Second-generation central venous catheter in the prevention of bloodstream infection: a systematic review

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dc.contributor.author Dorociaki Stocco, Janislei Gislei
dc.contributor.author Hoers, Hellen
dc.contributor.author Pott, Franciele Soares
dc.contributor.author Crozeta, Karla
dc.contributor.author Barbosa, Dulce Aparecida [UNIFESP]
dc.contributor.author Meier, Marineli Joaquim
dc.date.accessioned 2019-01-21T10:29:50Z
dc.date.available 2019-01-21T10:29:50Z
dc.date.issued 2016
dc.identifier http://dx.doi.org/10.1590/1518-8345.0756.2722
dc.identifier.citation Revista Latino-Americana De Enfermagem. Ribeirao preto, v. 24, p. e2722, 2016.
dc.identifier.issn 1518-8345
dc.identifier.uri http://repositorio.unifesp.br/handle/11600/49428
dc.description.abstract Objective: to evaluate the effectiveness and safety in the use of second-generation central venous catheters impregnated in clorhexidine and silver sulfadiazine when compared with other catheters, being them impregnated or not, in order to prevent the bloodstream infection prevention. Method: systematic review with meta-analysis. Databases searched: MEDLINE, EMBASE, CINAHL, LILACS/SciELO, Cochrane CENTRAL en
dc.description.abstract search in Congress Proceedings and records from Clinical Trials. Results: 1.235 studies were identified, 97 were pre-selected and 4 were included. In catheter-related bloodstream infection, there was no statistical significance between second-generation impregnated catheter compared with the non-impregnated ones, absolute relative risk 1,5% confidence interval 95% (3%-1%), relative risk 0,68 (confidence interval 95%, 0,40-1,15) and number needed to treat 66. In the sensitivity analysis, there was less bloodstream infection in impregnated catheters (relative risk 0,50, confidence interval 95%, 0,26-0,96). Lower colonization, absolute relative risk 9,6% (confidence interval 95%, 10% to 4%), relative risk 0,51 (confidence interval 95% from 0,38-0,85) and number needed to treat 5. Conclusion: the use of second-generation catheters was effective in reducing the catheter colonization and infection when a sensitivity analysis is performed. Future clinical trials are suggested to evaluate sepsis rates, mortality and adverse effects. en
dc.format.extent e2722
dc.language.iso eng
dc.publisher Soc Brasil Pediatria
dc.relation.ispartof Revista Latino-Americana De Enfermagem
dc.rights Acesso aberto
dc.subject Catheterization, Central Venous en
dc.subject Catheter-Related Infection en
dc.subject Colonization en
dc.subject Sepsis en
dc.subject Meta-AnalysisSilver-Sulfadiazine en
dc.subject Controlled-Trial en
dc.subject Chlorhexidine en
dc.subject Guidelines en
dc.subject Hospitals en
dc.title Second-generation central venous catheter in the prevention of bloodstream infection: a systematic review en
dc.type Artigo
dc.description.affiliation Hospital de Clínicas, Universidade Federal do Paraná, Curitiba, PR, Brazil
dc.description.affiliation Departamento de Enfermagem, Universidade Federal do Paraná, Curitiba, PR, Brazil
dc.description.affiliation Universidade Federal do Paraná, Curitiba, PR, Brasil. RN, Secretaria Estadual de Segurança Pública, Curitiba, PR, Brazil
dc.description.affiliation Escola Paulista de Enfermagem, Universidade Federal de São Paulo, São Paulo, SP, Brazil
dc.description.affiliationUnifesp Escola Paulista de Enfermagem, Universidade Federal de São Paulo, São Paulo, SP, Brazil
dc.identifier.file S0104-11692016000100605.pdf
dc.identifier.scielo S0104-11692016000100605
dc.identifier.doi 10.1590/1518-8345.0756.2722
dc.description.source Web of Science
dc.identifier.wos WOS:000380887900028



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