Insertion of central vascular catheter: adherence to infection prevention bundle.

Autor:	Llapa-Rodríguez EO; Universidade Federal de Sergipe. Aracaju, Sergipe, Brasil., Oliveira JKA; Faculdade Maurício de Nassau. Aracaju, Sergipe, Brasil., Melo FC; Universidade Federal de Sergipe. Aracaju, Sergipe, Brasil., Silva GGD; Universidade Federal de Sergipe. Aracaju, Sergipe, Brasil., Mattos MCT; Universidade Federal de Sergipe. Aracaju, Sergipe, Brasil., Macieira VP Jr; Fundação de Ensino Superior de Olinda. Olinda, Pernambuco, Brasil.
Jazyk:	English; Portuguese
Zdroj:	Revista brasileira de enfermagem [Rev Bras Enferm] 2019 Jun 27; Vol. 72 (3), pp. 774-779. Date of Electronic Publication: 2019 Jun 27.
DOI:	10.1590/0034-7167-2018-0124
Abstrakt:	Objective: To evaluate the compliance of the care process involving insertion of central vascular catheter (CVC) in hemodialysis. Method: Cross-sectional quantitative approach developed at the hemodialysis service of a reference hospital in Sergipe, Brazil. Sample consisting of 1,342 actions evaluated, corresponding to 122 forms for monitoring and control of CVC insertion. Data collection was held from July to December 2016. Results: The adherence rate to the use of the insertion form was 54.9%. The procedure evaluated achieved 93% overall compliance. Of the 11 specific actions observed, seven (64%) presented 100% compliance. The density of the overall incidence of primary bloodstream infections reduced from 10.6 to 3.1 infections per 1,000 patients/day. Conclusion: Although the observed actions reached specific desired conformities, the use of the checklist was lower than expected. Strategies for monitoring, coaching and educational and organizational actions can contribute to safe care.
Databáze:	MEDLINE
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