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Boletín Médico del Hospital Infantil de México

2009, Number 5

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Bol Med Hosp Infant Mex 2009; 66 (5)

Post intervention reduction of bacteremias related to vascular catheters into Neonatal and Pediatrics Intensive Care

Hernández-Delgado L, Lavalle-Villalobos A, García-Torres D, Torres-Narváez P, Vázquez-Zavala G, Flores-Nava G

Language: Spanish
References: 25
Page: 419-424
PDF size: 134.08 Kb.


ABSTRACT

Introduction. Intravascular catheter-related infection is the major complication in patients with intravascular catheter. Intravascular catheter-related infection rate is derived by dividing the number of these infections between day-line vascular catheters and multiplied x 1 000. The rates have been reported to be as high as 11.3 x 1 000 catheter-days, increasing hospitalization days, morbidity and mortality. Educational initiatives decrease the rate of intravascular catheter-related infections according to different studies. We undertook this study to determine the rate of intravascular catheter-related infections in pediatric and neonatal intensive care units in a general hospital, as well as to establish preventive educational actions and quantify their impact.
Methods. We compared the rate of intravascular catheter-related infections before and after an educational intervention.
Results. During the first period, we found 25 intravascular catheter-related infections in 2 280 catheter-days with a rate of 10.9 x 1 000 catheter-days. Following the educational initiatives, we found 16 intravascular catheter-related infections in 2 850 catheter-days and the rate decreased to 5.6, which was statistically significant.
Conclusions. Educational initiatives aimed at decreasing the rate of intravascular catheter-related infections were shown to be effective.


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