Nursing professionals' adherence to the blood stream infection prevention bundle

Authors

DOI:

https://doi.org/10.17267/2317-3378rec.2023e4757

Keywords:

Central Venous Catheters, Catheter-Related Infections, Nursing Care

Abstract

OBJECTIVE:  To evaluate the knowledge and behavior of nursing professionals in relation to the bundle of the prevention of primary bloodstream infection related to the central venous catheter (CVC). MATERIAL AND METHODS: This is a quantitative and transversal research, with a descriptive approach, carried out with nursing professionals working in the intensive care unit from a hospital in the State of Bahia. Data were collected using the instrument “Knowledge and self-reported behavior about the CVC bundle”.  RESULTS: 77 professionals, 53 nursing technicians and 24 nurses were included.  The professionals indicated hand hygiene measures, connectors and dressings as important actions to prevent infection; 75.3% utilize complete attire when inserting the catheter; 63.6% possess knowledge regarding the bundle, being moderate (51.9%) and good (35.1%). Continued education was marked as a factor that facilitates the implementation of the bundle, while lack of knowledge is a factor that hinders the process. CONCLUSION: The professionals are aware of the reasons attributed to the occurrence of CVC infection, as well as prevention actions. Knowledge about the bundle was obtained during training at the hospital where the team works.

Downloads

Download data is not yet available.

References

(1) Aquino R, Marques-Junior F, Paula-Junior N. Infecção da corrente sanguínea relacionada ao cateter venoso central. Rev enferm UFPE on line. 2019;13: e242380. https://doi.org/10.5205/1981-8963.2019.242380

(2) Agência Nacional de Vigilância Sanitária (Brasil). Programa nacional de prevenção e controle de infecções relacionadas à assistência à saúde (2016-2020) [Internet]. Brasília: ANVISA; 2016. Disponível em: https://www.saude.go.gov.br/images/imagens_migradas/upload/arquivos/2017-02/pnpciras-2016-2020.pdf

(3) Lai CC, Cia CT, Chiang HT, Kung YC, Shi ZY, Chuang YC, et al. Cost and characterization of hospital infection among the elderly. Rev Gaúcha Enferm. 2017;51(4):290–1. https://doi.org/10.1590/1413-81232014198.12732013

(4) Agência Nacional de Vigilância Sanitária (Brasil). Assistência Segura: Uma Reflexão Teórica Aplicada à Prática [Internet]. Brasília: ANVISA; 2017. Disponível em: https://www.saude.go.gov.br/images/imagens_migradas/upload/arquivos/2017-09/2017-anvisa---caderno-1---assistencia-segura---uma-reflexao-teorica-aplicada-a-pratica.pdf

(5) Costa CAB, Araújo FL, Costa ACL, Corrêa AR, Kusahara DM, Manzo BF. Central Venous Catheter bundle: professional knowledge and behavior in adultIntensive Care Units. Rev Esc Enferm USP. 2020;54:e03629. https://doi.org/10.1590/S1980-220X2019011203629

(6) Oliveira FJG, Caetano JA, Silva VM, Almeida PC, Rodrigues AB, Siqueira JF. Use of clinical indicators in the evaluation of prevention and control practices for bloodstream infection. Texto e Context Enferm. 2015;24(4):1018–26. https://doi.org/10.1590/0104-0707201500004040014

(7) Severo T de O, Macedo ABT, Hansel LA, Chaves EHB, Oliveira GS de, Rech NLM. Construction of a bundle for prevention of bloodstream infection associated with central venous cateter. Rev. Enferm. Atual In Derme. 2021;95(33):e-021025. https://doi.org/10.31011/reaid-2021-v.95-n.33-art.737

(8) Lai NM, Chaiyakunapruk N, Lai NA, O’Riordan E, Pau WSC, Saint S. Catheter impregnation, coating or bonding for reducing central venous catheter-related infections in adults. Cochrane Database Syst Ver. 2016;2016(3). https://doi.org/10.1002/14651858.CD007878.pub3

(9) Araújo FL, Manzo BF, Costa ACL, Corrêa AR, Marcatto JO, Simão DAS. Adherence to central venous catheter insertion bundle in neonatal and pediatric units. Rev Esc Enferm USP. 2017;51:e03269. http://dx.doi.org/10.1590/S1980-220X2017009603269

(10) Magill SS, Edwards JR, Bamberg W, Beldavs ZG, Dumyati G, Kainer MA, et al. Emerging Infections Program Healthcare-Associated Infections and Antimicrobial Use Prevalence Survey Team. Multistate point-prevalence survey of health care-associated infections. N Engl J Med . 2014;370:1198-1208. https://doi.org/10.1056/NEJMoa1306801

