scholarly journals Adhesion of nursing to the blood current infection protocol

2018 ◽  
Vol 12 (9) ◽  
pp. 2361
Author(s):  
Natiele Crivelaro ◽  
Ligia Marcia Contrin ◽  
Lucia Marinilza Beccaria ◽  
Isabela Shumaher Frutuoso ◽  
Ana Maria Rodrigues Da Silveira ◽  
...  
Keyword(s):  
Central Venous Catheter ◽  
Bloodstream Infection ◽  
Venous Catheter ◽  
Venous Access ◽  
Clinical Protocols ◽  
Central Venous ◽  
Cross Sectional ◽  
Peripheral Venous Access ◽  
Nursing Team ◽  
Terapia Intensiva

ABSTRACTObjective: 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.

scholarly journals Prevalence of central venous catheter salvage in newborn with staphylococcal bloodstream infection

2021 ◽  
Vol 74 (6) ◽  
Author(s):  
Izabela Linha Secco ◽  
Mitzy Tannia Reichembach ◽  
Higor Pacheco Pereira ◽  
Regina Paula Guimarães Vieira Cavalcante da Silva
Keyword(s):  
Blood Culture ◽  
Central Venous Catheter ◽  
Antibiotic Therapy ◽  
Bloodstream Infection ◽  
Neonatal Intensive Care ◽  
Venous Catheter ◽  
Cross Sectional Study ◽  
Central Venous ◽  
Coagulase Negative Staphylococci ◽  
Cross Sectional

ABSTRACT Objectives: to establish the prevalence of salvage of central venous catheters in newborns with bloodstream infection caused by coagulase-negative staphylococci. Methods: retrospective cross-sectional study with 136 newborns admitted to the Neonatal Intensive Care Unit between 2011 and 2017. The total of 143 infection events undergoing antibiotic therapy were evaluated. Results: among the 143 infection events, 39 catheters in which antibiotic therapy was used were saved and in 69 cases, the device was removed. Positive central blood culture and single lumen catheter were factors associated with salvage failure. The probability of salvage decreased with infections diagnosed from 15 days of using the catheter. Negative blood culture raised the chance of salvage by fourfold. Conclusions: the use of antibiotic therapy in the treatment of infections resulted in a low prevalence of salvage of the central venous catheter. The probability of salvage was associated with variables of the device.

scholarly journals Predisposing factors for peripheral intravenous puncture failure in children

2012 ◽  
Vol 20 (6) ◽  
pp. 1072-1080 ◽  
Author(s):  
Daniela Cavalcante de Negri ◽  
Ariane Ferreira Machado Avelar ◽  
Solange Andreoni ◽  
Mavilde da Luz Gonçalvez Pedreira
Keyword(s):  
Central Venous Catheter ◽  
Prevalence Ratio ◽  
Venous Catheter ◽  
Clinical History ◽  
Venous Access ◽  
Predisposing Factors ◽  
University Hospital ◽  
Central Venous ◽  
Cross Sectional ◽  
History Of

OBJECTIVE: To identify predisposing factors for peripheral intravenous puncture failure in children. METHODS: Cross-sectional cohort study conducted with 335 children in a pediatric ward of a university hospital after approval of the ethics committee. The Wald Chi-squared, Prevalence Ratio (PR) and backward procedure (p≤0.05) tests were applied. RESULTS: Success of peripheral intravenous puncture was obtained in 300 (89.5%) children and failure in 35 (10.4%). The failure rates were significantly influenced by: presence of clinical history of difficult venous access, malnourishment, previous use of peripherally inserted central venous catheter, previous use of central venous catheter, and history of phlebitis or infiltration. In the multivariate model, being malnourished and having previously been submitted to central venous catheterization were the predisposing factors for the failure. CONCLUSION: The failure rate of 10.4% is similar to that identified in analogous studies and was influenced by characteristics of the children and intravenous therapy. In association with this, malnutrition and previous use of a central venous catheter were the most important variables influencing increase in peripheral intravenous puncture failure.

scholarly journals Guide-wire replacement of a mini-midline catheter with a central venous catheter: A retrospective study on 63 cases

2020 ◽  
pp. 112972982094406
Author(s):  
Lucio Brugioni ◽  
Elisabetta Bertellini ◽  
Mirco Ravazzini ◽  
Marco Barchetti ◽  
Andrea Borsatti ◽  
...  
Keyword(s):  
Central Venous Catheter ◽  
Guide Wire ◽  
Case Series ◽  
Venous Catheter ◽  
Venous Access ◽  
Late Complications ◽  
Central Catheter ◽  
Central Venous ◽  
Single Lumen ◽  
Thrombotic Complications

