Factors Influencing the Disinfection of Pediatric IV Devices by Nursing Teams
Introduction:
Proper disinfection of devices attached to peripheral intravenous (IV) catheters is crucial in preventing infections, especially in pediatric units. This study investigates the factors influencing the disinfection practices of nursing professionals in pediatric settings.
Background:
Peripheral intravenous catheterization and drug administration are routine but critical procedures performed by nursing teams. Ensuring proper disinfection is essential for harm-free care. However, adherence to disinfection protocols can vary based on several factors.
Objective:
The study aims to determine the association between nursing professionals' work shifts, training time, and the proper disinfection of IV devices in pediatric units.
Methods:
A cross-sectional and analytical study was conducted from June to August, observing drug administration procedures in three pediatric hospital units. The study included procedures performed by nursing professionals, analyzing the data with inferential statistics (significance level p ≤ 0.05).
Key Findings:
1. Out of 398 observed drug administration procedures:
- The device was not disinfected in 32.7% of cases.
- There was insufficient friction time in 31.9% of cases.
- The disinfectant was not allowed to dry in 21.9% of cases.
2. The work shift did not significantly influence disinfection practices (p = 0.105).
3. Longer training time was associated with a lower adherence rate to proper disinfection procedures (p < 0.001).
Conclusion:
Inadequate disinfection practices, such as insufficient friction time, can create a false sense of security regarding infection prevention. Regular training sessions and strategies to improve adherence to disinfection protocols are essential, particularly for professionals with longer training periods.
Authors: Thiago Lopes Silva, Luciano Marques dos Santos, Denise Miyuki Kusahara, Luz Verónica Berumen Burciaga, Camila Biazus Dalcin, Sabrina de Souza, Aline de Souza Bitencourt, Patrícia Kuerten Rocha
