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Texto & Contexto. ISSN:0104-0707 2018 v27n1 r27121p

 

 

 

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Impacto da implementação dos bundles na redução das infecções da corrente sanguínea: uma revisão integrativa

Alanna Gomes da Silva,1 Adriana Cristina de Oliveira2
1Doutoranda do Programa de Pós-Graduação em Enfermagem da Escola de Enfermagem da Universidade Federal de Minas Gerais (UFMG). Belo Horizonte, Minas Gerais. Brasil. 2Doutora em Enfermagem. Professora da Escola de Enfermagem da UFMG. Bolsista de Produtividade CNPq. Belo Horizonte, Minas Gerais. Brasil.

Recebido: 23 de setembro de 2016
Aprovado: 20 de março de 2017

 

 

 

Cómo citar este documento

Silva, Alanna Gomes da;Oliveira, Adriana Cristina de. Impacto da implementação dos bundles na redução das infecções da corrente sanguínea: uma revisão integrativa. Texto Contexto Enferm, ene-mar 2018, 27(1). Disponible en <http://www.index-f.com/textocontexto/2018/27121p.php> Consultado el

Resumo

Objetivo: analisar as produções científicas nacionais e internacionais sobre o impacto dos bundles na prevenção de infecção da corrente sanguínea relacionada ao cateter venoso central em unidade de terapia intensiva adulta. Método: revisão integrativa de artigos publicados no Portal Capes, Biblioteca Virtual em Saúde, PubMed, Science Direct, Cochrane, CINAHL e SCOPUS, entre 2011 e 2016. Resultados: encontraram-se 16 artigos, 100% relacionados à implementação dos bundles para a inserção do cateter venoso central e 50% à manutenção deste dispositivo. O tempo de intervenção foi variado, bem como o número de medidas e o período analisado (inserção/ manutenção do cateter). No entanto, a redução da infecção da corrente sanguínea relacionada ao dispositivo foi apontada em todos os estudos entre 26% e 100%. Conclusão: a adoção de bundle evidenciou um impacto positivo na redução da infecção. Todavia, não se observou uma relação direta entre o número de medidas descritas nos estudos ou o maior tempo de implementação e taxas mais altas de redução da infecção.
Palabras chave: Infecções relacionadas a cateter/ Cateteres/ Unidade de terapia intensiva/ Infecção hospitalar/ Segurança do paciente.
 

Resumen
Impacto de la implementación del bundles en la reducción de las infecciones de la corriente sanguínea: una revisión integrativa

Objetivo: analizar las producciones científicas nacionales e internacionales sobre el impacto del bundles en la prevención de infección del flujo sanguíneo relacionado al catéter venoso central en unidad de terapia intensiva adulta. Método: revisión integrativa de artículos publicados en el Portal Capes, Biblioteca Virtual en Salud, PubMed, Science Direct, Cochrane, CINAHL y SCOPUS, entre 2011 y 2016. Resultados: se encontraron 16 artículos, 100% relacionados a la implementación de los lotes para la inserción del catéter venoso central y 50% al mantenimiento de este dispositivo. El tiempo de intervención fue variado, así como el número de medidas y el período analizado (inserción / mantenimiento del catéter). Sin embargo, la reducción de la infección del flujo sanguíneo relacionado con el dispositivo fue señalada en todos los estudios entre el 26% y el 100%. Conclusión: la adopción del lote evidenció un impacto positivo en la reducción de la infección. Sin embargo, no se observó una relación directa entre el número de medidas descritas en los estudios o el mayor tiempo de implementación y tasas más altas de reducción de la infección.
Palabras clave: Infecciones relacionadas con catéter/ Catéteres/ Unidad de terapia intensiva/ Infección hospitalaria/ Seguridad del paciente.
 

Abstract
Impact of the bundles implementation on the reduction of bloodstream infections: an integrative review

Objective: to analyze the national and international scientific research regarding the impact of the bundles in the prevention of central venous catheter-related bloodstream infection in an adult intensive care unit. Method: integrative review of articles published in Portal Capes, Virtual Health Library, PubMed, Science Direct, Cochrane, CINAHL and SCOPUS, between 2011 and 2016. Results: 16 articles were found, 100% related to the implementation of the bundles for the insertion of the central venous catheter and 50% to related to the maintenance of this device. The intervention time was varied, as were the number of measurements and the analyzation period analyzed (catheter insertion / maintenance). However, all studies showed that there was a reduction of between 26% e 100% of bloodstream infections related to the use of the device. Conclusion: the adoption of the bundle showed a positive impact on the reduction of infections. However, there was no direct relationship between the number of measures described in the studies or length of implementation time or higher rates of infection reduction.
Key-words: Catheter-related infections/ Catheters/ Intensive care unit/ Hospital infection/ Patient safety.
 

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