Background: Achieving a reliable venous access in a particular subset of patients and/or in emergency settings can be challenging and time-consuming. Furthermore, many hospitalized patients do not meet the criteria for central venous catheter positioning, unless an upgrade of the treatment is further needed. The mini-midline catheter has already showed to be reliable and safe as a stand-alone device, since it is easily and rapidly inserted and can indwell up to 1 month. Methods: In this further case series, we retrospectively evaluated data from 63 patients where a previously inserted mini-midline catheter was upgraded to a central venous catheter (the devices inserted in the arm replaced by peripherally inserted central catheter and others inserted “off-label” in the internal jugular replaced by single lumen centrally inserted central catheter), being used as introducer for the Seldinger guidewire. Results: The guidewire replacement was been made even early (after 1 day) or late (more than 10 days), usually following a need for an upgrade in treatment. No early or late complications were reported. Conclusion: According to the preliminary data we collected, this converting procedure seems to be feasible and risk-free, since neither infectious nor thrombotic complications were reported.

scholarly journals Estratégia Multidimensional na Redução de Infeção Associada a Cateter Venoso Central em Pediatria

2016 ◽  
Vol 29 (6) ◽  
pp. 373
Author(s):  
Jorge Rodrigues ◽  
Andrea Dias ◽  
Guiomar Oliveira ◽  
José Farela Neves
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Central Venous Catheter ◽  
Bloodstream Infection ◽  
Pediatric Intensive Care Unit ◽  
Pediatric Intensive Care ◽  
Venous Catheter ◽  
Central Line ◽  
Central Venous ◽  
Group 2

<p><strong>Introduction:</strong> To determine the central-line associated bloodstream infection rate after implementation of central venous catheter-care practice bundles and guidelines and to compare it with the previous central-line associated bloodstream infection rate.<br /><strong>Material and Methods:</strong> A prospective, longitudinal, observational descriptive study with an exploratory component was performed in a Pediatric Intensive Care Unit during five months. The universe was composed of every child admitted to Pediatric Intensive Care Unit who inserted a central venous catheter. A comparative study with historical controls was performed to evaluate the result of the intervention (group 1 <em>versus</em> group 2).<br /><strong>Results:</strong> Seventy five children were included, with a median age of 23 months: 22 (29.3%) newborns; 28 (37.3%) with recent surgery and 32 (43.8%) with underlying illness. A total of 105 central venous catheter were inserted, the majority a single central venous catheter (69.3%), with a mean duration of 6.8 ± 6.7 days. The most common type of central venous catheter was the short-term, non-tunneled central venous catheter (45.7%), while the subclavian and brachial flexure veins were the most frequent insertion sites (both 25.7%). There were no cases of central-line associated bloodstream infection reported during this study. Comparing with historical controls (group 1), both groups were similar regarding age, gender, department of origin and place of central venous catheter insertion. In the current study (group 2), the median length of stay was higher, while the mean duration of central venous catheter (excluding peripherally inserted central line) was similar in both groups. There were no statistical differences regarding central venous catheter caliber and number of lumens. Fewer children admitted to Pediatric Intensive Care Unit had central venous catheter inserted in group 2, with no significant difference between single or multiple central venous catheter.<br /><strong>Discussion:</strong> After multidimensional strategy implementation there was no reported central-line associated bloodstream infection<br /><strong>Conclusions:</strong> Efforts must be made to preserve the same degree of multidimensional prevention, in order to confirm the effective reduction of the central-line associated bloodstream infection rate and to allow its maintenance.</p>

scholarly journals Incidence of bloodstream infection among patients on hemodialysis by central venous catheter

2010 ◽  
Vol 18 (1) ◽  
pp. 73-80 ◽  
Author(s):  
Cibele Grothe ◽  
Angélica Gonçalves da Silva Belasco ◽  
Ana Rita de Cássia Bittencourt ◽  
Lucila Amaral Carneiro Vianna ◽  
Ricardo de Castro Cintra Sesso ◽  
...  
Keyword(s):  
Central Venous Catheter ◽  
Bloodstream Infection ◽  
Severe Infection ◽  
Venous Catheter ◽  
Central Venous Catheter Insertion ◽  
Central Venous ◽  
Double Lumen ◽  
One Year ◽  
Very High

This study evaluated the incidence and risk factors of bloodstream infection (BSI) among patients with a double-lumen central venous catheter (CVC) for hemodialysis (HD) and identified the microorganisms isolated from the bloodstream. A follow-up included all patients (n=156) who underwent hemodialysis by double-lumen CVC at the Federal University of São Paulo - UNIFESP, Brazil, over a one-year period. From the group of patients, 94 presented BSI, of whom 39 had positive cultures at the central venous catheter insertion location. Of the 128 microorganisms isolated from the bloodstream, 53 were S. aureus, 30 were methicillin-sensitive and 23 were methicillin-resistant. Complications related to BSI included 35 cases of septicemia and 27 cases of endocarditis, of which 15 cases progressed to death. The incidence of BSI among these patients was shown to be very high, and this BSI progressed rapidly to the condition of severe infection with a high mortality rate.

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