Infection prevention measures used in hematopoietic stem cell transplantation: evidences for practice

Revista Latino-Americana de Enfermagem

Livia Maria Garbin¹  Renata Cristina De Campos Pereira Silveira¹  Fernanda Titareli Merízio Martins Braga¹  Emilia Campos De Carvalho¹ 

[1] ,Universidade de São Paulo Escola de Enfermagem de Ribeirão PretoSP ,Brazil

关键词: Hematopoietic Stem Cell Transplantation;    Bone Marrow Transplantation;    Infection;    Air Filtration;    Patient Isolation;    Masks;    Transplante de Células-Tronco Hematopoéticas;    Transplante de Medula Óssea;    Infecção;    Filtração do Ar;    Isolamento de Pacientes;    Máscaras;    Trasplante de Células Madre Hematopoyéticas;    Trasplante de Médula Ósea;    Infección;    Filtración del Aire;    Aislamiento de Pacientes;    Máscaras;   

DOI  :  10.1590/S0104-11692011000300025

来源: SciELO

【 摘 要 】

This integrative review aimed to identify and assess evidence available about the use of high-efficiency air filters, protective isolation and masks for infection prevention in patients submitted to hematopoietic stem cell transplantation during hospitalization. LILACS, PUBMED, CINAHL, EMBASE and the Cochrane Library were used to select the articles. Of the 1023 identified publications, 15 were sampled. The use of HEPA filters is recommended for patients submitted to allogeneic transplantation during the neutropenia period. The level of evidence of protective isolation is weak (VI) and the studies evaluated did not recommend its use. No studies with strong evidence (I and II) were evaluated that justify the use of masks, while Centers for Disease Control and Prevention recommendations should be followed regarding the use of special respirators by immunocompromised patients. The evidenced data can support decision making with a view to nursing care.

【 授权许可】

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