Infecções associadas a cateteres venosos centrais em adultos submetidos a hemodiálise
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Terapia de substituição renal contínua
Infecções relacionadas ao cateter
Unidades de hemodiálise hospitalar
Enfermagem

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1.
Silva-Cázares MB, Escamilla-Reta ZA, Lozano-Zúñiga MM, Hernandez Nava N. Infecções associadas a cateteres venosos centrais em adultos submetidos a hemodiálise. SANUS Rev Enf [Internet]. 15º de dezembro de 2023 [citado 24º de novembro de 2024];8(19):e335. Disponível em: https://sanus.unison.mx/index.php/Sanus/article/view/335

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Resumo

Introdução: O cateter venoso central utilizado para hemodiálise é a alternativa para doentes que sofrem de insuficiência renal crónica, onde intervêm profissionais de enfermagem. Objetivo: Identificar a prevalência de infecções relacionadas com CVC em doentes em hemodiálise numa clínica no México. Metodologia: Estudo quantitativo retrospectivo e descritivo. A fonte de informação foram arquivos da população total de pacientes atendidos em 2018 que corresponderam a 29 usuários e ações epidemiológicas realizadas no período do estudo e resultados relatados no diário de bordo da enfermeira chefe da área de hemodiálise. Resultados: Staphylococcus epidermidis foi encontrado em 43%, 14% dos casos de bacteriemia relacionada a cateteres estavam relacionados a bacteriemia nosocomial; foram realizadas culturas de mãos em toda a equipe de enfermagem nos diferentes turnos, relatando a presença de Staphylococcus epidermidis em 60% da equipe e Staphylococcus coagulase-negativo em 60% dos móveis da área de hemodiálise. Conclusão: Ficou evidente a necessidade de reforçar as medidas de prevenção de infecções relacionadas aos procedimentos de manuseio de cateteres venosos centrais, incluindo a unificação dos protocolos de assepsia e o gerenciamento de acessos vasculares permanentes pela equipe de saúde.

https://doi.org/10.36789/revsanus.vi1.335
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