EVALUATION OF PROCESSES TO PREVENT HOSPITAL-ACQUIRED BLOODSTREAM INFECTIONS ASSOCIATED WITH CENTRAL VENOUS CATHETERS

• DOI: https://doi.org/10.22533/at.ed.1594972405115

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• Abstract:

  Bloodstream infections related to central venous catheters (CVCs) are a public health problem that still persists today at a global level. In this sense, the purpose of this research is to show the unstable and stable dynamics of the variables during the period studied, after a statistical analysis of the practices for the prevention and control of bloodstream infection (HI) related to CVC, based on procedural indicators between 2017 and 2018, using the Statistical Process Control (SPC) chart. In this context: What mechanisms are used to monitor and validate adherence during the maintenance of this invasive device and how do they look after statistical analysis? This is a descriptive study, with a quantitative approach and exploratory nature, from 2017 to 2018, using statistical and statistical control methods. Variables from the intra-hospital database will be used, based on the compliance and non-compliance checklist "Indicators of prevention processes for the prevention of bloodstream infection/CVC" made available by the Hospital Infection Control Service - SCIH, supported by ANVISA/2017 standards. The following indicators were identified for the compliance parameters for 2017 and 2018, respectively: "Daily recording of the insertion site and indication of stay" (92.02%; 93.83%); "Clean, dry and well-adhered dressing" (94.56%; 94.88%); "Disinfection of connectors before administering medication" (96.99%); 91.25%); "Equipment lumen with blood" (96.84%; 98.43%); "Hand hygiene before and after handling the catheter (HMAEAMC)" (97.15%; 87.50%); in the monthly analysis of HMAEAMC compliance in 2018, the upper central limit (UCL) was slightly outside statistical control, and for the non-compliance of this parameter in the same year, points of the plotted sample were outside statistical control in May. Daily and periodic monitoring with the insertion of SPC reaffirms the need to check samples for anomalous profiles during the analytical process, making it possible to detect deviations and helping to make decisions about preventive practices during CVC maintenance.