Nurses’ performance on preventing the risk of infection caused by the use of central venous catheter in the highly complex customer - Dressing a systematic review of the literature.

Renata de Freitas Estevão da Graça Graça, Isabel Cruz


Abstract: The choice of the theme risk related to central venous catheter (CVC) infection in highly complex client was based on the facts of the nurse be responsible for carrying out the sterile dressing and that the dressing is an effective means of protecting the colonization of the insertion site by bacteria and an important tool for the reduction of the bloodstream infection. Objective: To conduct a systematic review of the literature to guide the nurse about the best dressing for the CVC. Method: Literature review conducted through electronic search in databases and virtual libraries, understood in the period 2009 to 2014. We selected 10 articles, 6 and 4 foreign national, as the sample to be analyzed. The results were analyzed in relation to studies that fitted the theme of evidence-based practice. Results: The dressing with gauze and tape has greater absorption of exudate, presents possibility of developing local reaction in the contact areas of the tape with skin and your exchange must be made less than or equal to 48 hours; the transparent film should be changed every 7 days, has good acceptance for being impervious to personal hygiene, offers better visualization of the ostium and is impractical for patients with profuse sweating; the use of chlorhexidine impregnated dressing is associated with cases of hypersensitivity, skin maceration and hyperemia, presents conflicting results regarding prevention of infection associated with CVC. Conclusion: The literature review on the subject revealed inconsistency studies about the best type of dressing to prevent the risk of infection related to CVC in critically ill patients. However, the available studies guide the intensive care nurses, who are responsible for evaluating the ostium of the puncture, choose the best dressing for specificity / individuality of each patient.

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- Pedrolo E, Danski MTR, Vayego AS, Oliveira GLR, Boostel R. Infecção, reação local e má fixação de curativos para cateter venoso central. Acta Paul Enferm [Internet]. 2014 [cited 2014 Sept 21];27(1): 63-8. Available from:

– Pedrolo E, Danski MTR, Mingorance P, Lazzari LSM, Johann DA. Ensaio clínico controlado sobre o curativo de cateter venoso central. Acta Paul Enferm [Internet]. 2010 [cited 2014 Dez 07];24(2):278-83. Available from:

- Tarpatzi A, Avlamis A, Papaparaskevas J, Daikos GL, Stefanou I, Katsandri A, et al. Incidence and risk factors for central vascular catheter-related bloodstream infections in a tertiary care hospital. New Microbiológica [Internet] 2012 [cited 2014 Dez 07];35:429-37. Available from:

- Storti M. L’impiego di cerotto in poliuretano nella medicazione del CVC riduce maggiormente il rischio di infezione rispetto alla medicazione con garza sterile? Le Infezioni in Medicina [Internet] 2011 [cited 2014 Dez 07];2:67-73. Available from: file:///C:/Users/LRBL/Downloads/Vol_19_2_2011_1%20(1).pdf

- Safdar N, O’Horo JC, Ghufran A, Bearden A, Didier ME, Chateau D, Maki DG. Chlorhexidine-impregnated dressing for prevention of catheter-related bloodstream infection: a meta-analysis. Crit Care Med [Internet] 2014[cited 2014 Dez 07]; 42(7): 1703–13. Available from:;jsessionid=lAPMVzYZoNFiPAlTEQ9X.0

- Camins BC, Richmond AM, Dyer KL, Zimmerman HN, Coyne DW, Rothstein M, Fraser VJ. A Crossover Intervention Trial Evaluating the Efficacy of a Chlorhexidine – Impregnated Sponge in Reducing Catheter - Related Bloodstream Infections among Patients Undergoing Hemodialysis Source: Infection Control and Hospital Epidemiology [Internet] 2010[cited 2014 Dez 07]; 31(11): 1118-23. Disponível em:

- Barros LFNM, Arênas VG, Bettencourt RC, Diccini S, Fram DS, Belasco AGS, Barbosa DA. Avaliação do tipo de curativo utilizado em cateter venoso central para hemodiálise. Acta Paul Enferm [Internet]. 2009 [cited 2014 set 17]; 22(Special-nephrology):481-6. Available from:

– Petrolo E, Dankj MTR, Vayego AS. Curativo de clorexidina e gaze e fita para cateter venoso central: ensaio clínico randomizado. Rev. Latino-Am.Enfermagem [Internet] 2014[cited 2014 Dez 07]; 22(05): 764-71. Available from:

- Vandijck DM, Labeau SO, Secanell M, Relio J, Blot S I. The role of nurses working in emergency and critical care environments in the prevention of intravascular catheter-related bloodstream infections. Int. Emerg. Nurs [Intenet]. 2009 [cited 2014 set 17]; 17 (1): 60-8. Available from:

- Karpanen TJ, Casey AL, Conway BR, Lambert PA, Elliott TSJ. Antimicrobial activity of a chlorhexidine intravascular catheter site gel dressing. J Antimicrob Chemother [Internet] 2011[cited 2014 Dez 07]; 66: 1777-84. Available from:

- Universidade Federal de São Paulo. Classificação de evidências [Internet]. São Paulo: UNIFESP; 2000. [cited 2014 dez 07]. Available from:


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