Preventive measures of infection related to peripheral venous catheter: adherence in intensive care

Keywords: Catheter-Related Infections, Quality of Health Care, Cross Infection, Catheterization, Peripheral, Intensive Care Units.


Objective: to analyze the adherence of nursing professionals to preventive measures of infection by peripheral venous catheter. Methods: a cross-sectional study carried out in an adult intensive care unit with 47 nursing professionals. Results: statistically relevant measures for adherence to infection prevention were identified, such as double checking of drugs, verification of medication prior to administration, certification of allergy in patients prior to administration, separation of material prior to procedure, length of stay of the catheter for less than 72 hours, fixation exchange in 24 hours, actions related to the handling of the injection ports and connectors, and access salinization after administering solutions through the catheter. These measures were not yet fully added in the professional routines of the research subjects, despite professionals had stated they knew them (97.9%) and that the measures contributed to preventive actions (100.0%). Conclusion: the investigated nursing professionals showed low adherence to the preventive measures of infection in the peripheral venous catheters.


Oliveira A, Vasconcelos Q, Melo G, Melo M, Costa I, Torres G. Instrument validation for peripheral venous puncture with over-the-needle catheter. Rev Rene. 2015; 16(2):176-84. doi:

Bitencourt E, Leal C, Boostel R, Mazza V, Felix J, Pedrolo E. Prevalence of phlebitis related to the use of peripheral intravenous devices in children. Cogitare Enferm. 2018; 23(1):e49361. doi:

O’Grady N, Alexander M, Burns L, Dellinger E, Garland J, Heard S, et al. summary of recommendations: guidelines for the prevention of intravascular catheter-related infections. Clin Infect Dis. 2011; 52(9):1087-99. doi:

Barbosa A, Carvalho K, Moreira I. Ocorrência de flebite em acesso venoso. Enferm Foco. 2016; 7(2):37-41. doi:

Marsh N, Webster J, Flynn J, Mihala G, Hewer B, Fraser J, et al. Securement methods for peripheral venous catheters to prevent failure: a randomised controlled pilot trial. J Vasc Access. 2015; 16(3):237-44. doi:

Santos A, Silva M, Carvalho M, Carvalho L, Moura M, Landim C. Profile of hospital infections in the intensive care units of an emergency hospital. Rev Enferm UFPE on line [Internet]. 2016 [cited Mar. 13, 2019]; 10(1):194-201. Available from:

Vigna CP, Jericó MC. Welfare indicator: a comparative study between puncture and fixation technologies for peripheral intravenous catheter. Rev Enferm UFPE on line [Internet]. 2016 [cited Mar. 13, 2019]; 10(9):3384-92. doi: Available from:

Helm R, Klausner J, Klemperer J, Flint L, Huang E. Accepted but unacceptable. J Infus Nurs. 2015; 38(3):189-203. doi:

Malyon L, Ullman A, Phillips N, Young J, Kleidon T, Murfield J, et al. Peripheral intravenous catheter duration and failure in paediatric acute care: A prospective cohort study. Emerg Med Australas. 2014; 26(6):602-8. doi:

Batista O, Coelho SOA, Oliveira G, Madeira M, Vi- eira CB, Santos A. Fatores de risco para as complicações locais da terapia intravenosa periférica. Rev Enferm UFPI. 2014; 3(3):88. doi:

Braga L, Salgado P, Souza C, Prado-Junior P, Do Prado M, Melo M, et al. The Betty Neuman model in the care of patients with a peripheral venous catheter. Rev Enferm Ref. 2018; 4(19):159-68. doi:

Arduini G, Cordeiro A, Engel R, Stacciarini T, Rezende M, Ferreira L. High-alert medications: frequency and double checking in a teaching hospital. Rev Enferm Atenç Saúde. 2019; 7(3):14-26. doi:

Gaíva M, Souza J. Medication administration errors in neonatal intensive care units. Cienc Cuid Saúde. 2015; 14(3):1330. doi:

Reich R, Santos SM, Goes MGO, Romero PS, Casco MF, Kruger J, et al. Seguridad quirúrgica en laboratorio de cateterismo. Rev Gaúcha Enferm. 2019; 40(1):e20180232. doi:

Gorski L, Hadaway L, Hagle M, McGoldrick M, Orr M, Doellman D. Infusion therapy standards of practice. J Infus Nurs. 2016; 39(1):169. doi:

Murassaki A, Versa G, Bellucci Júnior J, Meireles V, Vituri D, Matsuda L. Evaluation of care in intravenous therapy: a challenge for quality in nursing. Esc Anna Nery. 2013; 17(1):11-6. doi:

Danski M, Oliveira G, Johann D, Pedrolo E, Vayego S. Incidence of local complications in peripheral venous catheters and associated risk factors. Acta Paul Enferm. 2019; 28(6):517-23. doi:

Melo E, Aragão A, Pessoa C, Lima F, Barbosa I, Studart R. Care provided by nursing staff during the peripheral venipuncture procedure. Rev Enferm UFPE on line [Internet]. 2015 [cited Mar 13, 2019]; 9(3):1022-30. Available from:

Danski M, Lind J, Mingorance P, Johann D, Schwanke A. Local complications in the peripheral venous catheterization in newborns: prospective cohort. Rev Eletr Enferm. 2016; 18:e1147. doi:

Research Article