Efeito de um programa educacional na redução de infecção da corrente sanguínea relacionada ao cateter venoso central

Use of Clinical Indicators in the Evaluation of Prevention and Control Practices for Bloodstream Infection

“…1 Among these infections, bloodstream infections stand out, which are mainly caused by invasive devices, especially short-term central venous catethers, because they are kept longer, besides being manipulated several times a day to replenish fluids and electrolytes; therapy for transfusion of blood and its derivates, administration of intravenous drugs, including chemotherapy; parenteral nutrition; conducting therapeutic approaches and diagnostic techniques, such as hemodialysis; arterial and venous hemodynamic monitoring; and contrast infusion to view structures. 2 The importance of central venous catheterrelated bloodstream infection, as a public health problem, motivated the improvement of monitoring standards. Over the past few years, studies on risk factors for central venous catheter-related bloodstream infection, development of new technologies and the improvement of central venous catheter insertion and maintenance techniques supported the development of guidelines for the control of these infections.…”

“…[3][4][5] Several studies have shown that it is possible to reduce central venous catheter (CVC)-related bloodstream infection rates to almost zero with a set of measures considered easy to apply and inexpensive, namely: standardization of norms for insertion of the catheter, sterile technique and care after insertion. 2 Thus, continuing education programs for professionals responsible for the insertion and manipulation of intravascular catheters are one of the key strategies recommended by the Centers for Disease Control and Prevention to decrease the incidence of infections associated with the use of these devices. 6 However, there have been observed, in practice, errors in handling the common central venous access, such as inadequate skin antisepsis, failure to observe the friction time, no disinfection of the lateral injector and low adherence to proper hand hygiene.…”