Protocol to diminish the infections associated with central venous catheters in critical care units
Abstract
Introduction: the infections associated to the use of central venous catheters are a common complication in the Intensive Care Unit of the Provincial General Teaching Hospital "Dr. Antonio Luaces Iraola" in Ciego de Ávila and, so far, a standardized strategy for prevention is not apply.Method: an experimental study was carried out between April 2012 and December 2013, with the purpose of evaluating a protocol to decrease the infections associated with the use of central venous catheters. The universe was composed of 101 patients who underwent central venous catheterization; of patients who met the inclusion criteria of the study, a holistic sample divided into two groups was selected: in one group the protocol package was applied, while in the other the standard procedure catheter care was carried out.
Results: gramnegative bacilli were the germs most frequently involved in infections related to the use of these devices in the Intensive Care Unit (75 % of cases). By applying the protocol, the infections associated to the use of central venous catheter decreased (14,2 %), as well as their specific subtypes, and cases of asymptomatic colonization of the device (this last aspect was statistically significant).
Conclusions: the effectiveness of the protocol to decrease the occurrence of infections associated with central venous catheters, related local infections, and related complications was demonstrated, so its permanent adoption is proposed in performing this procedure in the Intensive Care Unit.Downloads
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