Reduction of infection associated with central venous catheterization by antiseptics - Sistematic Literature Review

Juliana Silva Marinho, Isabel CF da Cruz

Abstract


A major infections that affect patients of intensive care units is a blood infection associated with the use of central venous catheter. Objective: To identify nursing research, using strategy PICO (patient, intervention, comparison and observation - results) to determine the best available evidence from the use of Central Venous Catheter and choice of antiseptics by the nurse with the reduction of Bloodstream Infection. Methods: Systematic Review of the use of antiseptic dressings for the prevention of infections in the databases PubMed and Bireme between the years 2008 to 2012.Results: 235 articles were found and of these 10 were included in the study. Conclusion: Several studies have been conducted, but there is wide difference between antiseptics. Recommendation: The use of chlorhexidine was the most recommended.

Keywords


Nursing care; Intensive care; Central venous catheterization

Full Text:

HTML

References


- Rosado,V. Romanelli,RMC.Camargos,PAM. Risk factors and preventive measures for catheter-related bloodstream infections. J. Ped. (Rio J.)vol. 87 no.6 Porto Alegre Nov./Dec. 2011. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0021-75572011000600003&lng=en&nrm=iso&tlng=en

- Zanon, F.Caovilla, JJ. Michel,RS. et.al. Sepsis in the intensive care unit: etiologies,prognostic factors and mortality. Rev.bras. ter. intensiva vol.20 no.2 São Paulo Apr/June 2008. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-507X2008000200003&lng=en&nrm=iso&tlng=en

- Todeschini, AB. Trevisol,FS. Sepse associada ao cateter venoso central em pacientes adultos internados em unidades de terapia intensiva. Rev. Bras Clin Med. São Paulo, 2011 set-out;9(5):334-7. Disponível em: http://files.bvs.br/upload/S/1679-1010/2011/v9n5/a2245

- HALM,M.; HICKSON,T.;STEIN,D.;TANNER,M.; VANDEGRAAF,S. Blood cultures and central catheters: is the "easiest way" best practice? Am J Crit Care. 2011 Jul:20 (4): 335-8 Available from: http://www.ncbi.nlm.nih.gov/pubmed/21724637

- MENDONÇA,K.M.; NEVES,H.C.C.; BARBOSA, D.F.S.; SOUZA, A.C.S.; TIPPLE, A.F.V.; PRADO, M.A. Atuação da enfermagem na prevenção e controle de infecção de corrente sanguínea relacionada a cateter. Rev. enferm. UERJ, Rio de Janeiro, 2011 abr/jun; 19(2):330-3 Disponível em: http://bases.bireme.br/cgi-bin/wxislind.exe/iah/online/?IsisScript=iah/iah.xis&src=google&base=LILACS〈=p&nextAction=lnk&exprSearch=601595&indexSearch=ID

- SIEVERT,D.;ARMOLA,R.;HALM,M.A. Chlorhexidine gluconate bathing: does it decrease hospital-acquired infections? Am J Crit Care. 2011 Mar;20(2):166-70 http://www.ncbi.nlm.nih.gov/pubmed/21362721

- FRAM,D.S.;TAMINATO,M.;FERREIRA,D.;NEVES,L.;BELASCO,A.G.S.; BARBOSA,D.A. Prevention of catheter-related bloodstrem infections in patients on hemodialysis. Acta Paul Enferm. 2009;22(Especial-Nefrologia):564-8. Available from: http://www.scielo.br/pdf/ape/v22nspe1/24.pdf

- HATLER,C.; BUCKWALD,L.; SALAS-ALLISON,Z.;MURPHY-TAYLOR,C.; Evalulating central venous catheter care in a pedriatric intensive care unit. Am J Crit Care. 2009 Nov;18(6):514-20. Available from: http://www.ncbi.nlm.nih.gov/pubmed/19880953

- 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. American Journal of Critical Care. 17(1): 65-72, January 2008 Available from: http://www.ncbi.nlm.nih.gov/pubmed/18158392

- GOESCHEI,C.A. Nursing leadership at the crossroads: evidence-based practice ‘Matching Michigan-minimizing catheter related blood stream infections. Nurs Crit Care. 2011 Jan-Feb;16(1):36-43. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21199553

- GROTHE,C.;BELASCO,A.G.S.;BITTENCOURT,A.R.C.;VIANNA,L.A.C.;SESSO,R.C.C.; BARBOSA,D.A. Incidence of bloodstream infection among patients on hemodialysis by central venous catheter. Rev. Latino-Am. Enfermagem vol.18 no.1 Ribeirão Preto Jan./Feb. 2010 Available from: http://www.ncbi.nlm.nih.gov/pubmed/20428700

- CHAN,R.J.;NORTHFIELD,S.;ALEXANDER,A.;RICKARD,C.M. Using the Collaborative Evidence Based Practice Model: a systematic review and uptake of chlorhexidine-impregnated sponge dressings on central venous access devices in a tertiary cancer care centre. Aust J Can Nursing, 13(2), pp. 10-15.Nov.2012 Available from: http://search.informit.com.au/documentSummary;dn=909334505082025;res=IELHEA

- SILVEIRA,R.C.C.P.;BRAGA,F.T.M.M.; GARBIN,L.M.;GALVÃO,C.M. The use of polyurethane transparent film in indwelling central venous catheter. Rev. Latino-Am, Enfermagem vol.18 no.6 Ribeirão Preto Nov./Dec. 2010. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21340288

- NETTO,S.M.; ECHER,I.C.;KUPLICH,N.M.;KUCHENBECKER,R.; KESSLER,F. Infecção de cateter vascular central em pacientes adultos de um centro de terapia intensiva. Rev. Gaúcha Enferm. Porto Alegre (RS) 2009 set;30 (3): 429-36 Disponível em: http://bases.bireme.br/cgi-bin/wxislind.exe/iah/online/?IsisScript=iah/iah.xis&src=google&base=BDENF〈=p&nextAction=lnk&exprSearch=17530&indexSearch=ID






JSNCARE
Share |