2023, Number 1
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Arch Inv Mat Inf 2023; 14 (1)
Identification of risk factors described in neonates with bacteremia secondary to the use of an intravenous catheter
Lázaro GTG, García RJF, Reyes BME
Language: Spanish
References: 13
Page: 22-30
PDF size: 197.81 Kb.
ABSTRACT
Introduction: nosocomial infections in hospitalized patients are one of the main concerns of health systems in the 21st century. The use of central venous catheters entails risks, mainly of infectious origin.
Objective: to determine the risk factors for the development of bacteremia secondary to the use of central venous catheters in neonates in the Neonatal Intensive Care Unit of the Children's Hospital of Toluca.
Material and methods: the records of newborns hospitalized in the period from August 2020 to August 2021 were reviewed to determine the risk factors described in the literature for the development of bacteremia secondary to the use of central venous catheters.
Results: during the study period, a central venous catheter was placed in 85 patients, of which 50 presented catheter-associated bacteremia (prevalence of 58%). The factors found were: premature newborn 34%, low birth weight 44%, male gender 66%; the most frequently isolated etiological agent in the cultures was Klebsiella spp. Other risk factors found are described.
Conclusions: prematureness and low weight are the most common risk factors for the development of catheter-associated bacteremia in our neonatal population.
REFERENCES
Cruz RP, Rincón ZJ, Mendieta AGG. Factores de riesgo asociados a infección de catéter venoso central. Arch Inv Mat Inf. 2015; 7 (3): 107-115.
González-Cano JA, Noriega-Verdugo DD, Escariz-Borrego LI, Mederos-Molina K. Incidencia de factores de riesgo de infecciones, asociadas a la atención de salud en pacientes críticos. Rev San Gregorio. 2019; (31): 110-117.
Pascual A, Bouza E, Liñares J, Pascual A. Diagnóstico microbiológico de las infecciones asociadas a catéteres intravasculares. Procedimientos en Microbiología Clínica. SEEIMC. España 2004.
García H, Romano-Carro B, Miranda-Novales G, González-Cabello HJ, Núñez-Enríquez JC. Risk factors for central line-associated bloodstream infection in critically ill neonates. Indian J Pediatr. 2019; 86 (4): 340-346.
Faunes PM, González MA, Pérez AME, Torres TV, Avaca BM, Alcaide AM et al. Factores de riesgo asociados a complicaciones de catéteres centrales de inserción periférica en recién nacidos. Andes Pediatr. 2019; 92 (5): 710-717.
Parra-Flores M, Souza-Gallardo LM, García-Correa GA, Centellas-Hinojosa S. Incidencia de infección asociada a catéter venoso central y factores de riesgo relacionados en pacientes con nutrición parenteral total en un hospital de tercer nivel. Cirug Ciruj. 2017; 85 (2): 104-108.
Lona RJ, Pérez RR, Llamas RL, Gómez RL, Benítez VE, Rodríguez. Mortalidad neonatal y factores asociados en recién nacidos internados en una Unidad de Cuidados Neonatales. Arch Argent Pediatr. 2018; 116 (1): 42-48.
Domínguez OJ, Sandoya MK, Sarango VR, Salazar TZ. Infecciones producto de catéter venoso central y factores asociados en neonatos del Hospital José Carrasco Arteaga. Vive Rev Inv Salud. 2021; 4 (12): 634-646.
Cabrera DM, Cuba FK, Hernández R, Prevost-Ruiz Y. Incidencia y factores de riesgo de infecciones del torrente sanguíneo asociadas a catéter central. Rev Peru Med Exp Salud Pública. 2021; 38 (1): 95-100.
Espiau M, Pujol M, Campins-Martí M, Planes AM, Peña Y, Balcells J et al. Incidencia de bacteriemia asociada a catéter venoso central en una unidad de cuidados intensivos. An Pediatr (Barc). 2011; 75 (3): 188-193.
Sánchez GJM, Serrano AO, González SE, Gutiérrez MS. Infección relacionada con el catéter venoso central. Protoc Diagn Ter Pediatr. 2021; 1: 555-572.
Rosado V, Camargos PAM, Anchieta LM, Bouzada MCF, de Oliveira GM, Clemente WT et al. Risk factors for central venous catheter-related infections in a neonatal population – systematic review. J Pediatr (Rio J). 2018; 94 (1): 3-14.
Yumani DF, van den Dungen FA, van Weissenbruch MM. Incidence and risk factors for catheter-associated bloodstream infections in neonatal intensive care. Acta Paediatr. 2013; 102 (7): e293-e298.