• JoomlaWorks Simple Image Rotator
  • JoomlaWorks Simple Image Rotator
  • JoomlaWorks Simple Image Rotator
  • JoomlaWorks Simple Image Rotator
  • JoomlaWorks Simple Image Rotator
  • JoomlaWorks Simple Image Rotator
  • JoomlaWorks Simple Image Rotator
  • JoomlaWorks Simple Image Rotator
  • JoomlaWorks Simple Image Rotator
  • JoomlaWorks Simple Image Rotator
 
  Bookmark and Share
 
 
Master's Dissertation
DOI
10.11606/D.22.2007.tde-19102007-143941
Document
Author
Full name
Maria Verônica Ferrareze Ferreira
E-mail
Institute/School/College
Knowledge Area
Date of Defense
Published
Ribeirão Preto, 2007
Supervisor
Committee
Andrade, Denise de (President)
Bocchi, Silvia Cristina Mangini
Galvao, Cristina Maria
Title in Portuguese
Controle de infecção relacionada a cateter venoso central: revisão integrativa
Keywords in Portuguese
Bacteremia
Cateterismo Venoso Central
Controle de Infecções
Infecção Hospitalar
Medicina Baseada em Evidências
Abstract in Portuguese
O uso do cateter venoso central é apontado como um importante fator de risco para infecção da corrente sanguínea, acarretando no prolongamento da internação, aumento da morbimortalidade, e elevação dos custos de hospitalização. Frente ao exposto objetivou-se avaliar as evidências científicas sobre o controle de infecção relacionada ao cateter venoso central utilizado em pacientes adultos hospitalizados. A prática baseada em evidências representou o referencial teórico-metodológico. E, como recurso para obtenção das evidências de Níveis I e II realizou-se a revisão integrativa da literatura nas bases de dados LILACS, CINAHL e MEDLINE. Totalizou-se 17 publicações nos últimos dez anos. A análise dos estudos culminou em 03 categorias temáticas: cateteres impregnados com anti-sépticos, dispositivos seguros e manutenção do cateter. Como resultado obteve-se o apontamento de diversos aspectos no controle da infecção relacionada a cateter, dentre eles: uso de cateter de lúmen único, inserção por via subclávia com técnica estéril e aplicação de anti-séptico a base de clorexidine. Acresce-se que a indicação de cateteres impregnados com anti-sépticos, bem como de sistemas valvulados sem agulha, ainda é controversa. Em geral, os estudiosos sobre a temática alertaram que a qualidade da assistência à pacientes com cateter venoso central está diretamente relacionada com o risco de infecção. Assim, esforços têm sido recomendados a fim de viabilizar a aplicação das evidências advindas das pesquisas e conseqüentemente nortear o poder de decisão na prática clínica, contribuindo para a melhoria da qualidade da assistência.
Title in English
Control of infection related to central venous catheter: integrative review
Keywords in English
Bacteremia
Central Venous Catheterization
Cross Infection
Evidence-Based Medicine
Infection Control
Abstract in English
The use of central venous catheter is pointed as a factor of risk to the infection of the blood stream, which increases the hospitalization period, the morbidity and mortality, and also the hospitalization costs. Therefore, this study aimed to evaluate scientific evidences about the control of infection related to the central venous catheter used in hospitalized adult patients. The evidence based practice is the theoretical-methodological reference. To obtain evidences Level I and II, an integrative literature review was performed on the databases LILACS, CINAHL e MEDLINE. In the last ten years was found a total of 17 publications. From the analysis of these studies emerged three thematic categories: catheters impregnated with antiseptics, safe devices and maintenance of the catheter. As a result, several aspects of the control of infection related to the catheter were pointed, such as: the use of the single lumen catheter, insertion through the subclavian with sterile technique and application of clorexidine based antiseptic. It is important to mention that the indication of catheters impregnated with antiseptics, as the use of needleless valve systems are still controversy. In general, researchers alerted that the quality of assistance to patients with venous catheter is directly related to the risk of infection. Therefore, efforts are recommended in order to facilitate the implementation of evidences found in research, and consequently, guide the decision making process in the clinical practice, contributing to the improvement of the quality of assistance.
 
WARNING - Viewing this document is conditioned on your acceptance of the following terms of use:
This document is only for private use for research and teaching activities. Reproduction for commercial use is forbidden. This rights cover the whole data about this document as well as its contents. Any uses or copies of this document in whole or in part must include the author's name.
Publishing Date
2007-11-06
 
WARNING: Learn what derived works are clicking here.
All rights of the thesis/dissertation are from the authors
Centro de Informática de São Carlos
Digital Library of Theses and Dissertations of USP. Copyright © 2001-2020. All rights reserved.