Articoli di revisione Open access

I sistemi di fissaggio esterno del catetere vescicale a permanenza nei pazienti adulti ospedalizzati: una revisione narrativa della letteratura

Autori

Pubblicato
19 gennaio 2024
Fascicolo
V. 40 N. 4 (2023)
Sezione
Articoli di revisione
DOI
10.4081/scenario.2023.564

Abstract

Introduzione: il fissaggio esterno dei cateteri vescicali (CV) è una pratica assistenziale che spesso viene trascurata, ciò comporta un aumento degli eventi avversi legati al CV.

Scopo: descrivere l’efficacia dei sistemi di fissaggio esterno del CV a permanenza nei pazienti adulti ricoverati in ospedale.

Materiali e Metodi: è stata condotta una revisione narrativa della letteratura sui sistemi di fissaggio esterno del CV a permanenza tra Aprile e Agosto 2023. Sono state consultate le seguenti banche dati: PubMed, CINAHL, Scopus e Web of Science.

Risultati: il processo di selelzione ha incluso 5 record dei 310 individuati dalle query. Tre articoli analizzavano il movimento di trazione del CV, 2 articoli il comfort e la dislocazione, mentre, 1 solo articoli analizzava l’infezione da CV e l’erosione del meato uretrale. L’utilizzo degli StatLock® ha riportato una minore incidenza di infezione [catetere transureterale (7/40, 18,5% vs 12/41, 29%) o un catetere sovrapubico (1/20, 5% vs 2/17, 11,8%)], una riduzione della dislocazione, dell’erosione del meato uretrale e della trazione del CV.

Discussione: l’utilizzo del corretto sistema di fissaggio esterno dei CV è un’area ancora poco indagata, ma emergono risultati incoraggianti, in relazione all’impiego del corretto sistema di fissaggio esterno, nei confronti delle infezioni del tratto urinario.

