Brachine Juliana Dane Pereira, Peterlini Maria Angélica Sorgini, Pedreira Mavilde da Luz Gonçalves
Universidade Federal de São Paulo (UNIFESP), São Paulo, São Paulo, Brasil.
Rev Gaucha Enferm. 2012 Dec;33(4):200-10. doi: 10.1590/s1983-14472012000400025.
This is an integrative review of literature aimed to identify evidence-based interventions which make up care bundles to reduce central venous catheter-related or associated bloodstream infections. To collect data in Brazilian and international databases were used the key word bundle and the descriptors catheter-related infection, infection control and central venous catheterization, resulting in fifteen articles, after inclusion criteria application. This work showed five interventions as those commonly employed in the bundles methods: hand hygiene, chlorhexidine gluconate for skin antisepsis, use of maximal sterile barrier precaution during the catheter insertion, avoid the femoral access and daily review of catheter necessity with prompt removal as no longer essential. The majority of the studies showed a significant reduction in bloodstream infection related to or associated with central venous catheters.
这是一篇文献综述，旨在确定构成护理集束的循证干预措施，以减少中心静脉导管相关或与之相关的血流感染。为在巴西和国际数据库中收集数据，使用了关键词“集束”以及描述词“导管相关感染”“感染控制”和“中心静脉置管”，在应用纳入标准后得到了15篇文章。这项研究表明，有五项干预措施是集束方法中常用的：手部卫生、使用葡萄糖酸氯己定进行皮肤消毒、在导管插入过程中采取最大无菌屏障预防措施、避免股静脉穿刺以及每日评估导管必要性，若不再必要则及时拔除。大多数研究表明，与中心静脉导管相关或与之相关的血流感染显著减少。
