Seguridad del paciente. Estudio observacional y descriptivo centrado en las curas de los catéteres venosos centrales consiguiendo bacteriemia cero

  1. Guillermo Moreno Rivas 1
  2. José Luis García Klepzig 1
  3. Jorge Manuel Corbacho García 2
  4. Victoria Luján Rubio 3
  5. Marta López Herranz 4
  1. 1 UCM.
  2. 2 Universidad Pontificia Comillas
    info

    Universidad Pontificia Comillas

    Madrid, España

    ROR https://ror.org/017mdc710

  3. 3 Universidad de San Rafael de Nebrija.
  4. 4 Facultad de Enfermería, Fisioterapia y Podología de la UCM.
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Journal:
Revista ROL de enfermería

ISSN: 0210-5020

Year of publication: 2022

Volume: 45

Issue: 5

Pages: 40-46

Type: Article

DOI: 10.55298/ROL2022.4539 DIALNET GOOGLE SCHOLAR

More publications in: Revista ROL de enfermería

Abstract

The study design is observational, retrospective, and descriptive, focusing on CVC cures. The established procedure for this is the performance of a first treatment in the ICU once the patient arrives from the operating room. The point of insertion of the CVC is observed daily to see whether there are signs of infection, and no further treatment is performed for 7 days, whether the patient is still admitted to the ICU or has been discharged to a hospitalization unit. The data collected in the retrospective investigation comprised those patients admitted to the Ruber Juan Bravo Hospital Complex from May 14, 2019 to March 22, 2020. A total of 90 patients who met the different inclusion and exclusion criteria were included in the study. The physician cannulates a CVC on the patient’s arrival to the operating room, always following the Bacteremia Zero program. When patients arrive at the ICU, the nursing staff performs an initial sterile treatment of that catheter, based on the center’s internal protocol. When the patient leaves the ICU for hospitalization, a daily assessment of the venous access is made with the intention of not re-treatment until 7 days later, as long as there is no suspicion of infection in the area where the catheter is inserted, there is no active bleeding from it, or the dressing is not detached. With the observational study carried out, the ICU protocols can be extrapolated to the rest of the units, achieving the same success of zero bacteremia, thanks to the nursing care with weekly cures. During the study period there was no CRI. Out of the 90 patients studied, only 2.2% were colonized by Staphylococcus epidermidis contamination of the catheter tip.

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Data source: Dialnet