Incidents associated with delayed bladder catheterization in hospitalized patients: an integrative review
DOI:
https://doi.org/10.33448/rsd-v9i8.5115Keywords:
Urinary Catheters; Near Miss; Healthcare; Patient Harm; Patient Safety; Nursing.Abstract
This study aimed to discuss the evidence found in the national and international scientific literature, regarding the incidents associated with bladder catheterization of delay in hospitalized patients. This is an integrative review, supported by the PRISMA recommendation. The search took place from October to December 2018, through the following sources of information: PubMed, Cochrane, LILACS, BDENF and CINAHL, applying the filters: full articles, from 2013 to 2019 in English, Spanish and Portuguese and using the descriptors “Urinary catheterization / Urinary catheterization”; "Enfermagem / Nursing"; “Patient safety / Patient safety”; “Near miss / Near Miss, Healthcare”; "Damage to the patient / Patient Harm". The final sample of the study consisted of 20 articles. In data analysis, the articles were classified into 2 units of analysis, namely: main incidents associated with the use of CVD in hospitalized patients and adequacy of the use of CVD as a preventive method for the occurrence of incidents. Catheter-associated Urinary Tract Infection (CAITU) was the most recurrent incident. The study identified that Catheter-associated Urinary Tract Infection (CAITU) was the most recurrent incident and that continuous assessment of the risks associated with CVD contributes to the early identification and mitigation of potential incident occurrences during insertion, maintenance and handling this device. The research proved to be relevant for the advancement and consolidation of the patient safety knowledge field.
References
Agência Nacional de Vigilância Sanitária (BR) (2017). Medidas de prevenção de infecção relacionada à assistência à saúde. Brasília: Anvisa.
Aljohi, A. A., Hassan, H. E., & Gupta, R. K. (2016). The efficacy of noble metal alloy urinary catheters in reducing catheter-associated urinary tract infection. Urol Ann, 8(4): 423–429. doi: https://dx.doi.org/10.4103%2F0974-7796.192099
Andrade, V., & Fernandes, F. (2016). Prevenção de infecção do trato urinário associada a cateterismo: estratégias de implementação de diretrizes internacionais. Rev. Latino-am. Enfermagem, 24:e2678. Doi: http://dx.doi.org/10.1590/1518-8345.0963.2678
Arrais, E. L. M., Oliveira, M. L. C., & Sousa, I. D. B. (2017). Prevenção de infecção urinária: indicadores de qualidade da assistência de enfermagem em idosos. Rev. Enferm, 11(8): 3151-3157. doi: http://dx.doi.org/10.5205/reuol.11064-98681-4-ED.1108201721
Barros, L. A. A., Paiva, S. S., Filho, A. G., & Souza, S. M. A. (2016). Risk nursing diagnostics for adverse events in bladder catheterization installation delay. Rev enferm UFPE, 10(9):3302-12. doi: https://doi.org/10.5205/1981-8963-v10i9a11410p3302-3312-2016
Batista, O. M. A., Monteiro, R. M., Machado, M. B., Ferreira, A. M., Valle, A. R. M. C., Watanabe, E., Madeiro, M. Z. A., & Moura, M. E. B. (2018). Cateter urinário: o tempo de exposição e calibre podem influenciar na formação de biofilme? Acta paul. Enferm., 31(5): 535-541. doi: https://doi.org/10.1590/1982-0194201800074
Blodgett, T. J., Gardner, S. E., Blodgett, N. P., Peterson, L. V., Pietraszak, M, (2016). A tool to assess the signs and symptoms of catheter-associated urinary tract infection: development and reliability. Clin Nurs Res., 24(4):341-56. doi: https://dx.doi.org/10.1177%2F1054773814550506
Brasil. Ministério da Saúde (2014). Documento de referência para o Programa Nacional de Segurança do Paciente. Brasília: Ministério da Saúde. Retrieved 2014, from https://www20.anvisa.gov.br/segurancadopaciente/index.php/publicacoes/item/documento-de-referencia-para-o-programa-nacional-de-seguranca-do-paciente
Campos, C. C., Alcoforado, C. L. G. C., Franco, L. M. C., Carvalho, R. L. R., & Ercole, F. F. (2016). Incidência de infecção do trato urinário relacionada ao cateterismo vesical de demora: um estudo de coorte. Reme rev. Min. Enferm., 20: [1-7]. Doi: http://www.dx.doi.org/10.5935/1415-2762.20160043
Carter, N. M., Reitmeier, L., & Goodloe, L. R. (2014). An evidence-based approach to the prevention of catheter-associated urinary tract infections. Urol nurs, 34(5):238-45.
