Conocimiento y cumplimiento de protocolos en enfermería sobre el manejo de infecciones asociadas a dispositivos intravenosos

Palabras clave: Control de infecciones, enfermería, calidad de la atención de salud, seguridad del paciente, evaluación del desempeño

Resumen

Las infecciones asociadas a dispositivos intravenosos constituyen un problema relevante en la seguridad del paciente, debido a su impacto en la morbilidad hospitalaria, la prolongación de la estancia y el incremento de costos asistenciales. En este contexto, el objetivo fue analizar la relación entre el nivel de conocimiento sobre el manejo de infecciones en dispositivos intravenosos y el cumplimiento de protocolos en profesionales de enfermería del Instituto Ecuatoriano de Seguridad Social y del Ministerio de Salud Pública. Se desarrolló una investigación cuantitativa, no experimental, transversal y explicativa, con una muestra de 120 profesionales de enfermería. Se aplicó un cuestionario estructurado con escala Likert de cinco puntos, cuya confiabilidad se verificó mediante alfa de Cronbach y análisis factorial. El procesamiento estadístico se realizó con SPSS, AMOS y RStudio, incluyendo análisis descriptivos, correlación de Pearson y regresión lineal múltiple. Los resultados evidenciaron adecuada consistencia interna y asociaciones significativas entre dimensiones, destacando el seguimiento y mantenimiento del catéter como principal predictor del procedimiento de instalación vascular. Se concluye que la calidad del cuidado continuo influye de manera determinante en la adherencia protocolaria y en la seguridad del acceso vascular.

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Biografía del autor/a

Mariana de Jesús Llimaico Noriega

Magister en Docencia y Gerencia en Educación Superior. Especialista en Enfermería en Cuidados Críticos. Licenciada en Enfermería. Docente Investigadora en la Universidad Estatal de Milagro, Milagro, Guayas, Ecuador. E-mail: mllimaicon@unemi.edu.ec ORCID: https://orcid.org/0000-0001-5595-9073

Julio Antonio Posligua Fernández

Magister en Salud Pública. Licenciado en Enfermería. Docente Investigador en la Universidad Estatal de Milagro, Milagro, Guayas, Ecuador. E-mail: jposliguaf@unemi.edu.ec ORCID: https://orcid.org/0000-0002-6984-3423

Gabriela de Jesús Vásquez Espinoza

Doctora en Ciencias de la Salud. Magister en Nutrición y Dietética con mención en Nutrición Comunitaria. Magister en Gerencia de Servicios de Salud. Licenciada en Enfermería. Docente Investigadora en la Universidad Estatal de Milagro, Milagro, Guayas, Ecuador. E-mail: gvasqueze@unemi.edu.ec ORCID: https://orcid.org/0000-0002-7825-8699

Fabricio Ruperto Arteaga Mendieta

Doctor en Medicina y Cirugía. Magister en Educación mención en Tecnología e Innovación Educativa. Especialista en Medicina Interna. Docente Investigador en la Universidad Estatal de Milagro, Milagro, Guayas, Ecuador. E-mail: farteagam@unemi.edu.ec ORCID: https://orcid.org/0000-0003-3964-6549

Citas

Akasha, M., Alfatih, A., Mohamed, M., Acharya, Y., y Alawy, M. (2024). Improving the quality of operative notes in vascular surgery: A retrospective analysis. Cureus, 16(2), e54791. https://doi.org/10.7759/cureus.54791

Alhumaid, S., Al Mutair, A., Al Alawi, Z., Alsuliman, M., Ahmed, G. Y., Rabaan, A. A., Al-Tawfiq, J. A., y Al-Omari, A. (2021). Knowledge of infection prevention and control among healthcare workers and factors influencing compliance: a systematic review. Antimicrobial Resistance & Infection Control, 10, 86. https://doi.org/10.1186/s13756-021-00957-0

Aquino, M. (2019). National evaluation of safety peripheral intravenous catheters in a clinician-led project. British Journal of Nursing, 28(2), S29-S32. https://doi.org/10.12968/bjon.2019.28.2.S29

Badnjevic, A. (2023). Evidence-based maintenance of medical devices: Current shortage and pathway towards solution. Technology and Health Care, 31(1), 293-305. https://doi.org/10.3233/THC-229005

