Costa Camila Adriana Barbosa, Araújo Fernanda Lopes, Costa Anna Caroline Leite, Corrêa Allana Dos Reis, Kusahara Denise Miyuki, Manzo Bruna Figueiredo
Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brasil.
Universidade Federal de São Paulo, Escola Paulista de Enfermagem, São Paulo, SP, Brasil.
Rev Esc Enferm USP. 2020 Oct 19;54:e03629. doi: 10.1590/S1980-220X2019011203629. eCollection 2020.
To evaluate knowledge and behavior of professionals in Intensive Care Units regarding the actions recommended in the bundle on preventing central venous catheter-related bloodstream infection.
Cross-sectional descriptive quantitative study, conducted in three Intensive Care Units. The data were collected through a face-to-face questionnaire applied to health professionals. The software R 3.3.1 was used for data analysis.
Two-hundred and ninety-two professionals participated. Regarding knowledge, the hand hygiene item presented a higher level both for the insertion (92.46%) and maintenance (97.27%) moments. Usage of chlorhexidine as an antiseptic, followed by alcohol (47.94%) and providing a date for hub or connectors (19.87%) were the least known items. As for behavior, the professionals reported: using always the correct attire for catheter insertion (84.25%), never waiting for the antiseptic to dry before catheter insertion (25.34%) and never cleaning hub or connectors with 70% alcohol (23.86%).
Results show that the professionals' knowledge and behavior regarding the central venous catheter bundle present deficiencies, revealing the importance of promoting training programs for this knowledge domain.
评估重症监护病房专业人员对预防中心静脉导管相关血流感染集束化措施中推荐行动的知识掌握情况和行为表现。
在三个重症监护病房开展横断面描述性定量研究。通过对卫生专业人员进行面对面问卷调查收集数据。使用R 3.3.1软件进行数据分析。
292名专业人员参与。在知识方面，手部卫生项目在置管（92.46%）和维护（97.27%）环节的知晓率较高。使用洗必泰作为消毒剂、其次是酒精（47.94%）以及标注接头或连接器日期（19.87%）是知晓率最低的项目。在行为方面，专业人员报告：置管时始终使用正确着装（84.25%）、置管前从不等待消毒剂干燥（25.34%）以及从不使用70%酒精清洁接头或连接器（23.86%）。
结果表明，专业人员对中心静脉导管集束化措施的知识和行为存在不足，揭示了为此知识领域开展培训项目的重要性。
