Infection, local reaction and poor fixation of dressings for central venous catheter

• Autor(a) principal: Pedrolo,Edivane
• Data de Publicação: 2014
• Outros Autores: Danski,Mitzy Tannia Reichembach, Vayego,Stela Adami, Oliveira,Gabriella Lemes Rodrigues de, Boostel,Radamés
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Acta Paulista de Enfermagem (Online)
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0103-21002014000100013
• topic: Clinical nursing research; Nursing assessment; Chlorhexidine; Central venous catheterization/nursing; Infection; Bandage

OBJECTIVE: To identify factors related to the occurrence of infection, local reaction and poor fixation of dressings for central venous catheters.METHODS: Randomized clinical trial conducted with adult patients using central venous catheter for short periods, hospitalized in intensive and semi-intensive care units of a university hospital.RESULTS: 85 patients (43 chlorhexidine dressings; 42 gauze and tape). Use of blood component increases the chance of catheter-related infection; use of dressings for more than three days increases the chance of local reaction; catheter in the jugular vein increases the chance of poor fixation of the dressing. Catheter permanence for more than five days increases the chance of infection, local reaction and poor fixation.CONCLUSION: Both dressings are effective to cover central venous catheters and can be used for this purpose.