Parole chiave

Riferimenti bibliografici

  1. Wooller KR, Backman C, Gupta S, et al. A pre and post intervention study to reduce unnecessary urinary catheter use on general internal medicine wards of a large academic health science center. BMC Health Serv Res 2018;18:642.
  2. Saint S, Greene MT, Krein SL, et al. A Program to Prevent Catheter-Associated Urinary Tract Infection in Acute Care. N Engl J Med 2016;374:2111-9.
  3. Trautner BW, Darouiche RO. Catheter-Associated Infections: Pathogenesis Affects Prevention. Arch Intern Med 2004;164:842.
  4. Zarb P, Coignard B, Griskeviciene J, et al. The European Centre for Disease Prevention and Control (ECDC) pilot point prevalence survey of healthcare-associated infections and antimicrobial use. Eurosurveillance 2012;17(46).
  5. Magill SS, Edwards JR, Bamberg W, et al. Multistate Point-Prevalence Survey of Health Care–Associated Infections. N Engl J Med 2014;370:1198-208.
  6. NHSN-Report-2011-Data-Summary.pdf. Accessed September 2, 2023. https://www.cdc.gov/nhsn/PDFs/dataStat/NHSN-Report-2011-Data-Summary.pdf
  7. Dellimore KH, Helyer AR, Franklin SE. A scoping review of important urinary catheter induced complications. J Mater Sci: Mater Med 2013;24:1825-35.
  8. Gray ML. Securing the Indwelling Catheter. Am J Nurs 2008;108:44-50.
  9. Siegel TJ. Do Registered Nurses Perceive the Anchoring of Indwelling Urinary Catheters as a Necessary Aspect of Nursing Care?: A Pilot Study. J Wound Ostomy Continence Nurs 2006;33:140-4.
  10. Cipa-Tatum J, Kelly-Signs M, Afsari K. Urethral Erosion: A Case for Prevention. J Wound, Ostomy Continence Nurs 2011;38:581-3.
  11. Gravante F, Lombardi A, Gagliardi AM, et al. Dressings and Securement Devices of Peripheral Arterial Catheters in Intensive Care Units and Operating Theaters: A Systematic Review. Dimens Crit Care Nurs 2020;39:242-50.
  12. Bedal: sistemi di fissaggio cateteri sutureless. Accessed December 19, 2023. Dispinibile presso: https://deltamed.pro/news/bedal-sistemi-di-fissaggio-cateteri-sutureless
  13. Grip-Lok 3400LFC Foley Catheter Securement | Twenty20 Healthcare. Accessed September 3, 2023. Disponibile presso: https://www.twenty20hc.com/products/grip-lok-foley-catheter-securement-device
  14. 2 Current practice | Tools and resources | SecurAcath for securing percutaneous catheters | Guidance | NICE. Published June 5, 2017. Accessed December 19, 2023. Disponibile presso: https://www.nice.org.uk/guidance/mtg34/resources/adoption-support-resource-insights-from-the-nhs-161334113941/chapter/2-Current-practice
  15. NHS Trust Leeds community healthcare. Urinary catheter securing device fact sheet (for care providers). Published online May 2018. Disponibile presso: file:///C:/Users/franc/OneDrive/Desktop/Sistemi%20di%20fissaggio%20catetere%20vescicale/Revisione/0728_Indwelling%20catheter%20securing%20device%20fact%20sheet_May'18.pdf
  16. Wound, Ostomy, and Continence Nurses SocietyTM | WOCN Society. WOCN. Accessed December 19, 2023. Disponibile presso: https://www.wocn.org/
  17. Page MJ, Moher D, Bossuyt PM, et al. PRISMA 2020 explanation and elaboration: updated guidance and exemplars for reporting systematic reviews. BMJ 2021;372:n160.
  18. Appendix 3.1: JBI Critical appraisal checklist for randomized controlled trials - JBI Manual for Evidence Synthesis - JBI Global Wiki. Accessed December 19, 2023. Disponibile presso: https://jbi-global-wiki.refined.site/space/MANUAL/4687449/Appendix+3.1%3A+JBI+Critical+appraisal+checklist+for+randomized+controlled+trials
  19. Appendix 5.1: Critical Appraisal Instrument for Studies Reporting Prevalence Data - JBI Manual for Evidence Synthesis - JBI Global Wiki. Accessed December 19, 2023. Disponibile presso: https://jbi-global-wiki.refined.site/space/MANUAL/4688355/Appendix+5.1%3A+Critical+Appraisal+Instrument+for+Studies+Reporting+Prevalence+Data
  20. Appendix 7.4 Critical appraisal checklist for case reports - JBI Manual for Evidence Synthesis - JBI Global Wiki. Accessed December 19, 2023. Disponibile presso: https://jbi-global-wiki.refined.site/space/MANUAL/4689072/Appendix+7.4+Critical+appraisal+checklist+for+case+reports
  21. Appendix 3.3: JBI Critical appraisal Checklist for Quasi-Experimental Studies (non-randomized experimental studies) - JBI Manual for Evidence Synthesis - JBI Global Wiki. Accessed December 19, 2023. Disponibile presso: https://jbi-global-wiki.refined.site/space/MANUAL/4689914/Appendix+3.3%3A+JBI+Critical+appraisal+Checklist+for+Quasi-Experimental+Studies+(non-randomized+experimental+studies)
  22. Appah Y, Hunter KF, Moore KN. Securement of the Indwelling Urinary Catheter. J Wound, Ostomy Continence Nurs 2016;43:173-177.
  23. Macneil J, Wilkins R, Taylor R, Lau H. Does the method of “securing the catheter” make any difference? J Clin Urol 2018;11:21-26.
  24. Orme LA, Smith RJM, Berry JC. Development and evaluation of CliniFix, a catheter/tubing fixation device. Br J Nurs 2008;17:544-9.
  25. Tracy C. Comparison of catheter-securing devices. Urol Nurs 2000;20:43-6.
  26. Darouiche RO, Goetz L, Kaldis T, et al. Impact of StatLock securing device on symptomatic catheter-related urinary tract infection: a prospective, randomized, multicenter clinical trial. Am J Infect Control 2006;34:555-60.
  27. Giretti R, Caruselli M, Zannini R, et al. Dislocation of central venous catheters in pediatric patients. J Vasc Access 2006;7:132-5.
  28. Ronco C, Dell’Aquila R. Peritoneal Access for Acute Peritoneal Dialysis. Critical Care Nephrol 2009:1467-72.
  29. Martynov I, Klima-Frysch J, Kluwe W, et al. Safety of tunneled central venous catheters in pediatric hematopoietic stem cell recipients with severe primary immunodeficiency diseases. PLoS One 2020;15:e0233016.
  30. Safdar N, Maki DG. The pathogenesis of catheter-related bloodstream infection with noncuffed short-term central venous catheters. Intensive Care Med 2004;30:62-7.
  31. Morrell E. Reducing Risks and Improving Vascular Access Outcomes. J Infusion Nurs 2020;43:222-28.
  32. Tegegne KD, Wagaw GB, Gebeyehu NA, et al. Prevalence of urinary tract infections and risk factors among diabetic patients in Ethiopia, a systematic review and meta-analysis. PLoS One 2023;18:e0278028.
  33. Hooton TM, Bradley SF, Cardenas DD, et al. Diagnosis, Prevention, and Treatment of Catheter-Associated Urinary Tract Infection in Adults: 2009 International Clinical Practice Guidelines from the Infectious Diseases Society of America. Clin Infect Dis 2010;50:625-63.
  34. LeBlanc K, Christensen D. Addressing the Challenge of Providing Nursing Care for Elderly Men Suffering From Urethral Erosion. J Wound, Ostomy Continence Nursing 2005;32:131-4.
  35. Meeks JJ, Erickson BA, Helfand BT, Gonzalez CM. Reconstruction of urethral erosion in men with a neurogenic bladder. BJU International 2009;103:378-81.

Metriche

Citazioni e attenzione online da Dimensions, Altmetric e PlumX.

PlumX Metrics

Licenza

Copyright (c) 2024 Gli Autori

Creative Commons License

Questo volume è pubblicato con la licenza Creative Commons Attribuzione - Non commerciale 4.0 Internazionale.

Aniarti ha scelto di applicare la Licenza Creative Commons Attribuzione Non Commerciale 4.0 Internazionale (CC BY-NC 4.0) a tutti i manoscritti da pubblicare.