Interventions for the management of central venous catheter infections in pediatric medicine. A systematic review

Postgraduate Thesis uoadl:3329200 9 Read counter

Κατεύθυνση Επείγουσα Νοσηλευτική
Library of the School of Health Sciences
Deposit date:
Skoura Eleni
Supervisors info:
Ευάγγελος Δούσης, Αναπληρωτής Καθηγητής, Τμήμα Νοσηλευτικής, ΠΑΔΑ
Ιωάννης Κουτελέκος, Αναπληρωτής Καθηγητής, Τμήμα Νοσηλευτικής, ΠΑΔΑ
Χριστίνα Μαρβάκη, Ομότιμος Καθηγήτρια, Τμήμα Νοσηλευτικής, ΠΑΔΑ
Original Title:
Παρεμβάσεις για την διαχείριση των λοιμώξεων των κεντρικών φλεβικών καθετήρων στις ΜΕΘ παίδων. Συστηματική ανασκόπηση
Translated title:
Interventions for the management of central venous catheter infections in pediatric medicine. A systematic review
Introduction: Central Venous Catheters (CVC) are an important part of patient care, allowing the administration of intravenous fluids, blood, drugs and parenteral solutions. Their use is a cause of infections due to micro-organisms colonizing the skin at the entry point or the catheter or other point along it or the fluids administered by the Intensive Care Unit(ICU). CVC infections in children's ICUs are an important factor that negatively affects thecourse of the disease, causing complications, perhaps irreversible. The majority of these are hospital-acquired, and their incidence varies with location, catheter type, underlying patient diagnosis, and catheter placement. The contribution of health professionals to the reduction of complications due to the observance of hygiene and safety rules is important. Aim: The aim of this study was to investigate the interventions for the management of CVC infections in neonatal and pediatric ICUs. Methodology: Published research articles in the years 2016-2021 were studied invalid scientific journals referring to children with CVC hospitalized in neonatal and pediatric ICUs. A systematic search of the literature was performed in digital, electronic, scientificdatabases (Medline, PubMed Scopus, Embase, Cochrane Library) using key words. The PICOS (Population, Interventions, Controls, Outcome, Study design) procedure was used as acriterion for the inclusion of an article in the present study. The results of the bibliographicsearch were evaluated using the PRISMA method (The PRISMA Statement for ReportingSystematic Reviews).Results – Discussion: Interventions to address CVC infections involved improvedhygiene, use of new methods/measures for introduction, use and management of CVC andmultidimensional approaches. The use of chlorhexidine-impregnated dressings reduced therates of catheter-related infections, contamination, colonization, and local catheter infectionin pediatric ICU’s, but was not significantly better than the use of standard dressings. Inanother case, it seemed that CVC impregnated with miconazole and rifampicin showed noevidence of benefit or harm compared with standard CVC for newborns, although they were not particularly significant. The use of antiseptic covers (caps) in HCVs contributed to the reduction of the effects but not to a significant extent. In addition, a significant reduction in6
infections was recorded with the implementation of infection control guidelines for infection prevention and hand hygiene. Conclusions: As it was seen from the results of the study, there are several research evidence regarding the effectiveness of nursing interventions to limit CVC infections in neonatal and children's ICUs. Nevertheless, it seems that prevention measures for CVC infections and hand hygiene guidelines have a decisive role in limiting CVC infections in neonatal and pediatric ICUs.
Main subject category:
Health Sciences
Central line catheter, Intravenous catheter, Pediatric Intensive Care Unit, Bloodstream infections, Management
Number of index pages:
Contains images:
Number of references:
Number of pages:
Skoura_Eleni_MSc.pdf (1 MB) Open in new window