<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0034-7434</journal-id>
<journal-title><![CDATA[Revista Colombiana de Obstetricia y Ginecología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Colomb Obstet Ginecol]]></abbrev-journal-title>
<issn>0034-7434</issn>
<publisher>
<publisher-name><![CDATA[Federación Colombiana de Obstetricia y GinecologíaRevista Colombiana de Obstetricia y Ginecología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0034-74342020000200115</article-id>
<article-id pub-id-type="doi">10.18597/rcog.3413</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[INSERCIÓN Y MANTENIMIENTO DEL CATÉTER VENOSO CENTRAL: RECOMENDACIONES CLÍNICAS BASADAS EN LA EVIDENCIA]]></article-title>
<article-title xml:lang="en"><![CDATA[Central venous catheter insertion and maintenance: Evidence-based clinical recommendations]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Estrada-Orozco]]></surname>
<given-names><![CDATA[Kelly]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A3 "/>
<xref ref-type="aff" rid="Af4"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cantor-Cruz]]></surname>
<given-names><![CDATA[Francy]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A4"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Larrotta-Castillo]]></surname>
<given-names><![CDATA[Diego]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A4"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Díaz-Ríos]]></surname>
<given-names><![CDATA[Stefany]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A4"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ruiz-Cardozo]]></surname>
<given-names><![CDATA[Miguel A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A4"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Colombia Facultad de Medicina Grupo de Evaluación de Tecnologías y Políticas en Salud]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Centro de Evidencia e Implementación  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Universitario Nacional de Colombia Unidad de Investigación en Seguridad del Paciente ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad Nacional de Colombia Facultad de Medicina Instituto de Investigaciones Clínicas]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2020</year>
</pub-date>
<volume>71</volume>
<numero>2</numero>
<fpage>115</fpage>
<lpage>162</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0034-74342020000200115&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0034-74342020000200115&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0034-74342020000200115&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Objetivo:  presentar a los clínicos la evidencia que soporta los procesos más seguros y efectivos en la inserción y el mantenimiento del catéter venoso central (CVC), como estrategia en la prevención de las infecciones del torrente sanguíneo asociadas a catéter.  Materiales y métodos:  a partir de preguntas clínicas dirigidas a mejorar la seguridad y efectividad de los procesos de inserción y mantenimiento de catéter venoso, en los momentos clave, se hicieron búsquedas de literatura en las bases de datos Medline vía PubMed, Embase, Central y Lilacs. Se utilizó la metodología de revisión sistemática rápida de la literatura. Los estudios identificados fueron evaluados desde el punto de vista de la calidad con las herramientas para estudios cualitativos, cuantitativos y revisiones sistemáticas del Joanna Briggs Institute (JBI). Las guías de práctica clínicas fueron evaluadas con el instrumento AGREE II. La evidencia se presenta como recomendaciones clínicas basadas en la evidencia, a las cuales se les dio gradación, según la metodología del JBI.  Resultados:  se presentan 12 resúmenes clínicos que contienen la evidencia relacionada con el uso seguro y efectivo del catéter venoso central en cuanto a: las indicaciones, la inserción del catéter en venas centrales y en inserción periférica (PICC), la valoración prequirúrgica, el uso de analgesia, la preparación del campo, la selección entre CVC o PICC, el cuidado y mantenimiento de CVC, la prevención de complicaciones y consideraciones generales en el uso de catéter venoso central (CVC) en el paciente oncológico y en nutrición parenteral.  Conclusiones:  se presentan las recomendaciones para el uso seguro y efectivo de los catéteres de acceso venoso central con relación a los procesos de inserción y mantenimiento de CVC en el modelo de resúmenes basados en la evidencia. Es necesario hacer evaluación de la implementación de los mismos en resultados en salud en las instituciones donde se desarrollen.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Objective:  To share with clinicians supporting evidence of the safest and the most effective processes for central venous catheter insertion and maintenance as a strategy to prevent catheter-associated bloodstream infections.  Materials and Methods:  A literature search was conducted in the Medline via PubMed, Embase Central and Lilacs databases based on a set of clinical questions aimed at improving safety and effectiveness at key moments in the process of central venous catheter insertion and maintenance. The rapid literature review methodology was used. The studies identified were assessed from the quality point of view, using the Joanna Briggs Institute (JBI) tools for qualitative and quantitative studies and for systematic reviews. Clinical practice guidelines were assessed using the AGREE II tool. The evidence is presented in the form of evidence-based clinical recommendations, which were graded in accordance with the JBI methodology.  Results:  Twelve clinical evidence summaries containing evidence related to the safe and effective use of central venous catheters are presented, including the following topics: central venous catheter insertion (CVC), peripherally inserted central catheters (PICC), preoperative assessment, the use of analgesia, field preparation, choice between CVC or PICC, CVC care and maintenance, prevention of complications, and general considerations pertaining to the use of central venous catheters in oncologic patients and in parenteral nutrition.  Conclusions:  Recommendations on the safe and effective use of central venous access catheters in relation to CVC insertion and maintenance processes are presented in the evidence-based summary model. It is necessary to evaluate their implementation in health outcomes in the institutions where they are developed.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[infecciones relacionadas con ca téteres]]></kwd>
<kwd lng="es"><![CDATA[bacteriemia]]></kwd>
<kwd lng="es"><![CDATA[medidas de seguridad]]></kwd>
<kwd lng="es"><![CDATA[protocolos clínicos]]></kwd>
<kwd lng="es"><![CDATA[seguridad del paciente.]]></kwd>
<kwd lng="en"><![CDATA[Catheter-related infections]]></kwd>
<kwd lng="en"><![CDATA[bacteremia]]></kwd>
<kwd lng="en"><![CDATA[safety measures]]></kwd>
<kwd lng="en"><![CDATA[clinical protocols]]></kwd>
<kwd lng="en"><![CDATA[patient safety]]></kwd>
</kwd-group>
</article-meta>
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