Frequency of change of chlorhexidine-impregnated gel dressings for central venous catheters in critically ill patientsa
Tiempo de permanencia del apósito gel de clorhexidina en catéter venoso central en paciente crítico
Tempo de permanência do curativo gel de clorexidina no cateter venoso central em paciente crítico
Mariana Ehmke Dolci; Amanda Salles Margatho; Renata Cristina de Campos Pereira Silveira
Abstract
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Objetivos: Identificar o tempo de permanência do curativo gel de clorexidina aplicado no sítio de inserção do cateter venoso central, descrever motivos de troca e identificar a quantidade utilizada por paciente adulto internado em unidade de terapia intensiva.
Métodos: Estudo descritivo consistindo de registro diário de avaliação de ocorrência, motivo da troca de curativo e quantidade usada pelo paciente, entre abril e dezembro de 2014. Utilizou análise estatística descritiva.
Resultados: Aplicou-se 159 curativos no sítio de inserção de 64 cateteres venosos centrais cujo tempo médio de permanência foi de 3,04 dias. A média de curativo por paciente foi de 3,1, mas ocorreram 83 trocas não programadas, antes de sete dias de permanência, por descolamento, umidade, sujidade e perdas.
Conclusão: A permanência do curativo foi inferior a sete dias acarretando um número maior de curativo utilizado por paciente. O descolamento do curativo foi o motivo mais frequente de troca não programada.
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Referências
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Submetido em:
18/02/2017
Aceito em:
19/07/2017