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  1. Article ; Online: Cost effectiveness of dressing in the prevention of catheter-related infection in critically ill patients.

    Pedrolo, Edivane / Danski, Mitzy Tannia Reichembach / Wiens, Astrid / Boostel, Radamés

    Journal of infection in developing countries

    2018  Volume 12, Issue 10, Page(s) 871–877

    Abstract: Introduction: Catheter-related infection is a complication of high morbimortality. The aim was to perform a cost-effectiveness analysis of gauze and medical tape, transparent semi-permeable and chlorhexidine-impregnated dressings for short-term central ... ...

    Abstract Introduction: Catheter-related infection is a complication of high morbimortality. The aim was to perform a cost-effectiveness analysis of gauze and medical tape, transparent semi-permeable and chlorhexidine-impregnated dressings for short-term central venous catheter, within the Brazilian Public Healthcare System (Sistema Único de Saúde - SUS) scenario.
    Methodology: a decision tree was elaborated in order to evaluate the cost-effectiveness of dressings in the prevention of catheter-related infection in critically ill patients. The outcome was the probability of catheter-related infections prevention. Moreover, only direct medical expenses were considered. Sensitivity analyses were performed to evaluate the model uncertainties.
    Results: Chlorhexidine-impregnated dressing presented higher cost-effectiveness when the base case was analyzed (cost of US$ 655 per case prevented, 99% of effectiveness), in comparison to gauze and medical tape dressing (US$ 696, effectiveness of 96%). Dressing changes performed before the recommended period, treatment performed exclusively in inpatient units and high effectiveness of gauze and medical tape dressing were variables that interfered with the results. The probability of death has also demonstrated to have a major impact on cost-effectiveness.
    Conclusion: In the context of a Brazilian public hospital, the chlorhexidine-impregnated dressing presented higher cost-effectiveness when compared to the gauze and medical tape dressing or the transparent semi-permeable dressing.
    MeSH term(s) Adult ; Aged ; Anti-Infective Agents, Local/administration & dosage ; Anti-Infective Agents, Local/economics ; Anti-Infective Agents, Local/therapeutic use ; Bandages/economics ; Brazil ; Catheter-Related Infections/economics ; Catheter-Related Infections/prevention & control ; Chlorhexidine/administration & dosage ; Chlorhexidine/economics ; Chlorhexidine/therapeutic use ; Cost-Benefit Analysis ; Critical Illness ; Cross Infection/economics ; Cross Infection/prevention & control ; Decision Trees ; Female ; Hospital Costs/statistics & numerical data ; Humans ; Male ; Middle Aged ; Retrospective Studies
    Chemical Substances Anti-Infective Agents, Local ; Chlorhexidine (R4KO0DY52L)
    Language English
    Publishing date 2018-10-31
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 2394024-4
    ISSN 1972-2680 ; 2036-6590
    ISSN (online) 1972-2680
    ISSN 2036-6590
    DOI 10.3855/jidc.10269
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Technological innovation for peripheral venipuncture: ultrasound training.

    Oliveira, Andrey Maciel de / Danski, Mitzy Tannia Reichembach / Pedrolo, Edivane

    Revista brasileira de enfermagem

    2016  Volume 69, Issue 6, Page(s) 1052–1058

    Abstract: Objective:: to evaluate the training of nurses in the use of ultrasound in peripheral venipuncture.: Method:: descriptive research of quantitative approach performed with nurses as part of an analytical cross-sectional study in two patient care ... ...

    Title translation Inovação tecnológica para punção venosa periférica: capacitação para uso da ultrassonografia.
    Abstract Objective:: to evaluate the training of nurses in the use of ultrasound in peripheral venipuncture.
    Method:: descriptive research of quantitative approach performed with nurses as part of an analytical cross-sectional study in two patient care centers: an intensive care unit and an adult emergency center.
    Results:: the results showed contributions of training for professional skill and visibility of nurses, requiring, however, more time for complete assimilation of this technological innovation as a safer clinical practice.
    Conclusion:: as the use of this technology represents an innovation aimed to facilitate difficult venipuncture and to provide subsidies to the most appropriate clinical decision-making, it is urgent to qualify nurses for its use.
    MeSH term(s) Adult ; Brazil ; Clinical Competence ; Emergency Service, Hospital ; Female ; Humans ; Intensive Care Units ; Male ; Nursing Education Research ; Phlebotomy ; Program Evaluation ; Ultrasonography, Interventional
    Language English
    Publishing date 2016-12-01
    Publishing country Brazil
    Document type Comparative Study ; Journal Article ; Multicenter Study ; Randomized Controlled Trial
    ZDB-ID 731983-6
    ISSN 1984-0446 ; 0034-7167
    ISSN (online) 1984-0446
    ISSN 0034-7167
    DOI 10.1590/0034-7167-2016-0125
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 3392: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  3. Article ; Online: Chlorhexidine and gauze and tape dressings for central venous catheters: a randomized clinical trial.

    Pedrolo, Edivane / Danski, Mitzy Tannia Reichembach / Vayego, Stela Adami

    Revista latino-americana de enfermagem

    2014  Volume 22, Issue 5, Page(s) 764–771

    Abstract: Objective: To assess the effectiveness of the chlorhexidine antimicrobial dressing in comparison to the gauze and tape dressing in the use of central venous catheters.: Method: A randomized clinical trial was conducted in the intensive care and adult ...