Bibiano, M., Tolsdorf, J., Nuñez-Alfonsel, J., Cárdenas-Rebollo, J. M., y Ayuso-Sacido, Á. (2024). Non-Adherence to peripheral venous catheter care protocols significantly decreases patient safety and impacts costs: A retrospective observational study. Healthcare, 12(16), 1558. https://doi.org/10.3390/healthcare12161558

Brescia, F., Pittiruti, M., Spencer, T. R., y Dawson, R. B. (2024). The SIP protocol update: Eight strategies, incorporating Rapid Peripheral Vein Assessment (RaPeVA), to minimize complications associated with peripherally inserted central catheter insertion. The Journal of Vascular Access, 25(1), 5-13. https://doi.org/10.1177/11297298221099838

Buetti, N., y Timsit, J.-F. (2019). Management and Prevention of Central Venous Catheter-Related Infections in the ICU. Seminars in Respiratory and Critical Care Medicine, 40(04), 508-523. https://doi.org/10.1055/s-0039-1693705

Corvino, F., D’Antuono, F., Giurazza, F., Carrubba, C., Punzi, A., Corvino, A., Galia, M., y Niola, R. (2025). Complications of tunneled central venous catheter placement: a narrative review of risks, prevention, and management strategies. Frontiers in Radiology, 5, 1684246. https://doi.org/10.3389/fradi.2025.1684246

Darwish, M., Abdelgafar, K., Jackson, S., Coulson, J., Withers, K., y Bosanquet, D. C. (2025). Patient-Reported Experiences in Vascular Surgery: A Qualitative Analysis of Care Quality. Health Services Insights, 18. https://doi.org/10.1177/11786329251342283

Dessalegn, A., Ali, M. S., Yohannes, S., Tamir, Y., Mulatu, S., y Zewdie, A. (2024). Knowledge, practice and associated factors towards intravenous cannula-related infection prevention among nurses working at Northwest Amhara Regional State Comprehensive Specialized Hospitals, Ethiopia. BMC Nursing, 23(1), 168. https://doi.org/10.1186/s12912-024-01737-y

Dessie, Z., Gela, D., y Yusuf, N. T. (2024). Knowledge, attitude, practice, and associated factors toward the prevention of catheter-associated urinary tract infection among nurses in Ethiopia: Cross-Sectional study. SAGE Open Nursing, 10. https://doi.org/10.1177/23779608241281317

Diop, S., Thioub, M., Diallo, S., Tine, I., Basse, A. S., Wague, D., Sow, A., Diallo, M., Kone, M., y Diop, A. A. (2025). Installation of a vascular neurosurgery activity based on the clipping of ruptured intracranial aneurysms at the Senegal army training hospital: preliminary study. Egyptian Journal of Neurosurgery, 40, 127. https://doi.org/10.1186/s41984-025-00471-0

Elabbasy, A., Alkorbi, H. A., Padua, I., Abuharb, A. I., Alshedookhi, A. A., y Al-Shehri, H. (2024). Central venous catheter insertion profile and complications among neonates in Saudi Arabia: a cross-sectional study. BMJ Open, 14(10), e089554. https://doi.org/10.1136/bmjopen-2024-089554

El-Jardali, F., y Fadlallah, R. (2017). A review of national policies and strategies to improve quality of health care and patient safety: a case study from Lebanon and Jordan. BMC Health Services Research, 17, 568. https://doi.org/10.1186/s12913-017-2528-1

Fenny, A. P., Yates, R., y Thompson, R. (2021). Strategies for financing social health insurance schemes for providing universal health care: a comparative analysis of five countries. Global Health Action, 14(1), 1868054. https://doi.org/10.1080/16549716.2020.1868054

García-Expósito, J., Reguant, M., Canet-Vélez, O., Ruiz, F., Botigué, T., y Roca, J. (2021). Evidence of learning on the insertion and care of peripheral venous catheters in nursing students: A mixed study. Nurse Education Today, 107, 105157. https://doi.org/10.1016/j.nedt.2021.105157

Hawthorn, A., Bulmer, A. C., Mosawy, S., y Keogh, S. (2019). Implications for maintaining vascular access device patency and performance: Application of science to practice. The Journal of Vascular Access, 20(5), 461-470. https://doi.org/10.1177/1129729818820200

Hernon, O., McSharry, E., Simpkin, A., MacLaren, I., y Carr, P. J. (2023). Effectiveness of structured self-evaluation of video recorded performance on peripheral intravenous catheter insertion: a randomised control trial study protocol. Trials, 24, 182. https://doi.org/10.1186/s13063-023-07200-8

