Keywords
retrospective epidemiological study
in-patient medical record
checklist
infection control
How to Cite
Abstract
Vascular catheterization is associated with a risk of infection. Today in Ukraine there aren't legal documents that regulate the record of the vascular catheterization and the epidemiological surveillance of intravascular catheter-related infections (ICRI). The purpose of the study is to evaluate the completeness of documentation of peripheral and central vascular catheterization, and interventions, related with the catheters insertion and care in the multidisciplinary healthcare setting. According to the results of a retrospective epidemiological analysis which was conducted in 2020 regarding 131 medical records (MR) of inpatients with neurosurgical diseases who were in the anesthesiology and intensive care unit in 2019, the lack of proper documentation of the vascular catheterization procedure was revealed. Documentary confirmation of the vascular catheterization was found in 82 MR, which was (62.6±4.23)% of the analyzed MR. In the most cases the documented information included the following: catheter type, insertion site, size of catheter, indications for central venous catheterization, technique of central venous catheters inserting and the fact of using aseptic dressing. Indications for the insertion of peripheral venous catheters in MR were almost never recorded. Information about the expected duration of catheterization, data of daily monitoring of the insertion site, interventions related with the catheter care (catheter cleaning prior to accessing and/or after accessing, and changing dressing), indications for catheter removal weren't recorded in MR. Documenting the daily monitoring of the catheter insertion site allows to assess dynamic changes and choose the optimal strategies to prevent the development of catheter-associated complications. Insufficient documentation of the vascular catheterization makes it difficult to monitor the use of intravascular catheters. This makes impossible to identify risk factors that can affect the incidence of ICRI in the healthcare setting. The documentation of the vascular catheterization is an integral component in the system of epidemiological surveillance of ICRI, and helps to manage the risks of catheter-associated infectious complications.
Keywords: venous catheter, retrospective epidemiological study, in-patient medical record, checklist, infection control.
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