Moisture in hemodialysis catheter dressings and the risk of infection: an integrative review

Authors

  • Sayonnara Ferreira Maia Universidade Federal do Piauí, Departamento de Enfermagem. Teresina, Piauí, Brasil
  • Jefferson Abraão Caetano Lira Universidade Federal do Piauí, Departamento de Enfermagem. Teresina, Piauí, Brasil
  • Lidya Tolstenko Nogueira Universidade Federal do Piauí, Departamento de Enfermagem. Teresina, Piauí, Brasil
  • Ana Maria Ribeiro dos Santos Universidade Federal do Piauí, Departamento de Enfermagem. Teresina, Piauí, Brasil
  • Fernanda Valéria Silva Dantas Avelino Universidade Federal do Piauí, Departamento de Enfermagem. Teresina, Piauí, Brasil
  • Grazielle Roberta Freitas da Silva Universidade Federal do Piauí, Departamento de Enfermagem. Teresina, Piauí, Brasil

DOI:

https://doi.org/10.26694/repis.v8i1.3824

Keywords:

Renal Dialysis, Humidity, Baths, Catheter-Related Infections

Abstract

Introduction: In hemodialysis care, the nurse is involved in most care for the patient using a double-lumen central venous catheter; in this regard, it is necessary to instruct the renal patient about measures to protect venous access regarding humidity during bathing, as a wet dressing over the device insertion site increases the risk of infection. Aim: To identify in the literature the relationship between moisture in hemodialysis catheter dressings and the risk of infection. Outlining: Integrative review performed in MEDLINE databases via PubMed, CINAHL, Web of Science, Scopus, Cochrane, BDENF, LILACS bibliographic index and references of the articles included. The sample consisted of 10 primary studies. The results were analyzed descriptively and organized into categories. Results: Six (60%) addressed the humidity related to the bath, three (30%) addressed the humidity related to perspiration and one (10%) discussed the humidity related to secretions from the ostium of the hemodialysis catheter. Implications: Wetting the hemodialysis catheter while bathing is not the best recommendation. Moisture resulting from perspiration was associated with risk of infection.

References

Yuan CM, Oliver 3º JD, Little DJ, Narayan R, Prince LK, Raghavan R et al. Survey of non tunneled temporary hemodialysis catheter clinical practice and training. J Vasc Access [Internet]. 2019 [cited 2021 Aug 27]; 20(5): 507-15. Available from: https://doi.org/10.1177/1129729818820231

Samaha D, Clark EG. Common errors in temporary hemodialysis catheter insertion. Semin Dial [Internet]. 2019 [cited 2021 Aug 27]; 32(5): 411-6. Available from: https://doi.org/10.1111/sdi.12809

Fisher M, Golestaneh L, Allon M, Abreo K, Mokrzycki MH. Prevention of Bloodstream Infections in Patients Undergoing Hemodialysis. CJASN [Internet]. 2020 [cited 2021 Aug 27]; 15(1):132-51. Available from: https://doi.org/10.2215/CJN.06820619

Arhuidese IJ, Orandi BJ, Nejim B, Mahmoud M. Utilization, patency, and complications associated with vascular access for hemodialysis in the United States. J Vasc Surg [Internet]. 2018 [cited 2021 Aug 27]; 68(4):1166-74. Available from: https://doi.org/10.1016/j.jvs.2018.01.049

Mohammed RMS, Mohammed WY, Seloma YAE. Nontunneled hemodialysis catheter among acute renal failure patients: nurses’ knowledge and practices at El Fayoum Insurance Hospital. Egypt Nurs J [Internet]. 2017 [cited 2021 Aug 27]; 14(3):217-25. Available from: https://doi.org/10.4103/ENJ.ENJ_9_17

Gonzalez CM, Teixeira MLO, Castelo Branco SEM. Cuidado educativo compartilhado: estratégia de ação da enfermagem junto a usuários com insuficiência renal crônica. Rev baiana enferm [Internet]. 2017 [cited 2020 Aug 08]; 31(3):e17536. Available from: https://doi.org/10.18471/rbe.v31i3.17536

Lok CE, Huber TS, Lee T, Shenoy S, Yevzlin AS, Abreo K et al. KDOQI clinical practice guideline for vascular access: 2019 update. Am J Kidney Dis [Internet]. 2020 [cited 2021 Jan 14]; 75(4): S1-S164. Available from: https://doi.org/10.1053/j.ajkd.2019.12.001

Whittemore R, Knafl K. The integrative review: updated methodology. J Adv Nurs [Internet]. 2005 [cited 2020 Oct 01]; 52(5):546-53. Available from: https://doi.org/10.1111/j.1365 2648.2005.03621.x

Ouzzani M, Hammady H, Fedorowicz Z, Elmagarmid A. Rayyan – a web and mobile app for systematic reviews. Syst Rev [Internet]. 2016 [cited 2020 Sep 06]; 5: 210. Available from: http://doi.org/10.1186/s13643-016-0384-4

Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred Reporting Items for Systematic Reviews and MetaAnalyses: The PRISMA Statement. PLoS Med [Internet]. 2009; [cited 2020 Aug 04]; 6(1):e1000097. Available from: https://doi.org/10.1371/journal.pmed.1000097

Marziale MH. Instrumento para recolección de datos revisión integrativa [Internet]. 2015 [cited 2020 Nov 20]. Available from: http://gruposdepesquisa.eerp.usp.br/sites/redenso/wp content/uploads/sites/9/2019/09/Instrumiento_revision_litetarura_RedENSO_2015.pdf

Melnyk BM, Fineout-Overholt E. Making the case for evidence-based practice. In: Melnyk BM, Fineout-Overholt E. Evidence-based practice in nursing & healthcare: a guide to best practice. Philadelphia: Lippincot Williams & Wilkins; 2005. p 3-24.

