medigraphic.com
Órgano Oficial de la Asociación Mexicana de Infectología Pediátrica y la SLIPE.

2008, Number 83

<< Back Next >>

Rev Enfer Infec Pediatr 2008; 21.22 (83)

Association of central catheter as a risk factor for development of endocarditis in pediatric patients in the Chihuahua Infant’s Hospital.

Hinojos GLC, Altamirano C, Orozco AI, González OS, Cisneros CM

Language: Spanish
References: 18
Page: 75-84
PDF size: 289.23 Kb.


ABSTRACT

Traditionally, endocarditis is defined as an inflammatory disease of infected-contagious origin that affects endocardium or vascular endothelium in the proximity of congenital or acquired defects of the heart, or the great vessels, although can affect the structural and functionally healthy heart. The intravascular catheters have become actually modern an indispensable tools of the medicine, particularly in intensive care units. The incidence of bacteremia related to catheter varies of considerable form according to the type and frequency of catheter manipulation, and factors associated to the patient, like congenital cardiopathies. The present study identified the more important factors of risk for the development of endocarditis related to central catheter. In addition, during this study, other results of utility were thrown to consider a change in the operational methodology of the pediatric and neonatal intensive care units as far as the decision to place a central catheter, as well as of the technique of positioning and the handling of such. The positioning way was the second variable of greater statistically significant risk, reason why the second recommendation is the order for punction, whenever this is possible. In agreement with the results, the most important recommendation is the anatomical site is always extra cardiac in those patients in those who justly the central catheter is indicated.


REFERENCES

  1. Diaz G, Sandoval N, Vélez JF, Camarillo G. Cardiología pediátrica. 1ª edición. Editorial McGrawHill. Bogotá, 2003.

  2. Cabell CH, Abrutyn E. Progress Toward a global understanding of infective endocarditis. Lessons from the international Collaboration on Endocarditis. Cardiology Clinics 2004:21;147-58.

  3. O’Grady NP, Alexander M, Dellinger EP, Gerberding JL, Heard SO, et al. Guidelines for the prevention of intravascular catheter-related infections. Pediatrics 2002;110(5):51.

  4. Kuye D. Changing pattern of infective endocarditis. Am J Med 1995;78(Suppl 6B):157-62.

  5. Rabinovich S, Evans J, Smith. A long term view of bacterial endocarditis: 337 cases. Ann Intern Med 1995;63:185-98.

  6. Feder H, Roberts J, Salazar J. HACEK Endocarditis in infants and children: a literature Review. Pediatric Inf Dis J 2003;22(6):557-62.

  7. Steinberg JP, Clark CC, Hackman BO. Nosocomial and community-acquired Staphylococcus aureus bacteremias from 1980 to 1993; impact of intravascular devices. Clin Inf Dis 1996;23;255-9.

  8. Malanoski GJ, Samore MH, Pefanis A, Karchmer AW. Staphylococcus aureus catheter associated bacteremia, minimal effective and unusual infectious complications associated with arterial sheath catheters. Arch of Internal Medicine 1999;16;567-73.

  9. Durack DT, Lukes AS, Bright DK, et al. New criteria for diagnosis of infective endocarditis: utilization of specific echocardiographic findings. Am J Med 2004;96:200-9.

  10. Nettles RE, McCarty DE, Corey GR, et al. An evaluation of the Duke criteria for diagnosing infective endocarditis. Clin Inf Disease 1997;25:140-3.

  11. Crawford M, Durack D, et al. Clinical presentations of infective endocarditis. Cardiol Clin 2004;21:159-66.

  12. Randolph AG, Brun-Buisson C, Goldmann D. Identification of central venous catheter-related infections in infants and children. Pediatr Crit Care Med 2005;6(3 Suppl):S19-S24.

  13. Sexton DJ. Spelmon D. Current best practices and guidelines. Assessment and management of complications in infective endocarditis. Infect Dis Clin North Am 2002;16:507-21.

  14. Bowdle TA. Complications of invasive monitoring. Anesthesiology Clinics Of North America 2002;20(3):571-88.

  15. Camacho L. Eco cardiografía transesofágica en la detección de endocarditis infecciosa en niños. Acta Ped de México 1999;20(23):134-8.

  16. Hermansen M, Hermansen M, Intravascular catheter complications in the neonatal intensive care unit. Clinics in Perinatology 2005;32:141-6.

  17. Watanakunakorn C. Infective endocarditis as a result of medical progress. Am J Med 1978;64:917-9.

  18. Rowin ME, Patel VV, Christenson JC. Pediatric intensive care unit nosocomial infections: epidemiology sources and solutions. Crit Care Clin 2003;19(3):473-87.




2020     |     www.medigraphic.com