Evidence-based measures to prevent central line-associated bloodstream infections: a systematic review

Abstract

Objective: to identify evidence-based care to prevent CLABSI among adult patients hospitalized in ICUs. Method: systematic review conducted in the following databases: PubMed, Scopus, Cinahl, Web of Science, Lilacs, Bdenf and Cochrane Studies addressing care and maintenance of central venous catheters, published from January 2011 to July 2014 were searched. The 34 studies identified were organized in an instrument and assessed by using the classification provided by the Joanna Briggs Institute. Results: the studies presented care bundles including elements such as hand hygiene and maximal barrier precautions; multidimensional programs and strategies such as impregnated catheters and bandages and the involvement of facilities in and commitment of staff to preventing infections. Conclusions: care bundles coupled with education and the commitment of both staff and institutions is a strategy that can contribute to decreased rates of central line-associated bloodstream infections among adult patients hospitalized in intensive care units.

Managing and preventing vascular catheter infections: A position paper of the international society for infectious diseases

“…It has been widely accepted that open systems may increase the risk of contamination and administration-related CLABSI, because of microbial entry into the system through air entry (Maki et al, 2011). As reported in a recent systematic review (Perin et al, 2016), by way of illustration, the rate of CLABSI was 35.3% greater among patients who received compounded parenteral nutrition (PN) through an open system in comparison to those who received PN through a closed system.…”

Avaliação dos cuidados de enfermagem com o cateter venoso central em uma unidade de terapia intensiva adulto e pediátrica

“…Contrariando outros estudos [20][21][22] , esta pesquisa encontrou predomínio na taxa de punção em veia femoral em detrimento de outros sítios. No entanto, sabe-se que a cateterização femoral associa-se a maior frequência de complicações mecânicas (12,8 a 19,4%), maior risco de desenvolvimento de ICSRC (I) 20-21 e complicações trombóticas 22 , sendo as veias subclávia e jugular as de primeira escolha caso não haja contraindicações [21][22] .…”

“…No entanto, sabe-se que a cateterização femoral associa-se a maior frequência de complicações mecânicas (12,8 a 19,4%), maior risco de desenvolvimento de ICSRC (I) 20-21 e complicações trombóticas 22 , sendo as veias subclávia e jugular as de primeira escolha caso não haja contraindicações [21][22] . As taxas de complicações descritas para punções de veias subclávia e jugular interna são semelhantes entre si (6,2 a 10,7% e 6,3 a 11,8%, respectivamente).…”

Bundle de cateter central: comportamento de profissionais da saúde em neonatologia

“…[6][7]12 In this sense, studies discuss and recommend a checklist to assess the need for daily devices and rounds of the team to define catheter permanence. [20][21] Other research has shown that actions performed as the care bundle , education of professionals, promotion of safety culture and its periodic evaluation, control of compliance with measures, surveillance of infection rates, with feedback to professionals, are important strategies for the reduction of infection rates in patients with Intensive Care Units. Questions about self-reported knowledge about CVC maintenance were answered only by nurses and all reported wearing a cap, mask, and sterile gloves for dressing change.…”