Bacteriemia asociada a catéter epicutáneo en la unidad de cuidado intensivo neonatal de la Fundación Cardioinfantil
Contribuinte(s) |
Troncoso, Gloria Morón, Lina |
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Data(s) |
14/01/2013
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Resumo |
La bacteriemia asociada a catéter afecta a pacientes en las unidades de cuidado intensivo con una alta morbilidad, mortalidad y aumento de los costos al sistema de salud. Los recién nacidos son la población de más alto riesgo por el mayor uso de catéteres centrales. Objetivo: Caracterizar factores de riesgo para bacteriemia asociada a catéter en la Unidad de Cuidado Intensivo Neonatal de la Fundación Cardioinfantil entre 2005 - 2010 Materiales y método: Estudio descriptivo de corte transversal, incluyó todos los recién nacidos con diagnostico de bacteriemia asociada a catéter. Se analizó la información utilizando frecuencias y medidas de tendencia central. Resultados: Se encontraron 50 pacientes con diagnostico de bacteriemia asociada a catéter. 50% de género masculino, 52% con edad gestacional al nacimiento menor a 36 semanas y 24% con peso menor a 1500 gramos al momento de la inserción del catéter. La edad fue de 24.2 días al momento de la inserción del catéter. En el 66% de los pacientes el sitio de inserción fue el miembro superior, siendo el Sthaphylococcus Epidermidis el germen con el 50% de las bacteriemias. Conclusión: La bacteriemia asociada a catéter afecta paciente prematuros, de bajo peso sin diferencias en genero. La manipulación de dichos dispositivos, el sitio de inserción, el uso previo de antibióticos, la duración del catéter y el uso de nutrición parenteral son factores que están asociados al mayor riesgo de infección. Siendo el Staphylococcus Epidermidis el germen mas frecuente. The catheter-related bacteremia affects patients in intensive care units with high morbidity, mortality, and increased costs to the health system. Newborns are the population most at risk for increased use of central catheters. Objective: To characterize risk factors for catheter-related bacteremia in the Neonatal Intensive Care Unit Cardioinfantil Foundation between 2005 - 2010 Materials and Methods: Cross-sectional descriptive study included all infants with diagnosis of catheter-related bacteremia. Data was analyzed using frequencies and measures of central tendency. Results: There were 50 patients with diagnosis of catheter-related bacteremia. 50% male, 52% with gestational age at birth less than 36 weeks and 24% weighing less than 1500 grams at the time of catheter insertion. The age was 24.2 days at the time of catheter insertion. In 66% of patients the insertion site was the upper, Staphylococcus epidermidis being the seed with 50% of bacteremias. Conclusion: Catheter-related bacteremia primarily affects premature, low birth weight, independent of sex. The handling of such devices, the insertion site, prior use of antibiotics and the duration of catheter use of parenteral nutrition are factors that are associated with increased risk of infection. Staphylococcus epidermidis being the most common pathogen. |
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application/pdf |
Identificador | |
Idioma(s) |
spa |
Publicador |
Facultad de medicina |
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info:eu-repo/semantics/openAccess |
Fonte |
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Palavras-Chave | #ALIMENTACIÓN PARENTERAL DE NIÑOS #CUIDADOS INTENSIVOS NEONATALES #NEONATOLOGÍA - INVESTIGACIONES #BACTERIEMIA #Bacteremia #epicutaneous catheter #parenteral nutrition #antibiotics #Staphylococcus epidermidis |
Tipo |
info:eu-repo/semantics/bachelorThesis info:eu-repo/semantics/acceptedVersion |