Høvik, L. H., Gjeilo, K. H., Ray‐Barruel, G., Lydersen, S., Børseth, A. W., y Gustad, L. T. (2024). Aligning peripheral intravenous catheter quality with nursing culture—A mixed method study. Journal of Clinical Nursing, 33(7), 2593-2608. https://doi.org/10.1111/jocn.17179

Huang, V. (2018). Effect of a patency bundle on central venous catheter complications among hospitalized adult patients: a best practice implementation project. JBI Database of Systematic Reviews and Implementation Reports, 16(2), 565-586. https://doi.org/10.11124/JBISRIR-2016-003340

Lin, P. H., Yang, K.-H., Kollmeyer, K. R., Uceda, P. V, Ferrara, C. A., Feldtman, R. W., Caruso, J., Mcquade, K., Richmond, J. L., Kliner, C. E., Egan, K. E., Kim, W., Saines, M., Leichter, R., y Ahn, S. S. (2017). Treatment outcomes and lessons learned from 5134 cases of outpatient office-based endovascular procedures in a vascular surgical practice. Vascular, 25(2), 115-122. https://doi.org/10.1177/1708538116657506

Massey, D., Cooke, M., Ray-Barruel, G., Marsh, N., Ullman, A. J., Craswell, A., y Wallis, M. (2023). Nurses’ education, knowledge and perceptions of peripheral intravenous catheter management: A web-based, cross-sectional survey. Collegian, 30(4), 578-585. https://doi.org/10.1016/j.colegn.2023.03.001

Mielke, D., Wittig, A., y Teichgräber, U. (2020). Peripherally inserted central venous catheter (PICC) in outpatient and inpatient oncological treatment. Supportive Care in Cancer, 28(10), 4753-4760. https://doi.org/10.1007/s00520-019-05276-0

Naidu, S. S., Abbott, J. D., Bagai, J., Blankenship, J., Garcia, S., Iqbal, S. N., Kaul, P., Khuddus, M. A., Kirkwood, L., Manoukian, S. V., Patel, M. R., Skelding, K., Slotwiner, D., Swaminathan, R. V., Welt, F. G., y Kolansky, D. M. (2021). SCAI expert consensus update on best practices in the cardiac catheterization laboratory. Catheterization and Cardiovascular Interventions, 98(2), 255-276. https://doi.org/10.1002/ccd.29744

Okma, K., y Tenbensel, T. (2020). Health Reforms Across the World: The Experience of Twelve Small and Medium-sized Nations with Changing Their Healthcare Systems. World Scientific. https://doi.org/10.1142/11515

Patel, M., Rahman, S. A., y Chen, S. R. (2018). Diagnostic Angiography Techniques and Complication Avoidance. In A. J. Ringer (Ed.), Intracranial Aneurysms (pp. 267–285). Academic Press. https://doi.org/10.1016/B978-0-12-811740-8.00019-8

Perry, H. B., Sacks, E., Schleiff, M., Kumapley, R., Gupta, S., Rassekh, B. M., y Freeman, P. A. (2017). Comprehensive review of the evidence regarding the effectiveness of community–based primary health care in improving maternal, neonatal and child health: 6. strategies used by effective projects. Journal of Global Health, 7(1), 010906. https://doi.org/10.7189/jogh.07.010906

Pu, Y.-L., Li, Z.-S., Zhi, X.-X., Shi, Y.-A., Meng, A.-F., Cheng, F., Ali, A., Li, C., Fang, H., y Wang, C. (2020). Complications and costs of peripherally inserted central venous catheters compared with implantable port catheters for cancer patients. Cancer Nursing, 43(6), 455-467. https://doi.org/10.1097/NCC.0000000000000742

Puliyel, J., y Naik, P. (2018). Revised World Health Organization (WHO)’s causality assessment of adverse events following immunization—a critique. F1000Research, 7, 243. https://doi.org/10.12688/f1000research.13694.2

Sartelli, M., Pagani, L., Iannazzo, S., Moro, M. L., Viale, P., Pan, A., Ansaloni, L., Coccolini, F., D’Errico, M. M., Agreiter, I., Amadio, G., Barchiesi, F., Benigni, V., Binazzi, R., Cappanera, S., Chiodera, A., Cola, V., Corsi, D., Cortese, F., … Catena, F. (2020). A proposal for a comprehensive approach to infections across the surgical pathway. World Journal of Emergency Surgery, 15, 13. https://doi.org/10.1186/s13017-020-00295-3

