Multimodal strategy for prevention of central venous catheter-related bloodstream infection: an integrative review

Abstract

Objective: To analyze the national and international scientific productions that discuss the multimodal strategies for prevention of bloodstream infection related to the central venous catheter in an adult intensive care unit. Methods: It was carried out an integrative review of the literature of articles published in the databases PubMed, Science Direct, Cochrane, Cinahl and Scopus, from 2011 to 2016. Results: It was found 10 articles that in their totality emphasized actions aimed at the pre-intervention periods with institution preparation and situational diagnosis, evaluation of protocols and routines of the institutions in 90% of the articles; In the intervention phase, the preparation of the professionals was predominant, and the method, such as lectures, workshops, discussion groups and simulation aimed at insertion and maintenance of the catheter, was used in the intervention phase in 100% of the studies. Implemented on CVC-related bloodstream infection rates and feedback of results and surveillance reports to the entire team. Conclusion: The studies presented varied intervention times, but all reported a reduction in central venous catheter-related bloodstream infection between 40 and 87%, with a direct relationship between the time of the intervention and the percentage of reduction of the Rates of infection.