Intravenous therapy: guidance on devices, management and care

Ogston-Tuck, Sherri

doi:10.12968/bjcn.2012.17.10.474

Cited by 14 publications

(5 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…37,38 In addition, low adherence to hand hygiene has been associated with high rates of CRBSI, also highlighting the importance of adequate team training. 39,40 Some studies also investigated the microbial composition of the biofilms in CVCs, revealing a predominant presence of gram-positive microorganisms, such as Staphylococcus aureus and coagulase-negative staphylococci (bacteria) and Candida albicans (yeast), especially in immunocompromised patients with prolonged catheterization. 9 It is important to highlight that Candida spp.…”

Section: Resultsmentioning

confidence: 99%

Risk factors for central venous catheter-related bloodstream infection in oncology patients: an integrative review

Bastos¹,

Carvalho²,

Chaves³

et al. 2022

Brazilian Journal of Oncology

View full text Add to dashboard Cite

The aim of this integrative review was to identify scientific studies on risk factors for bloodstream infections associated with central venous catheters (CVC) in cancer patients. The research question was formulated according to the PICO framework. An electronic search was conducted on the SciELO digital library, the Virtual Health Library, and the MEDLINE/PubMed databases using the descriptors "cancer", "infection", "central venous catheters", and "risk factors". A total of 356 publications were identified (356 in PubMed, 00 in the VHL, and 00 in SciELO). Based on the PRISMA guidelines, 32 articles were included in this review. Recent study dates from 2021. The handling of the central catheters by professionals and the administration of parenteral nutrition were the main risk factors for CVC infections. The implementation of basic healthcare and hygiene measures is essential for the prevention and reduction of bloodstream infections associated with central catheters.

show abstract

Section: Resultsmentioning

confidence: 99%

Risk factors for central venous catheter-related bloodstream infection in oncology patients: an integrative review

Bastos¹,

Carvalho²,

Chaves³

et al. 2022

Brazilian Journal of Oncology

View full text Add to dashboard Cite

show abstract

“…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

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

Souza

Carmo

2017

Rev Epidemiol Control Infect

View full text Add to dashboard Cite

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...

show abstract

“…Therefore, there is a need for knowledge, skills and training for the safe management of intravascular devices. 5 It is reported that the occurrence of adverse events (AE) has a significant impact on the Unified Health System (UHS), resulting in an increase in morbidity and mortality, in the time of treatment of patients and in care costs, as well as repercussions in other fields of social life and economic. 6 It is recalled that patient safety can be defined as preventing, preventing or improving adverse outcomes or injuries arising from the medical-hospital and home care process.…”

Section: Original Articlementioning

confidence: 99%

“…São José do Rio Preto (SP), Brazil. E-mail: isabelashumaher@gmail.com ORCID iD: http://orcid.org/0000-0001-8852-0294; 5 PhD student, Medical School of São José do Rio Preto / FAMERP. São José do Rio Preto (SP), Brazil.…”

Section: Introductionmentioning

confidence: 99%

Adhesion of nursing to the blood current infection protocol

Crivelaro¹,

Contrin

Beccária

et al. 2018

Rev enferm UFPE on line.

