The nurse in the prevention of peripherally inserted central catheter infection in neonates

Abstract

Introduction: As the Peripherally Inserted Central Catheter (PICC) is the first choice of prolonged vascular access in preterm infants, to recognize the risk factors for infection related to its use contributes to the establishment of procedures that qualify care. Objective: To evaluate the production of knowledge available in the literature about the work of nurses in the prevention of infection related to PICC. Method: An integrative literature review according to Ganong's assumptions, was performed in the SciELO, LILACS, BDENF, MEDLINE and PubMed databases. Data collection took place in October 2017, including original articles made available in full from 2001. Results were organized using Bardin's content analysis. Results: Only eleven articles met the inclusion criteria and four thematic categories emerged: 1) Theoretical and practical knowledge assessment of the nurse to prevent infection in the insertion and maintenance of PICC, 2) Permanent education of the nursing team, 3) Implementation and use of protocols, and 4) Constant monitoring of quality indicators. Conclusions: The present work, through the analysis of the collected studies, signals the need to create institutional protocols, training and permanent and continuing education, to use de indicators in the prevention of infection, aiming at patient care and safety and, consequently, resulting in lower incidence of bloodstream infections through the use of PICC.