Escola Anna Nery Revista de Enfermagem
https://eanjournal.org/article/doi/10.1590/2177-9465-EAN-2017-0026
Escola Anna Nery Revista de Enfermagem
Pesquisa

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

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Abstract

Objectives: To identify the frequency of change of chlorhexidine-impregnated gel dressings applied in central venous catheter insertion sites, describe reasons for dressing changes, and identify the amount of dressings used per adult patients admitted to an intensive care unit.

Methods: Descriptive study consisting of daily record of occurrence evaluation, reason for dressing change and quantity used per patient, between April and December 2014. Descriptive statistical analysis was used.

Results: A total of 159 dressings were applied at the insertion site of 64 central venous catheters whose mean frequency of dressing changes was 3.04 days. The mean number of dressing per patient was 3.1, but 83 unscheduled changes occurred before 7 days of stay, due to detachment, wetness, soiling, and loss of dressing.

Conclusion: The frequency of dressing changes was less than seven days, resulting in greater quantities of dressings per patient. Detachment was the most common reason for unscheduled dressing changes.

 

Keywords

Intensive Care Units; Central Venous Catheters; Occlusive Dressings; Chlorexidine; Nursing Care

Resumen

Objetivos: Identificar el tiempo de permanencia del apósito gel de clorhexidina aplicado en sitio de inserción del catéter venoso central, describir razones del cambio e identificar cantidad de apósitos utilizados por paciente adulto internado en unidad de terapia intensiva.

Métodos: Estudio descriptivo consistente en registro diario de evaluación de ocurrencia, motivo del cambio de apósito y cantidad utilizada por paciente, de abril a diciembre de 2014. Análisis por estadística descriptiva.

Resultados: Se aplicaron 159 apósitos en sitio de inserción de 64 catéteres venosos centrales, con tiempo medio de permanencia de 3.04 días. El promedio de apósitos por paciente fue 3.1, aunque ocurrieron 83 cambios no programados, previos a siete días de permanencia, por despegado, humedad, suciedad y pérdida del apósito.

Conclusión: La permanencia del apósito fue inferior a siete días, determinando mayor número de apósitos utilizados por paciente. El despegado del apósito fue el motivo prevalente de cambio no programado.

Palabras clave

Unidades de Cuidados Intensivos, Catéteres Venosos Centrales, Apósitos Oclusivos, Clorhexidina, Atención de Enfermería

Resumo

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.

Palavras-chave

Unidades de Cuidados Intensivos; Catéteres Venosos Centrales; Apósitos Oclusivos; Clorhexidina; Atención de Enfermería

Referências

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Submetido em:
18/02/2017

Aceito em:
19/07/2017

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