O USO DO BUNDLE DE PREVENÇÃO COMO ESTRATÉGIA DE AUDITORIA PARA A REDUÇÃO DA INFECÇÃO PRIMÁRIA DE CORRENTE SANGUÍNEA EM UNIDADE DE TERAPIA INTENSIVA

Abstract

Primary Bloodstream Infections (BSIs) associated with Central Venous Catheters (CVCs) are a serious public health problem. In addition to increasing hospital stays, BSIs increase healthcare costs and morbidity and mortality rates in healthcare services. In this context, they occur through three distinct mechanisms of origin, namely: extraluminal colonization resulting from the reach of bacteria from the skin into the bloodstream; intraluminal colonization, caused by the method of catheter insertion, increased manipulation of the hub and through the infusion of contaminated solutions; and finally, colonization of the catheter tip by hematogenous dissemination, which can result in the spread of an infection through the bloodstream to other parts of the body. The objectives of this study were to identify the main recommendations for good practices regarding the use of the Central Venous Catheter Bundle to prevent Primary Bloodstream Infections in the Intensive Care Unit and to highlight the gaps that still exist in clinical practice regarding Central Venous Catheter care. This is an integrative literature review