Preventive nursing care of urinary tract infection associated with catheter high customer complexity: systematize literature review

Yasmim Basilio Araujo, Isabel Cristina Fonseca da Cruz

Abstract


The high incidence of urinary tract infections associated with catheter (Cautis) in conjunction consideration that it is a reasonably preventable condition, so it demands preventive measures. This study aimed to seek the best available evidence in the literature on nursing care, which can be performed to prevent the development of CAUTI in the ICU. This is about systematic review of the literature happened in the period from July to November 2015, in the databases LILACS, MEDLINE and COCHRANE. Inclusion criteria: articles published in the period 2010 to 2015, full text available languages English, Spanish and Portuguese, obtained a sample of 20 articles which were measured for level of evidence and grade of recommendation. Considering the reunited evidences describe nursing care preventive development of CAUTI: Avoiding inserting urinary catheters; using institutional protocols for insertion; appropriate techniques for the insertion and catheters maintenance, sterile insertion, closed drainage system, use standard precautions for management the catheter system; early removal of catheters; electronic reminders for tests; Alternative intermittent catheterization, external catheter (condom), portable ultrasonography system (bladder); training and updating of professionals; It worth considering two nurses to execute urinary catheterization so that ensures facilitation of the procedure, aseptic thus makes it safer. This study reunites relating evidences to preventive nursing care, the development of CAUTI and that led to the drafting of synthesis of care, which must be practiced in order to provide quality care.

Keywords


Nursing Care; Prevention & Control; Urinary Tract Infections.

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References


Barros, SKSA; Kerbauy, G; Dessunti, EM. Catheter-associated urinary tract infection: antimicrobial sensitivity profile. Rev. RENE. 2013; 14(5): 1005-1013. URL do artigo: http://pesquisa.bvsalud.org/portal/resource/pt/lil-706477 file:///C:/Users/YASMIM/Downloads/1325-8431-1-PB%20(4).pdf

Belizario SM. Preventing urinary tract infections with a two-person catheter insertion procedure. Nursing. 2015 Mar. 45(3):67-9. URL do artigo: http://journals.lww.com/nursing/Citation/2015/03000/Preventing_urinary_tract_infections_with_a.20.aspx

Chenoweth C., Saint S. Preventing catheter-associated urinary tract infections in the intensive care unit. Critical Care Clinics. 2013; 29(1):19-32. URL do artigo: http://www.criticalcare.theclinics.com/article/S0749-0704(12)00082-6/abstract

Chen YY; Chi MM; Chen YC; Chan YJ; Chou SS; Wang FD. Using a criteria-based reminder to reduce use of indwelling urinary catheters and decrease urinary tract infections. Am J Crit Care. 2013 Mar 22(2):105-14. URL do artigo: http://ajcc.aacnjournals.org/content/22/2/105.full.pdf+html

Cheregatti, A. L.; Amorim, C. P., orgs. Enfermagem em unidade de terapia intensiva. São Paulo: Martinari, 2010.

Conway LJ, Pogorzelska M, Larson E, Stone PW. Adoption of policies to prevent catheter-associated urinary tract infections in United States intensive care units. Am J Infect Control. 2012 Oct 40(8):705-10. URL do artigo: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3644850/pdf/nihms-465192.pdf

Cunha M, Santos E, Andrade A, Jesus R, Aguiar C, Marques F, et al . Eficacia da limpeza ou desinfecao do meato urinario antes da cateterizacao urinaria: revisao sistematica. Rev. esc. enferm. USP [Internet]. 2013 Dec [cited 2015 Oct 26] ; 47( 6 ): 1410-1416. URL do artigo: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342013000601410

Dumont C, Wakeman J. Preventing catheter-associated UTIs: survey report. Nursing. 2010 40(12): 24-30; quiz 30-2, 2010 Dec. URL do artigo: http://journals.lww.com/nursing/Citation/2010/12000/Preventing_catheter_associated_UTIs__Survey_report.9.aspx

Ercole FF, Macieira TGR, Wenceslau LCC, Martins AR, Campos CC, Chianca TCM. Integrative review: evidences on the practice of intermittent/indwelling urinary catheterization. Rev. Latino-Am. Enfermagem [Internet]. 2013 Feb [cited 2015 Oct 26]; 21( 1 ): 459-468. URL do artigo: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-11692013000100023

Gould CV, Umscheid CA, Agarwal RK, Kuntz G, Pegues DA, Health Care Infection Control Practices Advisory Committeel. Guideline for prevention of catheter-associated urinary tract infections 2009. Atlanta, GA: Healthcare Infection Control Practices Advisory Committee; 2009. 67 p.

