Bundle: impacto na infecção relacionada a cateter central de inserção periférica
DOI:
10.24276/rrecien2358-3088.2018.8.23.3-11Palavras-chave:
Infecções relacionadas a cateter, Prática Clínica Baseada em Evidências, Cateterismo PeriféricoResumo
Verificar o efeito da aplicação de um bundle sobre a ocorrência de infecção de corrente sanguínea relacionada a cateter central de inserção periférica em neonatos. Estudo prospectivo, quasi-experimental, dividido em três fases, sendo a amostra composta por 169 RN, sendo 73 (43,2%) na fase controle e 96 (56,8%) na fase intervenção e 1596 observações da aplicação do bundle por um período de seis meses. A taxa média de adesão ao bundle foi de 83,4%. Observou-se queda na taxa média de infecção de corrente sanguínea de 3,9/mil cateteres/dia para zero durante o estudo. Não se identificou diferença quanto ao número de cateteres inseridos, porém o tempo de permanência dos cateteres foi menor na intervenção (p= 0,065). Não houve influência significativa no consumo de sabão antisséptico, porém observou-se aumento no consumo de álcool gel (p= 0,002). Os resultados evidenciaram que a aplicação do bundle auxiliou na melhoria do cuidado prestado, pois nenhum caso de infecção de cateter foi registrado.
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