View full text Add to dashboard Cite

Objective: to verify the adherence of the nursing team to the protocol of bloodstream infection in patients using intravascular catheters. Method: A quantitative, field, cross-sectional, observational and descriptive study was carried out in a special teaching hospital in six intensive care units. Nurses' checklists were used at the bedside, in the morning, afternoon and evening shifts, from May to August, 2017. Initial (baseline) characteristics were described with counts (%), averages (SD) or medians (IQR) when appropriate. Results: it was verified, in relation to the central venous catheter / peripheral venous access dressing, that 866 (91.64%) were correctly identified and 22 (2.33%) were dirty; 803 (84.97%) were correctly fixed and 11 (1.06%) were wet. Regarding identification, the teams were correct (n = 647; 68.47%) and the colored ribbons were present in 643 (68.04%). During ICU stay, 20 (2.12%) patients had bloodstream infection related to the use of a central catheter. Conclusion: high adherence of the nursing team to the protocol and low index of bloodstream infection related to the central venous catheter when compared with the literature. Descriptors: Nursing team; Clinical Protocols; Blood flow; Patient safety; Catheter-Related Infections. Descriptors: Nursing, Team; Clinical Protocols; Blood Circulation; Catheter-Related Infections; Patient Safety.RESUMOObjetivo: verificar a adesão da equipe de Enfermagem ao protocolo de infecção de corrente sanguínea em pacientes em uso de cateteres intravasculares. Método: estudo quantitativo, de campo, transversal, observacional e descritivo, desenvolvida em um hospital de ensino de porte especial, em seis unidades de terapia intensiva. Foram utilizados checklists preenchidos por enfermeiros à beira do leito, nos turnos matutino, vespertino e noturno, de maio a agosto de 2017. Características iniciais (basais) foram descritas com contagens (%), médias (DP) ou medianas (IQR) quando adequadas. Resultados: verificou-se, em relação ao curativo do cateter venoso central/acesso venoso periférico, que 866 (91,64%) estavam identificados corretamente e 22 (2,33%) estavam sujos; 803 (84,97%) estavam fixados de forma correta e 11 (1,06%) estavam úmidos. Em relação à identificação, os equipos estavam corretos (n=647; 68,47%) e as fitas coloridas estavam presentes em 643 (68,04%). Durante a permanência na UTI, 20 (2,12%) pacientes tiveram infecção de corrente sanguínea relacionada ao uso de cateter central. Conclusão: constatou-se alta adesão da equipe de Enfermagem ao protocolo e baixo índice de infecção de corrente sanguínea relacionada ao cateter venoso central quando comparado com a literatura. Descritores: Equipe de Enfermagem; Protocolos Clínicos; Corrente Sanguínea; Segurança do Paciente; Infecções Relacionadas a Cateter.RESUMENObjetivo: verificar la adhesión del equipo de Enfermería al protocolo de infección de flujo sanguíneo en pacientes en uso de catéteres intravasculares. Método: estudio cuantitativo, de campo, transversal, observacional y descriptivo, desarrollado en un hospital de enseñanza de porte especial, en seis unidades de terapia intensiva. Se utilizaron checklists rellenados por enfermeros al borde del lecho, en los turnos matutino, vespertino y nocturno, de mayo a agosto de 2017. Las características iniciales (basales) se describieron con recuentos (%), medias (DP) o medianas (IQR) cuando adecuadas. Resultados: se verificó, en relación al curativo del catéter venoso central / acceso venoso periférico, que 866 (91,64%) estaban identificados correctamente y 22 (2,33%) estaban sucios; 803 (84,97%) estaban fijados de forma correcta y 11 (1,06%) estaban húmedos. En cuanto a la identificación, los equipos eran correctos (n = 647; 68,47%) y las cintas coloreadas estaban presentes en 643 (68,04%). Durante la permanencia en la UTI, 20 (2,12%) pacientes tuvieron infección de corriente sanguínea relacionada al uso de catéter central. Conclusión: se constató alta adhesión del equipo de Enfermería al protocolo y bajo índice de infección de corriente sanguínea relacionada al catéter venoso central en comparación con la literatura. Descriptores: Grupo de Enfermería, Protocolos Clínicos, Circulación Sanguínea; Seguridad del Paciente, Infecciones Relacionadas a Cateter.

show abstract

Intravenous therapy: guidance on devices, management and care

Cited by 14 publications

References 18 publications

Risk factors for central venous catheter-related bloodstream infection in oncology patients: an integrative review

Risk factors for central venous catheter-related bloodstream infection in oncology patients: an integrative review

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

Adhesion of nursing to the blood current infection protocol

Contact Info

Product

Resources

About