(11) Costa CAB, Araújo FL, Costa ACL, Corrêa AR, Kusahara DM, Manzo BF. Central Venous Catheter bundle: professional knowledge and behavior in adult Intensive Care Units. Universidade Federal de Minas Gerais, 2017. Rev Esc Enferm USP. 2020;54:e03629. https://doi.org/10.1590/S1980-220X2019011203629

(12) Contreiro K dos S, Jantsch LB, Arrué AM, Oliveira DC, Bandeira D. Adhesion to the hand hygienization of health professionals in a neonatal intensive care unit. Rev Enf Contemp. 2022;10(1):25-32. https://doi.org/10.17267/2317-3378rec.v10i1.3094

(13) Hina HR, McDowell JRS. Minimising central line-associated bloodstream infection rate in inserting central venous catheters in the adult intensive care units. J Clin Nurs. 2017;26(23-24):3962-73. https://doi.org/10.1111/jocn.13824

(14) Ramos ODC, Barros D, Vasconcelos R, Santos A. Survey on knowledge, attitude and hygiene practice of hands by nursing professionals. Rev enferm UFPE on line. 2016;11(3):1136-1145. https://doi.org/10.5205/1981-8963-v11i3a13488p1136-1145-2017

(15) Souza EC, Luz GM, Santos ITO, Santos JJ. Importância da higienização das mãos como profilaxia a infecção hospitalar pelos profissionais de saúde. Rev. G&S [Internet]. 2017;4(4):1421-33. Disponível em: https://periodicos.unb.br/index.php/rgs/article/view/365

(16) Oliveira FT, Ferreira MMF, Araújo STC, Bessa ATT, Moraes ACB, Stipp MAC. Positive deviance as a strategy to prevent and control bloodstream infections in intensive care. Rev Esc Enferm USP [Internet]. 2017;51:e03212. https://doi.org/10.1590/S1980-220X2016182303212

(17) Reyes DCV, Bloomer M, Morphet J. Prevention of central venous line associated bloodstream infections in adult intensive care units: A systematic review. Intensive Crit Care Nurs. 2017;43:12–22. https://doi.org/10.1016/j.iccn.2017.05.006

(18) Lucas TC, Sá PLC, Santos LP, Leite CA, Caldeira ALP, & Oliveira AC. Desafio da higienização das mãos para a implementação dos bundles de cateter venoso central. Rev. epidemiol. controle infecç. 2018;8(3):216-223. https://doi.org/10.17058/reci.v8i3.11283

(19) Ministério da Saúde (Brasil). Agência Nacional de Vigilância Sanitária (ANVISA). Boletim Informativo: Segurança do Paciente e Qualidade em Serviços de Saúde nº 11, Ano VI. Avaliação dos indicadores nacionais de infecção relacionada à assistência ano de 2014 e relatório de progresso [Internet]. Brasília: ANVISA; 2015. . Disponível em: https://www.saude.sc.gov.br/index.php/informacoes-gerais-documentos/vigilancia-em-saude/ceciss/boletins-nacionais/13003-boletim-seguranca-do-paciente-e-qualidade-em-servicos-de-saude-11/file

(20) Agência Nacional de Vigilância Sanitária (Brasil). Medidas de Prevenção de Infecção relacionada à Saúde [Internet]. Brasília: ANVISA; 2017. Disponível em: https://www.gov.br/anvisa/pt-br/centraisdeconteudo/publicacoes/servicosdesaude/publicacoes/caderno-4-medidas-de-prevencao-de-infeccao-relacionada-a-assistencia-a-saude.pdf/view

(21) Silva EA, Cruz ICF. Guidelines for evidence-based practice for the control of nursing intervention in the prevention of central venous catheter-related infection, a challenge in practical ICU care - Systematized Literature Review. J. Spec. Nurs. Care [Internet]. 2018;10(1). Disponível em: http://www.jsncare.uff.br/index.php/jsncare/article/view/2984

(22) Gavin NC, Webster J, Chan RJ, Rickard CM. Frequency of dressing changes for central venous access devices on catheter-related infections. Cochrane Database Syst Rev. 2016;2(2). https://doi.org/10.1002/14651858.CD009213.pub2

Published

02/23/2023

Issue

Section

Original Articles

How to Cite

1.
Lima KMS, Souza CS, Rocha HM do N, Santos IRA dos. Nursing professionals’ adherence to the blood stream infection prevention bundle. Rev Enf Contemp [Internet]. 2023 Feb. 23 [cited 2024 Dec. 21];12:e4757. Available from: https://www5.bahiana.edu.br/index.php/enfermagem/article/view/4757

Most read articles by the same author(s)

1 2 3 4 5 6 7 8 9 10 > >>