Codd, J. (2014). Implementation of a patient-held urinary catheter passport to improve catheter management, by prompting for early removal and enhancing patient compliance. Journal of Infection Prevention, 15(3): 88–92. doi: https://dx.doi.org/10.1177% 2F1757177413512386
Conselho Federal De Enfermagem (2013). Resolução COFEN nº 450, de 11 de dezembro de 2013. Normatiza o procedimento de Sondagem Vesical no âmbito do Sistema Cofen/Conselhos Regionais de Enfermagem. Brasília: COFEN. Retrieved 2013, from http://www.cofen.gov.br/resolucao-cofen-no-04502013-4_23266.html
Conterno, L. O., Lobo, J. A., & Massom, W. (2011). Uso excessivo do cateter vesical em pacientes internados em enfermarias de hospital universitário. Rev Esc Enferm USP, 45(5):1089-96. doi: https://doi.org/10.1590/S0080-62342011000500009
Departament of Health (2001). Guidelines for preventing infections associated with the insertion and maintenance of short-term indwelling urethral catheters in acute care. Journal of Hospital Infection. Retrieved 2001, from https://www.ncbi.nlm.nih.gov/pubmed/11567564
Ercole, F. F., Macieira, T. G. R., Wenceslau, L. C. C., Martins, A. R., Campos, C. C., Chianca, T. C. M. (2013). Revisão integrativa: evidências na prática do cateterismo urinário intermitente/demora. Rev. Latino-Am. Enfermagem, 21(1): [10 telas]. doi: https://doi.org/10.1590/S0104-11692013000100023
Fang-Wen, H. U., Hsin-I, S., Hsiang-Chin, H., Ching-Huey, C., & Chiaming, C. (2018). Dynamic changes in the appropriateness of urinary catheter use among hospitalized older patients in the emergency department. Dynamic changes of urinary catheter use. PLoS One, 13(3): e0193905. doi: https://dx.doi.org/10.1371%2Fjournal.pone.0193905
Hsu, H. E., Shenoy, E. S., Kelbaugh, D., Ware, W., Lee, H., Zakroysky, P., Hooper, D. C., & Walensky, R. P. (2015). An Electronic Surveillance Tool for Catheter-associated Urinary Tract Infection in the Intensive Care Unit. Am J Infect Control., 43(6): 592–599. doi: https://dx.doi.org/10.1016%2Fj.ajic.2015.02.019
Jorge, B. M., Mazzo, A., Mendes, I. A. C., Trevizan, M. A., & Martins, J. C. A. (2013). Infecção do trato urinário relacionada com o uso do cateter: revisão integrativa. Rev. Enf. Ref., serIII(11):125-132. doi: http://dx.doi.org/10.12707/RIII1271
Maxwell, M, Murphy, K., & McGettigan, M. (2018). Changing ICU culture to reduce catheter-associated urinary tract infections. Canadian Journal of Infection Control, Volume 33, Issue 1, pages 39-43. Retrieved from: https://ipac-canada.org/photos/custom/CJIC/IPAC_Spring2018_Maxwell.pdf
Mazzo, A., Bardivia, C. B., Jorge, B. M., Souza Jr, V. D., Fumincelli, L., & Mendes, I. A. C, (2015). Cateterismo urinário de demora: prática clínica. Enfermería Global, (14):60-68. Retrieved from: http://scielo.isciii.es/pdf/eg/v14n38/pt_clinica3.pdf
Mazzo, A., Godoy, S., Alves, L. M., Mendes, I. A. C., Trevizan, M. A., & Rangel, E. M. L. (2011). Cateterismo urinário: facilidades e dificuldades relacionadas à sua padronização. Texto contexto - enferm., 20(2): 333-9. doi: http://dx.doi.org/10.1590/S0104-07072011000200016
Meddings, J., Rogers, M. A., Krein, S. L., Fakih, M. G., Olmsted, R. N., & Saint, S. (2014). Reducing unnecessary urinary catheter use and other strategies to prevent catheter-associated urinary tract infection: an integrative review. BMJ Qual Saf., 23(4):277–289. doi: https://dx.doi.org/10.1136%2Fbmjqs-2012-001774