    Abstract Objective: To assess the effectiveness of the chlorhexidine antimicrobial dressing in comparison to the gauze and tape dressing in the use of central venous catheters.
    Method: A randomized clinical trial was conducted in the intensive care and adult semi intensive care units of a university hospital in the south of Brazil. The subjects were patients using short-term central venous catheters, randomly assigned to the intervention (chlorhexidine antimicrobial dressing) or control (gauze and micro porous tape) groups.
    Results: A total of 85 patients were included: 43 in the intervention group and 42 in the control group. No statistically significant differences were found between dressings in regard to the occurrence of: primary bloodstream infections (p-value = 0.5170); local reactions to the dressing (p-value = 0.3774); and dressing fixation (p-value = 0.2739).
    Conclusion: Both technologies are effective in covering central venous catheters in regard to the investigated variables and can be used for this purpose. Registry ECR: RBR-7b5ycz.
    MeSH term(s) Anti-Infective Agents, Local/therapeutic use ; Bandages ; Catheter-Related Infections/prevention & control ; Central Venous Catheters ; Chlorhexidine/therapeutic use ; Female ; Humans ; Male ; Middle Aged
    Chemical Substances Anti-Infective Agents, Local ; Chlorhexidine (R4KO0DY52L)
    Language Spanish
    Publishing date 2014-12-09
    Publishing country Brazil
    Document type Comparative Study ; Journal Article ; Randomized Controlled Trial
    ZDB-ID 2105698-5
    ISSN 1518-8345 ; 1518-8345
    ISSN (online) 1518-8345
    ISSN 1518-8345
    DOI 10.1590/0104-1169.3443.2478
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Stress of nursing students in clinical simulation: a randomized clinical trial.

    Boostel, Radamés / Felix, Jorge Vinícius Cestari / Bortolato-Major, Carina / Pedrolo, Edivane / Vayego, Stela Adami / Mantovani, Maria de Fátima

    Revista brasileira de enfermagem

    2018  Volume 71, Issue 3, Page(s) 967–974

    Abstract: Objective: To evaluate and compare the perception of stressors by nursing students before and after a high-fidelity clinical simulation or conventional laboratory practice class.: Method: This is a randomized clinical trial conducted with 52 nursing ... ...

    Abstract Objective: To evaluate and compare the perception of stressors by nursing students before and after a high-fidelity clinical simulation or conventional laboratory practice class.
    Method: This is a randomized clinical trial conducted with 52 nursing students. Both groups had theoretical classes about cardiothoracic physical examination, followed by practice class in skill laboratory. In addition, the experimental group took part in a high-fidelity simulation scenario. Stressors were evaluated before and after class, with the application of KEZKAK questionnaire.
    Results: The experimental group was significantly more worried about six factors related to lack of competence and to interpersonal relationships (p < 0.05), while the control group was significantly more worried about being in contact with suffering (p = 0.0315).
    Conclusion: The simulation affects students' perception of stressors and promotes their self-evaluation and critical thinking regarding the responsibility that comes with their learning.
    MeSH term(s) Adolescent ; Brazil ; Education, Nursing, Baccalaureate/methods ; Educational Measurement/methods ; Educational Measurement/standards ; Female ; Humans ; Male ; Perception ; Simulation Training/methods ; Simulation Training/standards ; Stress, Psychological/etiology ; Stress, Psychological/psychology ; Students, Nursing/psychology ; Surveys and Questionnaires ; Young Adult
    Language English
    Publishing date 2018-06-20
    Publishing country Brazil
    Document type Journal Article ; Randomized Controlled Trial
    ZDB-ID 731983-6
    ISSN 1984-0446 ; 0034-7167
    ISSN (online) 1984-0446
    ISSN 0034-7167
    DOI 10.1590/0034-7167-2017-0187
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 3392: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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    This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.

  5. Article: Cuidados com cateter central de inserção periférica no neonato: revisão integrativa da literatura.

    Johann, Derdried Athanasio / De Lazzari, Luciana Souza Marques / Pedrolo, Edivane / Mingorance, Priscila / de Almeida, Tatiana Queiroz Ribeiro / Danski, Mitzy Tannia Reichembach

    Revista da Escola de Enfermagem da U S P

    2013  Volume 46, Issue 6, Page(s) 1503–1511

    Abstract: The peripherally inserted central catheter is a common technology employed in the intravenous therapy of neonates. This integrative review was performed with the objective to investigate and analyze the evidence available in the literature regarding this ...

    Title translation Peripherally inserted central catheter care in neonates: an integrative literature review.
    Abstract The peripherally inserted central catheter is a common technology employed in the intravenous therapy of neonates. This integrative review was performed with the objective to investigate and analyze the evidence available in the literature regarding this technology. The databases searched included the Latin American and Caribbean Health Sciences Literature (LILACS) and the United States National Library of Medicine (PubMed). Results point at gaps in relation to their use in the neonatal population (n=1); various themes regarding the use of anticoagulants (n=6), comparison with other catheters (n=4), diagnostic imaging (n=2), pain (n=2), and catheter-relation infection and its prevention (n=7), among others. There is a need for staff education regarding their use; scientific evidence with easy access; and national publications regarding their use.
    MeSH term(s) Catheterization, Central Venous/methods ; Catheterization, Peripheral ; Humans ; Infant, Newborn
    Language Portuguese
    Publishing date 2013-02-01
    Publishing country Brazil
    Document type English Abstract ; Journal Article ; Review
    ZDB-ID 2411320-7
    ISSN 1980-220X ; 0080-6234
    ISSN (online) 1980-220X
    ISSN 0080-6234
    DOI 10.1590/s0080-62342012000600030
    Database MEDical Literature Analysis and Retrieval System OnLINE

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