Altman S. Showering with Central Venous Catheters: Experience Using the CD-1000 Composite Dressing. Dialysis & Transplantation [Internet]. 2006; [cited 2020 Dec 19]; 1(1):1-3. Available from: https://doi.org/10.1002/dat.20022

Harwood L, Wilson B, Thompson B, Brown E, Young D. Predictors of hemodialysis central venous cateter exit-site infections. The CANNT Journal [Internet]. 2008 [cited 202 Dec 12]; 18(2):26-35. Available from: https://www.researchgate.net/publication/23139363_Predictors_of_hemodialysis_central_ven us_catheter_exit-site_infections

Altman SD, Ross JJ, Work J. Reducing cateter infections through use of the CD-1000; a restrospective review of a unique cateter specific composite dressing. J Vasc Access [Internet]. 2008 [cited 2020 Nov 14]; 9(1):236-40. Available from: https://doi.org/10.1177/112972980800900403

Hughes K, Gardner A, McArdle J. Audit of factors associated with the intactness of central venous catheter exit site dressings for northern Australian haemodialysis patients. Ren Soc Aust J [Internet]. 2011 [cited 2020 Nov 07]; 7(3):108-14. Available from: https://www.renalsociety.org/public/6/files/documents/RSAJ/2011.11/Hughes.pdf

Kear T, Evans E, Hain D, Schrauf C, Dork L. Patients’ perceptions of hemodialysis cateter care practices at home before and afther eliminating a protective dressing and implementing a showering protocol. J Infec Prev [Internet]. 2015 [cited 2020 Nov 26]; 4(6):208-12. Available from: https://doi.org/10.1177/1757177413495908

Lok CE, Thumma JR, McCullough KP, Gillespie BW, Fluck RJ, Marshall MR, et al. Catheter related infection and Septicemia: Impact of Seasonality and Modifiable Practices from the DOPPS. Semin Dial [Internet]. 2014 [cited 2020 Nov 04]; 27(1):72-7. Available from:

https://doi.org/10.1111/sdi.12141

Lawrence JA, Seiler S, Wilson B, Harwood L. Shower and no-dressing technique for tunneled central venous hemodialysis catheters: A quality improvement initiative. Nephrol Nurs J [Internet]. 2014 [cited 2020 Nov 21]; 41(1): 67-72. Available from: https://search.proquest.com/openview/4350208ba235b3cf90918b999ded83a1/1?pq origsite=gscholar&cbl=45638

Evans EC, Hain D, Kear TM, Dork LA, Schrauf C. Hemodialysis catheter outcomes pilot study: No dressing coverage with prescribed showering. Nephrol Nurs J [Internet]. 2014 [cited 2020 Dec 17]; 41(1):53-64. Available from: https://search.proquest.com/openview/32547a6f4d0ec035b5dddb620fdc05ae/1?pq origsite=gscholar&cbl=45638

Kosa SD, Gafni A, House AA, Lawrence J, Moist L, Nathoo B, et al. Hemodialysis Infection Prevention Protocols Ontario – Shower Technique (HIPPO-ST): A Pilot Randomized Trial. Kidney Int Rep [Internet]. 2016 [cited 2020 Dec 12]; 54(73):1-11. Available from:

https://doi.org/10.1016/j.ekir.2016.11.001

McArdle J, Smyth W, Wicking K, Gardner A. Haemodialysis central venous cateter exit site dressings in the tropics: a crossover randomised controlled trial. Wound Practice and Research [Internet]. 2017 [cited 2020 Dec 16]; 25(4):200-7. Available from: https://journals.cambridgemedia.com.au/application/files/8215/8510/0880/mcardle.pdf

National Climatic Data Center – NOAA [Internet]; [cited 2021 Jan 21]. Available from: https://www.ncdc.noaa.gov

Hinkle JL, Cheever KH. Brunner & Suddarth: Tratado de enfermagem médico-cirúrgica. 14 th. Rio de Janeiro: Guanabara Koogan; 2020. 2312p.

Mcardle J, Gardner A. A literature review of central venous catheter dressings: implications for haemodialysis in the tropics. Healthc Infect [Internet]. 2009 [cited 2021 Jan 14]; 4:139-46. Available from: https://doi.org/10.1071/HI09014

Buetti N, Ruckly S, Lucet JC, Bouadma L, Garrouste-Orgeas M, Schwebel C, et al. Local signs at insertion site and catheter-related bloodstream infections: an observational post hoc analysis using individual data of four RCTs. Crit Care [Internet]. 2020 [cited 2021 Jan 24]; 24(1):1–9. Available from: https://doi.org/10.1186/s13054-020-03425-0

Published

2023-04-13

How to Cite

Maia, S. F., Lira, J. A. C. ., Nogueira, L. T. ., Santos, A. M. R. dos ., Avelino, F. V. S. D. ., & Silva, G. R. F. da . (2023). Moisture in hemodialysis catheter dressings and the risk of infection: an integrative review. Journal of Infection Prevention and Health, 8(1). https://doi.org/10.26694/repis.v8i1.3824

Similar Articles

<< < 1 2 

You may also start an advanced similarity search for this article.

Most read articles by the same author(s)