Prevención de infecciones nosocomiales mediante impregnación antimicrobiana del catéter venoso central

Objective: To evaluate if the use of central venous catheter (CVC) impregnated in antimicrobial is useful for the reduction of catheter-related bacteraemia (CRB) in patients of Intensive Care Unit (ICU) and who of thes is the highest. Methods: A Systematic Review: CINAHL, PUBMED, CUIDEN, EMBASE, LILACS and SCIELO. Were included Randomized Controlled Trials between 2009 – 2017, including patients coming from ICU with an impregnated CVC, compared with traditional CVC. The methodological quality of each paper was evaluated with the tool CASPE.  Results: 8 studies were included. After the use of CVC impregnated, 4 studies were statistically significant and 4 could not be concluded with significance. The minocycline-rifampicin is the highest antimicrobial. Conclusions: The use of CVC impregnated, associated with other measures, could be an effective action for the reduction of infections or prevention of nosocomial infections in ICU patients. Greater time and more lumens is related with less effectiveness.