A enfermagem na prevenção/manejo da sepse associada ao cateter venoso central e ao cateter vesical em pacientes críticos.

Abstract

Critically ill patients are unstable and require careful and precise care. The intensive care environment in which they are inserted opens the door to potential risks of complications, including sepsis. The patient's survival depends on continuous nursing care, based on the systematization of care acting on prevention and management. Objective: to summarize the knowledge produced on nursing care in the prevention and management of sepsis associated with central venous or bladder catheterization in critically ill patients. Method: descriptive study, with a qualitative approach, of the integrative literature review type developed from February to March 2025, in the LILACS and BDENF databases, using the descriptors Urinary Catheterization, Central Venous Catheters, Critical Care Nursing, Patients and Sepsis. Primary studies published in national/international journals or made available in the format of dissertations/theses/monographs, in full text, in Portuguese/English/Spanish were selected. Duplicate articles were excluded. The synthesis of knowledge was analyzed using the Thematic Content Analysis technique. Results: Nursing care is essential to improve the clinical condition of critically ill patients, especially those who may potentially develop sepsis, showing that nursing care based on scientific knowledge promotes a reduction in complications and an improvement in the patient's prognosis. However, it is necessary for the nursing professional to have the knowledge to apply evidence-based practice in their care. Conclusion: the nursing process and evidence-based practice directly interfere with the quality of nursing care, helping with the prevention, identification and treatment of sepsis in critically ill patients.