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Adherence to central venous catheter insertion bundle in neonatal and pediatric units

Fernanda Lopes de Araújo1, Bruna Figueiredo Manzo1, Anna Caroline Leite Costa1

  • 1Universidade Federal de Minas Gerais, Escola de Enfermagem, Belo Horizonte, MG, Brasil.

Revista Da Escola De Enfermagem Da U S P
|November 30, 2017
PubMed

Insights

Healthcare professionals rarely followed central venous catheter insertion bundle guidelines in neonatal and pediatric intensive care units. Improved training is crucial to prevent bloodstream infections and reduce adverse events in vulnerable patients.

Area of Science:

  • Neonatal and Pediatric Intensive Care
  • Infectious Disease Prevention
  • Medical Device Safety

Background:

  • Central venous catheters (CVCs) are critical for neonates and children in intensive care.
  • Adherence to CVC insertion bundles is vital for preventing healthcare-associated infections.
  • Previous studies indicate variability in adherence to best practices.

Purpose of the Study:

  • To evaluate professional adherence to the CVC insertion bundle in neonatal and pediatric intensive care units.
  • To characterize the clinical and birth profiles of neonates and children receiving CVCs.

Main Methods:

  • A quantitative, descriptive, exploratory study was conducted.
  • Observations of CVC insertions occurred in two intensive care units.
  • Data were collected from February to September 2016.

Main Results:

  • Fifty-nine CVC insertions were observed.
  • Most patients were male preterm infants with appropriate weight for gestational age.
  • Only three observed procedures fully adhered to all CVC insertion bundle recommendations.
  • Suboptimal surgical antisepsis and chlorhexidine use were noted.

Conclusions:

  • Significant gaps exist in adherence to CVC insertion bundle protocols.
  • Continuous team training is essential for bloodstream infection prevention.
  • Enhanced training can reduce adverse events associated with CVC use in critically ill children.
Abstract

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