Llapa-Rodríguez EO, Oliveira JKAD, Melo FC, Silva GGD, Mattos MCTD, Macieira VP. Insertion of central vascular catheter: adherence to infection prevention bundle.
Rev Bras Enferm 2019;
72:774-779. [PMID:
31269145 DOI:
10.1590/0034-7167-2018-0124]
[Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2018] [Accepted: 02/01/2019] [Indexed: 11/22/2022] Open
Abstract
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.
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