Avaliação do tipo de curativo utilizado em cateter venoso central para hemodiálise

OBJECTIVES: To evaluate the efficacy of two types of dressings used on central venous catheter (CVC) in patients undergoing hemodialysis and to determine the rate of local and systemic bacterial infection when using gauze and micropore dressings or transparent film dressings. METHODS: This study was...

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Detalles Bibliográficos
Autores: Barros, Luciene de Fátima Neves Monteiro de [UNIFESP], Arênas, Valquíria Grego, Bettencourt, Ana Rita de Cassia [UNIFESP], Diccini, Solange [UNIFESP], Fram, Dayana Souza [UNIFESP], Belasco, Angélica Gonçalves Silva [UNIFESP], Barbosa, Dulce Aparecida [UNIFESP]
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2009
País:Brasil
Institución:Universidade Federal de São Paulo (UNIFESP)
Repositorio:Repositório Institucional da UNIFESP
Idioma:portugués
OAI Identifier:oai:repositorio.unifesp.br:11600/4753
Acceso en línea:http://dx.doi.org/10.1590/S0103-21002009000800004
http://repositorio.unifesp.br/handle/11600/4753
Access Level:acceso abierto
Palabra clave:Central venous catheter
Bandage
Infection
Hemodialysis
S. aureus
Cateter venoso central
Curativo
Infecção
Hemodiálise
S.aureus
Descripción
Sumario:OBJECTIVES: To evaluate the efficacy of two types of dressings used on central venous catheter (CVC) in patients undergoing hemodialysis and to determine the rate of local and systemic bacterial infection when using gauze and micropore dressings or transparent film dressings. METHODS: This study was a controlled randomized clinical trial with 66 subjects who were equally assigned to two groups (33 subjects per group). Group 1 used gauze and micropore dressings and group 2 used transparent film dressings. Measures consisted of a socio demographic questionnaire, clinical data, and catheter tip and blood culture tests. Subjects remained in the study until removal of the catheter. RESULTS: There were no statistically significant differences regarding the types of dressings. Positioning of CVCs at 90 degrees in relation to the skin had higher rate of infections by S. Aureus. CONCLUSION: Although the use of transparent film dressings did not reduce infection, qualitative data analysis suggested that this type of dressing was preferred by the patients and by the health care providers from a university hospital.

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