Study To Nursing Care Online Brazilian Journal of Nursing [serial on the Internet]. 2010 November 19; [Cited 2010 December 15]; 9(2):[about ## p.]. Available from: http://www.objnursing.uff.br/index.php/nursing/article/view/

Mesiano Eni Rosa Aires Borba, Merchán-Hamann Edgar. Infecções da corrente sangüínea em pacientes em uso de cateter venoso central em unidades de terapia intensiva. Rev. Latino-Am. Enfermagem [serial on the Internet]. 2007 June [cited 2010 Nov 01] ; 15(3): 453-459. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-11692007000300014&lng=en doi: 10.1590/S0104-11692007000300014.

Couto RC. Pedrosa TMG. Nogueira JM. Infecção hospitalar: epidemiologia e controle. 2ed. Rio de Janeiro: Medsi, 2003. 630 p.

Labeau S, Vereecke A., Vandijck D.M, Claes,B, Blot S.I. Critical Care Nurses’ Knowledge of Evidence-Based Guidelines for Preventing Infections Associated With Central Venous Catheters: An Evaluation Questionnaire. Am. J. Crit. Care., 2008 Jan; 17: 65 - 71.

Racco M, Horn K. Central Catheter Infections: Use of a Multidisciplinary Team to Find Simple Solutions. Crit. Care Nurse, Feb 2007; 27: 80 –79.

Fram DS, Taminato MFD, Neves L, Belasco AGS, Barbosa DA. Prevention of Catheter-Related Bloodstream Infections in Patients on Hemodialysis. Acta paul. enferm. [serial on the Internet]. 2009 [cited 2010 Out 09] ; 22(spe1): 564-568. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-21002009000800024&lng=en

doi: 10.1590/S0103-21002009000800024.

McCann M, Moore ZEH. Interventions for preventing infectious complications in haemodialysis patients with central venous catheters. Cochrane Database of Systematic Reviews. In: The Cochrane Library, Issue 10, Art. No. CD006894. DOI: 10.1002/14651858.CD006894.pub1

Byrnes MC, Coopersmith CM. Prevention of catheter-related blood stream infection. Curr Opin Crit Care. 2007 Aug;13(4):411-5.

Dimick JB, Swoboda S, Talamini MA, Pelz RK, Hendrix CW, Lipsett PA. Risk of colonization of central venous catheters: catheters for total parenteral nutrition vs other catheters. Am J Crit Care. 2009 Jul;12(4):328-35.

Biagan O, Furukawa M, Gawlinski A. Effect of an Evidence-Based Guideline for Central Venous Catheter Care on Catheter-Related Bloodstream Infections.Am. J . Critical Care Nurse, 2008, April, 28: 72 – 7.

Nascimento VPC, Abud ACF, Inagaki ADM, Daltro AST, Viana LC. Avaliação da técnica de curativo em cliente com acesso venoso para hemodiálise. Rev. enferm. UERJ, Rio de Janeiro, 2009 abr/jun; 17(2):215-9.

Cruz DALM, Pimenta CAM. Prática baseada em evidências, aplicada ao raciocínio diagnóstico. Rev. Latino-Am. Enfermagem [serial on the Internet]. 2005 June [cited 2010 Out 07] ; 13(3): 415-422. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-11692005000300017&lng=en

doi: 10.1590/S0104-11692005000300017.






JSNCARE
Share |