Guanche GH, Requejo PO, Rosenthal VD, Morales PC, Delgado GO, Fernández GD. Device-associated infection rates in adult intensive care units of Cuban university hospitals: International Nosocomial Infection Control Consortium (INICC) findings. Int J Infect Dis. 2011 May 15(5):357-62. URL do artigo: http://www.ijidonline.com/article/S1201-9712(11)00037-3/pdf

Kanj SS, Zahreddine N, Rosenthal VD, Alamuddin L, Kanafani Z, Molaeb B. Impact of a multidimensional infection control approach on catheter-associated urinary tract infection rates in an adult intensive care unit in Lebanon: International Nosocomial Infection Control Consortium (INICC) findings. Int J Infect Dis. 2013 Sep. 17(9):686-90. URL do artigo: http://www.ijidonline.com/article/S1201-9712(13)00071-4/pdf

Márquez RPA; Alvarez PI; Márquez A. Evidence-based protocol on the urinary catheter cares in intensive care units. Enferm Intensiva. 2012 Out-Dec. 23(4):171-8. URL do artigo: http://apps.elsevier.es/watermark/ctl_servlet?_f=10&pident_articulo=90165547&pident_usuario=0&pcontactid=&pident_revista=142&ty=154&accion=L&origen=zonadelectura&web=www.elsevier.es&lan=es&fichero=142v23n04a90165547pdf001.pdf

Marra AR, Sampaio CTZ, Gonçalves P, Sogayar AM, Moura DF, Guastelli LR, et al. Preventing catheter-associated urinary tract infection in the zero-tolerance era. Am J Infect Control. 2011 Dec 39(10):817-22. URL do artigo: http://www.ajicjournal.org/article/S0196-6553(11)00161-1/pdf

Mays R, McIntyre A, Mehta S, Hill D, Wolfe D, Teasell R. A review of educational programs to reduce UTIs among individuals with SCI. Rehabil Nurs. 2014 Sep-Oct. 39(5): 240-9. URL do artigo: http://onlinelibrary.wiley.com/doi/10.1002/rnj.130/epdf

Menegueti MG, Martins MA, Canini SRMS, Basile Filho A, Laus AM. Urinary infection in intensive care unit: indicators of procedure for prevention. Rev. RENE.2012;13(3): 632-638. URL do artigo: http://www.revistarene.ufc.br/revista/index.php/revista/article/view/730/pdf

.Nobre M, Bernardo W (2006). Prática Clínica Baseada em Evidência. Rio de Janeiro: Elsevier

Phillips B, Ball C, Sackett D, Badenoch D, Straus S, Haynes B, Dawes M (2001) Oxford centre for evidencebased medicine levels of evidence. http://www.cebm.net/index.aspx?o=1047. Acesso 17 de outubro 2015.

Purvis S, Gion T, Kennedy G, Rees S, Safdar N, VanDenBergh S, et al. Catheter-associated urinary tract infection: a successful prevention effort employing a multipronged initiative at an academic medical center. J Nurs Care Qual. 2014 Apr-Jun 29(2):141-8. URL do artigo: http://journals.lww.com/jncqjournal/pages/articleviewer.aspx?year=2014&issue=04000&article=00007&type=abstract

Prates DB, Vieira MFM, Leite TS, Couto BRGM, Silva EU. Impacto de programa multidisciplinar para redução das densidades de incidência de infecção associada à assistência na UTI de hospital terciário em Belo Horizonte. Rev Med Minas Gerais 2014; 24(Supl 6): S66-S71

Saint S; Greene MT; Kowalski CP; Watson SR; Hofer TP; Krein SL. Preventing catheter-associated urinary tract infection in the United States: a national comparative study. JAMA Intern Med. 2013 May 27;173(10):874-9. URL do artigo: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3665614/pdf/nihms450979.pdf

Seckel MA. Maintaining urinary catheters: What does the evidence say? Nursing. 2013 Feb. 43(2):63-5. URL do artigo: http://journals.lww.com/nursing/Citation/2013/02000/Maintaining_urinary_catheters__What_does_the.18.aspx

Titsworth WL, Hester J, Correia T, Reed R, Williams M, Guin P, et al. Reduction of catheter-associated urinary tract infections among patients in a neurological intensive care unit: a single institution's success. J Neurosurg. 2012 Apr. 116(4):911-20. URL do artigo: http://thejns.org/doi/pdf/10.3171/2011.11.JNS11974

Vacca M, Angelos D. Elimination of catheter-associated urinary tract infections in an adult neurological intensive care unit. Crit Care Nurse. 2013 Dec 33(6):78-80. URL do artigo: http://ccn.aacnjournals.org/content/33/6/78.full.pdf+html

Wald HL, Bandle B, Richard AA, Min SJ, Capezuti E. Implementation of electronic surveillance of catheter use and catheter-associated urinary tract infection at Nurses Improving Care for Healthsystem Elders (NICHE) hospitals. Am J Infect Control. 2014 oct 42(10):242-9. URL do artigo: http://www.ajicjournal.org/article/S0196-6553(14)00727-5/pdf




URN: http://www.jsncare.uff.br/index.php/jsncareurn:nbn:de:1983-4152jsncare.v8i1.28370



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