Adherence to central venous catheter maintenance bundle in an intensive care unit

• Published in: Revista da Escola de Enfermagem da U S P Vol. 56; p. e20220077
• Main Authors: Quadros, Amanda Inocencio de, Stocco, Janislei Giseli Dorociaki, Cristoff, Cristiane, Alcantara, Camila Bonfim de, Pimenta, Adriano Marçal, Machado, Bruna Giane Saidelles
• Format: Journal Article
• Language: English; Portuguese
• Published: Brazil Universidade de São Paulo, Escola de Enfermagem 2022
• Subjects: Catheter-Related Infections - prevention & control; Catheterization, Central Venous; Central Venous Catheters; Cross Infection - prevention & control; Humans; Intensive Care Units; NURSING; Sepsis; Catéteres Venosos Centrales; Patient Care Bundles; Intensive Care Units; Infecções Relacionadas a Cateter; Central Venous Catheters; Paquetes de Atención al Paciente; Catheter-Related Infections; Unidades de Terapia Intensiva; Unidades de Cuidados Intensivos; Pacotes de Assistência ao Paciente; Cateteres Venosos Centrais; Infecciones Relacionadas con Catéteres
• ISSN: 0080-6234; 1980-220X; 1980-220X
• DOI: 10.1590/1980-220X-REEUSP-2022-0077en

To check adherence to the Central Venous Catheter maintenance bundle in an Intensive Care Unit, after an educational intervention to the professionals who provide care to patients using this catheter. Descriptive-exploratory study, carried out in two stages: stage 1 - educational intervention and stage 2 - verification/observation of adherence. Data were organized in the Microsoft Excel® and analyzed through the Stata®. Sixty three workers participated in stage 1 and 44 in stage 2. The sample consisted of 64 observation opportunities. Among the domains observed, the recording of indication of permanence had an 8% compliance rate; aseptic technique in catheter handling, 3%; maintenance of the infusion system, 15%; and care with the central venous catheter dressing, 17%. The domains represent unwanted care according to the Positivity Index for assessing the quality of care. The findings show the need for discussions, training, and investments in constant strategies for the prevention of primary bloodstream infections related to the central venous catheter.