Prevencija infekcija primjenom centralnih venskih katetera u jedinicama intenzivnog liječenja

master's thesis

• Title (english): Prevention of infections associated with central venous catheter in intensive care units
• Author: Irena Šentija
• Mentor: Rok Čivljak (mentor)
• Committee member: Marija Santini (član povjerenstva)
• Committee member: Goran Tešović (član povjerenstva)
• Committee member: Rok Čivljak (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Infectious Diseases); Zagreb
• Defense date and country: 2015-09-28, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Infectology

Abstract

Suvremeni pristup liječenja i skrbi za bolesnike, osobito kritično bolesne i životno ugrožene, ne može se provoditi bez invazivnih oblika liječenja koji uključuje i centralni venski pristup. Centralni venski kateteri (CVK) istovremeno olakšavaju medicinskom osoblju skrb za takve diferentne bolesnike, ali povećavaju i rizik nastanka infektivnih komplikacija. Prevencija infekcija povezanih s primjenom CVK u jedinicama intenzivnog liječenja stoga je ključ uspjeha – izlječenja i preživljavanja tih bolesnika. Ona se danas može provoditi na različite dostupne načine koji uključuju strogu primjenu standardnih mjera zaštite, osobito higijene ruku, pomno uvođenje, održavanje i previjanje CVK, primjenu katetera impregniranih antibioticima i antisepticima, korištenje prekrivki impregniranih klorheksidinom, te korištenje svih drugih unaprijeđenja tehnike postavljanja i održavanja CVK. No najvažniju ulogu u prevenciji i ranoj detekciji infekcije ima sestrinska supervizija kao i timski pristup skrbi o CVK koji se može unaprijediti primjenom propisanih snopova postupaka. Sve to može utjecati na smanjenje morbiditeta i mortaliteta povezanog uz neizostavnu primjenu centralnog venskog pristupa.

Abstract (english)

Modern approach to treatment and care for patients, particularly those who are critically ill and suffering from life-threatening conditions, cannot be carried out without invasive forms of treatment that often require use of central vascular access. Therefore, central vascular catheters (CVC) enable easier care for such patients, but increase the risk of infective complications. Prevention of central venous catheter-associated infections in intensive care units is therefore the cornerstone to success - cure and survival of these patients. It can be achieved in different ways, including strict implementation of standard precautions, especially hand hygiene and aseptic technique, careful insertion, replacement and maintenance of CVC, the use of antimicrobial/antiseptic impregnated catheters, use of chlorhexidine-impregnated sponges, and the use of other techniques that improve installation and maintenance of CVCs. However, nursing supervision and team approach have the most important role in the prevention and early detection of central venous catheter-associated infections that can be improved by applying different techniques including care bundle approach. All this can lead to the reduction of morbidity and mortality related to the obligatory application of central venous access.

• Keywords: centralni venski kateter; infekcije povezane s centralnim venskim kateterima; jedinica intenzivnog liječenja; prevencija
• Keywords (english): central venous catheter; central venous catheter-associated infection; intensive care unit; prevention
• Language: croatian
• URN:NBN: urn:nbn:hr:105:698551
• Study programme: Title: Studies in Nursing; Study programme type: university; Study level: graduate; Academic / professional title: magistar/magistra sestrinstva (magistar/magistra sestrinstva)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2016-04-27 07:38:48