Guidelines for the Prevention of Intravascular Catheter-related Infections: Recommendations Relevant to Interventional Radiology for Venous Catheter Placement and Maintenance

Miller, Donald L.; O’Grady, Naomi P.

doi:10.1016/j.jvir.2012.04.023

Cited by 97 publications

(82 citation statements)

References 162 publications

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“…Outro fator a ser considerado é o tempo de espera da secagem do antisséptico antes da realização da punção. 5,10,[16][17][18][19][20][29][30][31][32][33] Técnica estéril e antissepsia da pele são consideradas intervenções importantes na prevenção de infecção. Estudos recentes demonstram que a clorexidina deve ser preferencialmente utilizada, pois a incidência de infecção é 50% menor quando comparada ao PVP-I (Iodopovidona ou Povidona-iodo), devido à maior ação residual, prevenindo a recolonização da pele.…”

Section: Discussionunclassified

“…3 Estudos ressaltaram ressaltar que, as boas práticas de uso aumentam a vida útil desses dispositivos, minimizando ocorrência de eventos adversos e complicações associadas, sejam elas complicações mecânicas e/ou infecciosas. 6,7 Ações de educação permanente devem acontecer regularmente, com intuito de manter a equipe atualizada no que diz respeito às técnicas de manipulação e principais cuidados em relação ao manuseio do cateter. 5 Por isso, executar a técnica de manuseio evitando infecções e obstruções, bem como saber identificar, prevenir e tratar as possíveis complicações deve ser considerado uma prática de enfermagem, a fim de contribuir para potencializar a vida útil do dispositivo e a qualidade de vida do usuário.…”

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Risco de infecção para o cliente oncológico em uso de cateter venoso central totalmente implantado - Revisão integrativa

Souza

Carmo

2017

Rev Epidemiol Control Infect

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Artigo de revisão Risco de infecção para o cliente oncológico em uso de cateter venoso central totalmente implantado -Revisão integrativa Risk of infection for the cancer patient using totally implanted central venous cateterIntegrative review Riesgo de infección para el cliente oncológico en uso de cateter venoso central totalmente implantado -Revisión integrativaRaquel de Abreu Pinheiro e Souza¹, Thalita Gomes do Carmo¹.¹Instituto Nacional de Ensino e Pesquisa, Jacareí, SP, Brasil. According to the analyzed articles, the duration of the catheter, the complications inherent to the use as obstruction, infection, extravasation, thrombosis and displacement, as well as the handling, maintenance and puncture of the device were the subjects evidenced. For the purposes of intervention by the nurse, it is explicit that if there is a standardization through education and training of the nursing team, it is possible to work towards the prevention of the potential for infection of central venous catheterization totally implanted in cancer patients providing greater safety in the handling of the catheter and preventing the appearance of complications, which may guarantee qualified nursing care and, consequently, a better quality of life for the patients attended. KEYWORDS: Catheter-Related Infections. Catheterization, Central Venous. Nursing care. Infection Control. Neoplasms. RESUMEN Justificación y objetivos:El catéter totalmente implantado ha sido cada vez más utilizado en pacientes oncológicos y es capaz de minimizar complicaciones derivadas de la terapia intravenosa periférica, siendo relevante para la seguridad del paciente en la infusión de drogas antineoplásicas Este estudio tuvo como objetivo identificar las conductas de manipulación, reunir y sintetizar las evidencias disponibles en la literatura sobre medidas de prevención y control de IRAS relacionadas al uso de catéteres totalmente implantados. Contenido: Se realizó una revisión integrativa en el período de 2009 a 2016 a través de las bases de datos, MEDLINE (Literatura Analysis and Retrieval System Online) y LILACS (Literatura Latinoamericana y del Caribe en Ciencias de la Salud) que resultó en la selección de 10 artículos, de los cuales la mayoría eran nacionales (seis) y en portugués (siete). Para el levantamiento en la literatura y selección de la cuestión del estudio, se utilizó la estrategia PICO que consiste en un acróstico: Paciente, Intervención, Comparación y Outcomes / desecado. Fueron abordadas complicaciones, manejo, mantenimiento de catéteres totalmente implantados y la relevancia del conocimiento tecnocientífico del enfermero que manipula ese dispositivo, buscando calidad y seguridad de la asistencia. Conclusión: Según los artículos analizados, el tiempo de permanencia del catéter, las complicaciones inherentes al uso como obstrucción, infección, extravasación, trombosis y desplazamiento, así como el manejo / manoseo, mantenimiento y punción del dispositivo fueron los asuntos evidenciados. Para los efectos de intervención por parte de la enferme...

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Section: Discussionunclassified

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Risco de infecção para o cliente oncológico em uso de cateter venoso central totalmente implantado - Revisão integrativa

Souza

Carmo

2017

Rev Epidemiol Control Infect

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“…An estimated 250,000 CRBSIs occur annually with up to 20% being fatal. 7 CRBSIs increase hospital length of stay by 9.6 to 14.3 days. 1 The costs of this complication are associated with increased length of stay, additional therapeutic actions, and extended care and maintenance.…”

Section: Crbsimentioning

confidence: 99%

“…The enlarged, moist puncture site provides a perfect environment for bacterial migration down the extraluminal pathway. 7 The vein intimal layer promotes platelet adherence to damage on the vein wall, and this is followed by thrombus formation to promote healing. The "healing" thrombus just inside the puncture site provides the perfect location for fibrin/fibrinectin and bacteria to colonize and form biofilm.…”

Section: Introductionmentioning

confidence: 99%

Central Venous Catheter Securement: Using the Healthcare and Technology Synergy Model to Take a Closer Look

Macklin

Blackburn

2015

Journal of the Association for Vascular Access

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Proper securement provides a safe vascular access device environment for both patients and health care providers. Successful securement protects central venous catheters from several sources of failure until the end of therapy by preventing central venous catheter movement during all phases of care. Movement causes vein trauma, bacterial migration, distal tip location variation, loss of dressing integrity, and even total dislodgement. Any of these events can have serious consequences, including catheter-related bloodstream infection, thrombosis, delay of treatment, catheter replacement, and potential hemorrhage, all of which can be life-threatening events, and increase costs. We review patient issues, practice issues, and the types of securement currently used in clinical settings.

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“…They are either based on the volume clamp method or radial artery applanation tonometry. Both systems provide a continuous arterial BP waveform without the risks of an arterial catheter [46]. In regard of a consensus statement on haemodynamic monitoring that declared an 'ideal haemodynamic monitoring technique provides accurate and reproducible measurements, is easy to use, is readily available, causes no harm, and should provide information that is able to guide therapy' [47] The volume clamp method The Czech physiologist Jan Peňáz was the first to describe in 1973 a new approach to continuously and noninvasively measure BP using the finger arteries -the socalled volume clamp method (also named vascular unloading technique) [48].…”

Section: Continuous Noninvasive Blood Pressure Measurementsmentioning

confidence: 99%

Measurement of blood pressure

Saugel

Dueck

Wagner

2014

Best Practice & Research Clinical Anaesthesiology

126

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Guidelines for the Prevention of Intravascular Catheter-related Infections: Recommendations Relevant to Interventional Radiology for Venous Catheter Placement and Maintenance

Cited by 97 publications

References 162 publications

Risco de infecção para o cliente oncológico em uso de cateter venoso central totalmente implantado - Revisão integrativa

Risco de infecção para o cliente oncológico em uso de cateter venoso central totalmente implantado - Revisão integrativa

Central Venous Catheter Securement: Using the Healthcare and Technology Synergy Model to Take a Closer Look

Measurement of blood pressure

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