Schears, G. J., Ferko, N., Syed, I., Arpino, J.-M., y Alsbrooks, K. (2021). Peripherally inserted central catheters inserted with current best practices have low deep vein thrombosis and central line–associated bloodstream infection risk compared with centrally inserted central catheters: A contemporary meta-analysis. The Journal of Vascular Access, 22(1), 9-25. https://doi.org/10.1177/1129729820916113

Storr, J., Twyman, A., Zingg, W., Damani, N., Kilpatrick, C., Reilly, J., Price, L., Egger, M., Grayson, M. L., Kelley, E., y Allegranzi, B. (2017). Core components for effective infection prevention and control programmes: new WHO evidence-based recommendations. Antimicrobial Resistance & Infection Control, 6, 6. https://doi.org/10.1186/s13756-016-0149-9

Tegegne, B., Checkole, D., Shumye, M. W., Zeru, L. M., Yalew, Z. M., Ademe, S., Tegegne, M., y Edmealem, A. (2025). Knowledge, practice, and factors affecting peripheral intravenous catheters among nurses working in Dessie City public hospitals. BMC Nursing, 24, 790. https://doi.org/10.1186/s12912-025-03484-0

Teixeira, J., Bastos, C., y Pinto, M. D. R. (2025). Adherence to peripheral venous catheters’ guidelines by emergency nurses: A systematic review. International Journal of Nursing Studies Advances, 9, 100441. https://doi.org/10.1016/j.ijnsa.2025.100441

Timsit, J.-F., Baleine, J., Bernard, L., Calvino-Gunther, S., Darmon, M., Dellamonica, J., Desruennes, E., Leone, M., Lepape, A., Leroy, O., Lucet, J.-C., Merchaoui, Z., Mimoz, O., Misset, B., Parienti, J.-J., Quenot, J.-P., Roch, A., Schmidt, M., Slama, M., … Maxime, V. (2020). Expert consensus-based clinical practice guidelines management of intravascular catheters in the intensive care unit. Annals of Intensive Care, 10(1), 118. https://doi.org/10.1186/s13613-020-00713-4

Vaismoradi, M., Tella, S., Logan, P. A., Khakurel, J., y Vizcaya-Moreno, F. (2020). Nurses’ Adherence to Patient Safety Principles: A Systematic Review. International Journal of Environmental Research and Public Health, 17(6), 2028. https://doi.org/10.3390/ijerph17062028

Van Loon, F. H. J., Buise, M. P., Claassen, J. J. F., Dierick-van Daele, A. T. M., y Bouwman, A. R. A. (2018). Comparison of ultrasound guidance with palpation and direct visualisation for peripheral vein cannulation in adult patients: a systematic review and meta-analysis. British Journal of Anaesthesia, 121(2), 358-366. https://doi.org/10.1016/j.bja.2018.04.047

Zang, F., Liu, J., Wen, Y., Jin, X., Yang, Y., Li, L., Di, J., Tang, H., Wu, J., Liu, J., Liu, H., Huang, J., Zhang, J., Li, S., Yang, L., Wang, X., Geng, S., Xing, H., Xie, J., … Chen, W. (2024). Adherence to guidelines and central-line-associated bloodstream infection occurrence during insertion and maintenance of intravascular catheters: evidence from 20 tertiary hospitals. Journal of Hospital Infection, 150, 17-25. https://doi.org/10.1016/j.jhin.2024.05.011

Zingg, W., Barton, A., Bitmead, J., Eggimann, P., Pujol, M., Simon, A., y Tatzel, J. (2023). Best practice in the use of peripheral venous catheters: A scoping review and expert consensus. Infection Prevention in Practice, 5(2), 100271. https://doi.org/10.1016/j.infpip.2023.100271
Publicado
2026-08-21
Cómo citar
Llimaico Noriega, M. de J., Posligua Fernández, J. A., Vásquez Espinoza, G. de J., & Arteaga Mendieta, F. R. (2026). Conocimiento y cumplimiento de protocolos en enfermería sobre el manejo de infecciones asociadas a dispositivos intravenosos. Revista De Ciencias Sociales, 32(3), 241-257. https://doi.org/10.31876/rcs.v32i3.46087
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