Miranda, A. L., Oliveira, A. L. L., Nacer, D. T., & Aguiar, C. A. M. (2016). Results after implementation of a protocol on the incidence of urinary tract infection in an intensive care unit. Rev Lat Am Enfermagem., 24:e2804. doi: https://dx.doi.org/10.1590%2F1518-8345.0866.2804
Moraes, C. L., & Chaves, N. M. O. (2015). Controle de infecção em cateterismo vesical de demora em unidade de terapia Intensiva. Rev. enferm. Cent.-Oeste Min., 1650-1657. doi: https://doi.org/10.19175/recom.v0i0.773
Mota, E. C., & Oliveira, A. C. (2019). Catheter-associated urinary tract infection: why do not we control this adverse event? Rev Esc Enferm USP, 53:e03452. doi: http://dx.doi.org/10.1590/s1980-220x2018007503452
Moura, J. P., Carvalho, T. M., Souza, C. B. L., & Alves, M. G, (2017). Incidência de infecção do trato urinário após a implantação de protocolo clínico. Rev. enferm. UFPE, 11(3): 1254-1261. Retrieved from: https://pesquisa.bvsalud.org/brasil/resource/pt/bde-30926
Oliveira, A. C. C., & Silva, A. C. O. (2010). Prevalência de infecção do trato urinário relacionada ao cateter vesical de demora em pacientes de UTI. Rev Pesq Saúde, 11(1): 27-31. Retrieved from: http://www.periodicoseletronicos.ufma.br/index.php/%20revistahuufma/ article/view/331
Queirós, M. I., Cipriano, M. A. B., Santos, M. C. L., & Cardoso, M. V. M. L (2011). Infecções urinárias e uso de cateter vesical de demora em unidade pediátrica. Rev Rene., 12(2):295-301. Retrieved from: http://www.periodicos.ufc.br/rene/article/viewFile/4204/3252
Rivero, P. A. M., Pacheco, I. A., & Rivero, A. M. (2012). Protocolo basado en la evidencia de los cuidados de los cateteres rinários en unidades de cuidados intensivos. Enferm Intensiva, 23(4):171-178. Retrieved from: https://dialnet.unirioja.es/servlet/articulo?codigo=4127044
Roman, A. R., & Friedlander, M. R. (1998). Revisão integrativa de pesquisa aplicada à enfermagem. Cogitare Enferm., 3(2):109-12. Retrieved from: https://revistas.ufpr.br/ cogitare/article/view/44358/26850
Rozario, D. (2018). Reducing catheter-associated urinary tract infections using a multimodal approach — the NSQIP experience of Oakville Trafalgar Memorial Hospital. Can J Surg, 61(4): E7–E9. doi: https://dx.doi.org/10.1503%2Fcjs.017217
Shackley, D. C., Whytock, C., Parry, G., Clarke, L., Vincent, C., Harrison, A., John, A., Provost, L., & Power, M. (2017). Variation in the prevalence of urinary catheters: a profile of National Health Service patients in England. BMJ Open, 7:e013842. doi: https://dx.doi.org/10.1136%2Fbmjopen-2016-013842
Souza, M. T., Silva, M. D., & Carvalho, R. (2010). Revisão Integrativa: O que é e como fazer. Einstein, 8(1 Pt 1):102-6. Retrieved from:http://www.scielo.br /pdf/eins/ v8n1/pt_1679-4508-eins-8-1-0102.pdf
Whittemore, R., & Knafl, K. The Integrative Review: Updated Methodology. J AdvNurs, 52(5):546–53. doi: https://doi.org/10.1111/j.1365-2648.2005.03621.x
Yin-Yin, C., Mei-Man, C., Yu-Chih, C., Yu-Jiun, C., Shin-Shang, C., Fu-Der, W (2013). Using a criteria-based reminder to reduce use of indwelling urinary catheters and decrease urinary tract infections. American journal of critical care, vol. 22 no. 2 105-114. Doi: https://doi.org/10.4037/ajcc2013464
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