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Incidencia de infecciones relacionadas a catéteres venosos centrales (CVC) en la Unidad de Cuidados Intensivos (UCI) de un hospital universitario
| Content Provider | Semantic Scholar |
|---|---|
| Author | Salas-Sánchez, Oscar Rivera-Morales, Irma |
| Copyright Year | 2010 |
| Abstract | Introduction: Central venous catheters (CVC) are indispensable in modern-day medical practice, particularly in intensive care units (ICU). The majority of bloodstream infections are related to central venous catheters, and in the ICUs the incidence is higher. In 2002, the CDC guidelines for handling of intravascular devices were published, with recommendations of the level of evidence for their handling. Methods: The present study is the first of two phases destined to systematize the handling of the central venous catheters to CDC guidelines. It was made between April and August of 2007, including all patients of the ICU with CVCs. The rate of related infections to CVC was calculated per 1,000 catheter days. The results were analyzed using the Chi-squared test and the results of some of the variables by logistic regression and t student test. Results: Data were successfully obtained on 125 catheters (1246 catheter days). Of 125 catheters, 68 were cultured, being positive 57 of them. The proportion of clinically significant infections was 60% of the cultured catheters. Conclusions: Now, the rate of catheter related infections in the ICU is higher than the maximum allowed and a uniform handling of the catheters does not exist. We found seven bloodstream infections and 34 not confirmed bloodstream infections, total 33 per 1000 catheter days, six times greater than the standard. The most important variable was the urgent collocation of the catheters. The most important things than need to be implemented are positioning of the catheters in a sterile way, hand washing, removal of unnecessary catheters and personnel education. Incidencia de infecciones relacionadas a CVC en la UCI de un hospital universitario 93 periférico positivo, manifestaciones clínicas de infección, sin otro foco infeccioso.2 Los datos fueron recabados de manera diaria mediante una hoja de captura en la que se obtenían datos sobre donde se colocó, vías del catéter, antiséptico utilizado, material del catéter, tipo de parche, curaciones, enfermedades infecciosas concomitantes, días del catéter, persona que lo colocó, complicaciones mecánicas, sitio anatómico donde se colocó y el número de intentos. Describimos la frecuencia de infecciones relacionadas a CVC tanto locales y sistémicas, así como los episodios de contaminación de catéter. Se calculó la tasa de infecciones relacionadas a CVC por 1,000 días-catéter, considerando infecciones totales, locales, bacteremias documentadas o por clínica. Analizamos las siguientes variables como factores asociados a infección: sala donde se colocó, sitio anatómico y urgencia en la instalación, antiséptico, número de luces, días de permanencia y tipo de parche. Los resultados fueron analizados de forma univariada utilizando la prueba de Ji cuadrada, además se analizaron los resultados de algunas de las variables mediante pruebas de regresión logística y prueba t de student. |
| Starting Page | 91 |
| Ending Page | 95 |
| Page Count | 5 |
| File Format | PDF HTM / HTML |
| Volume Number | 12 |
| Alternate Webpage(s) | https://www.elsevier.es/index.php?p=revista&pRevista=pdf-simple&pii=X1665579610537371 |
| Alternate Webpage(s) | http://eprints.uanl.mx/8469/1/Incidencia%20de%20infecciones.pdf |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
