Adherence to central venous catheter maintenance bundle in an intensive care unit

Abstract

Objective: To check adherence to the Central Venous Catheter maintenance bundle in an Intensive Care Unit, after an educational intervention to the professionals who provide care to patients using this catheter. Method: Descriptive-exploratory study, carried out in two stages: stage 1 – educational intervention and stage 2 – verification/observation of adherence. Data were organized in the Microsoft Excel® and analyzed through the Stata®. Results: Sixty three workers participated in stage 1 and 44 in stage 2. The sample consisted of 64 observation opportunities. Among the domains observed, the recording of indication of permanence had an 8% compliance rate; aseptic technique in catheter handling, 3%; maintenance of the infusion system, 15%; and care with the central venous catheter dressing, 17%. The domains represent unwanted care according to the Positivity Index for assessing the quality of care. Conclusion: The findings show the need for discussions, training, and investments in constant strategies for the prevention of primary bloodstream infections related to the central venous catheter.