Increasingly, the evolution of medical products is based on the equalization of risk to the patient, incidence and financial balance for the adequacy of the supposed new standardization.
The recent scientific article published in Research Gate ¹, listed the estimated cost, per patient, for the treatment of infection caused by complications resulting from venous access. In both the US and China, the cost of treatment ranges from US$3,700 to US$39,000. In Europe, the estimated percentage is 8,810 euros per complication. In fact, the authors focused on oncological and hematological patients.
Second Healthcare Infection Control Practices Advisory Committee (HICPAC), 33 thousand deaths per year can be associated with CLABSI, in Portuguese, blood infection associated with central catheter.
To help us with the cost-benefit reflection, the National Institutes of Health published, in November 2020, the article Care of a Central Line, by the authors Matthew Ball and Abhishek Singh, in which a points out the newly established routines to avoid damage associated with CVC infections, such as: mortality, increased costs with the use of materials and drugs to combat these infections that could be avoided.
In addition to hand hygiene, the authors encourage the use of sterile gloves for catheter addition and dressing change, and patients should also be encouraged to report any pain at the puncture site.
As for the dressing, the article also emphasizes that the service replaces the use of gauze with sterile transparent films. The recommendation is accompanied by two other citations from independent studies, which compare the reduction of infection in occluded catheters with dressings made with transparent films and gauze. ² ³
References
¹ Baier C, et al. Incidence, risk factors and healthcare costs of central line-associated nosocomial bloodstream infections in hematologic and oncologic patients
² Raad II, et al. Prevention of central venous catheter-related infections by using maximal sterile barrier precautions during insertion
³ Danks LA. Central venous catheter: a review of skin cleansing and dressings
4 Ball M, Singh A. Care Of A Central Line. 2020 Nov 1. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan–. PMID: 33232068.
