dc.contributor.advisorTroncoso Moreno, Gloria Amparo 
dc.contributor.advisorMorón Duarte, Lina Sofía 
dc.creatorPinilla Reyes, Darly Rocio 
dc.date.accessioned2013-01-24T22:55:07Z
dc.date.available2013-01-24T22:55:07Z
dc.date.created2013-01-14
dc.date.issued2013-01-24
dc.identifier.urihttp://repository.urosario.edu.co/handle/10336/4128
dc.descriptionLa 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.
dc.description.abstractThe 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.
dc.format.mimetypeapplication/pdf
dc.language.isospa
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/2.5/co/
dc.sourceinstname:Universidad del Rosario
dc.sourcereponame:Repositorio Institucional EdocUR
dc.subjectBacteriemia
dc.subjectcatéter epicutáneo
dc.subjectnutrición parenteral
dc.subjectStaphylococcus Epidermidis
dc.subjectantibiótico
dc.subject.lembAlimentación parenteral de niños
dc.subject.lembCuidados intensivos neonatales
dc.subject.lembNeonatología::Investigaciones
dc.titleBacteriemia asociada a catéter epicutáneo en la unidad de cuidado intensivo neonatal de la Fundación Cardioinfantil
dc.typebachelorThesis
dc.publisherUniversidad del Rosario
dc.creator.degreeEspecialista en Neonatología
dc.publisher.programEspecialización en Neonatología
dc.publisher.departmentFacultad de medicina
dc.subject.keywordBacteremia
dc.subject.keywordepicutaneous catheter
dc.subject.keywordparenteral nutrition
dc.subject.keywordantibiotics
dc.subject.keywordStaphylococcus epidermidis
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.subject.decsBACTERIEMIA
dc.type.spaTrabajo de grado
dc.rights.accesoAbierto (Texto completo)
dc.type.hasVersioninfo:eu-repo/semantics/acceptedVersion
dc.source.bibliographicCitationBeth G, Cristina M and Bairbre C. Evaluation of a Unique, Nurse-Inserted, Peripherally Inserted Central Catheter Program. Pediatrics 2005;115(6);1602-1606.
dc.source.bibliographicCitation2. Mahieu L, Dooy J, Lenaerts M, Ieven A and Muynck A. Catheter manipulations and the risk of catheter-associated bloodstream infection in neonatal intensive care unit patients. Journal of Hospital Infection 2001;48: 20–26.
dc.source.bibliographicCitation3. Andersen C, Hart J, Vemgal P, Harrison C and The Mercy Neonatal Nosocomial Infection Working Group. Prospective evaluation of a multi-factorial prevention strategy on the impact of nosocomial infection in very-low-birthweight infants. Journal of Hospital Infection 2005;61;162–167
dc.source.bibliographicCitation4. Mahieu L, Muynck O, Ieven M, Dooy J, Goossens J and Van R. Risk factors for central vascular catheter-associated bloodstream infections among patients in a neonatal intensive care unit. Journal of Hospital Infection 2001;48: 108–116.
dc.source.bibliographicCitation5. Ludo M, Jozef J, Aimé O, Guillaume V, Margareta M, Patrick J. Microbiology and risk factors for catheter exit-site and -hub colonization in neonatal intensive care unit patients. Infection Control and Hospital Epidemiology, 2010;22(6);357-362.
dc.source.bibliographicCitation6. Prevención y control de las bacteriemias asociadas al uso de catéteres venosos centrales. Sociedad Española de Medicina Preventiva, Salud Pública e Higiene. www.mpsp.org.
dc.source.bibliographicCitation7. Alissa C, Neil F. Nosocomial Coagulase Negative Staphylococcal (CoNS) Catheter -Related Sepsis Preterm infants: Definition, Diagnosis, Prophylaxis y Prevention. Journal of Perinatology 2001;21;186-192.
dc.source.bibliographicCitation8. Urrea M. y Rozas L. Bacteremia asociada al catéter venoso central: implementación de un nuevo protocolo de consenso. An Pediatr (Barc).2009;71(1):20–24.
dc.source.bibliographicCitation9. Jeffery S, Colleen P, Chris D, Dewey O et al. A Randomized Trial Comparing Povidone-Iodine to a Chlorhexidine Gluconate-Impregnated Dressing for Prevention of Central Venous Catheter Infections in Neonates.Pediatrics 2001;107;1431-1436.
dc.source.bibliographicCitation10. Arnab S, Christoph L, Marie D, Trish M and Aaron M. Catheter Duration and Risk of CLA-BSI in Neonates With PICCs. Pediatrics 2010;125(4); 648-653.
dc.source.bibliographicCitation11. Gary K, Laura N, Robert E, and Stephen B. Should Central Venous Catheters Be Removed as Soon as Candidemia Is Detected in Neonates?. Pediatrics 2000;106(5);1-5.
dc.source.bibliographicCitation12. Lisa S. Risk Factors for Hospital – adquired Infections in the Neonatal Intensive Care Unit. Seminars in Perinatology 2002;26(5);315-321
dc.source.bibliographicCitation13. Itzhak L, Jacob K, Ester S, Zmira S, Bernardo V, Einat B, Shai A, and Ovadia D. Chlorhexidine-Impregnated Dressing for Prevention of Colonization of Central Venous Catheters in Infants and Children. Pediatr Infect Dis J 2005;24: 676–679.
dc.source.bibliographicCitation14. Mary C, Keith F. Infection Prevention in the Intensive Care Unit. Infect Dis Clin N Am 2009;23;703–725
dc.source.bibliographicCitation15. Khalil A, Alaa E, Khalid A and Bdeir A. Peripherally Inserted Central Venous Catheters in Newborn Infants: Malpositioning and Spontaneous Correction of Catheter Tips. American Journal of Perinatology 2006;23(1 );37-40
dc.source.bibliographicCitation16. Deborah A, Ann D, Aaron H. Neonatal Peripherally Inserted Central Catheter Team. Advances in Neonatal Care 2007;7,(1);22-29.
dc.source.bibliographicCitation17. Walter Z., Alexander I, Marco M, Reto S, Emanuela K, Christian R. Impact of a prevention strategy targeting hand hygiene and catheter care on the incidence of catheter-related bloodstream infections. Crit Care Med 2009; 37:2167–2173.
dc.source.bibliographicCitation18. Naomi P, Mary A, Patchen D, Julie L et al. Guidelines for the Prevention of Intravascular Catheter-Related Infections. Pediatrics 2002;110(5);1-24.
dc.source.bibliographicCitation19. Carmem P, Stéphane H, Riccardo P, Sylvie T et al. Reduction of Health Care Associated Infection Risk in Neonates by Successful Hand Hygiene Promotion. Pediatrics 2007;120(2);382-390
dc.source.bibliographicCitation20. Richard J, David W. Decreasing Central Line Associated Bloodstream Infection in Neonatal Intensive Care. Clin Perinatol 2010;37;247–272
dc.source.bibliographicCitation21. Michael R. Striving to eliminate catheter-related bloodstream infections: A literature review of evidence-based strategies. Seminars in Anesthesia, Perioperative Medicine and Pain 2005;24(4);214-225
dc.source.bibliographicCitation22. William H. Preventing nosocomial bloodstream infection in very low birth weight infants. Semin Neonatol 2002;7:325–333
dc.source.bibliographicCitation23. Philip L Simple Strategies to Reduce Healthcare Associated Infections in the Neonatal Intensive Care Unit: Line, Tube and Hand Hygiene. Clin Perinatol 2010;37;645–653.
dc.source.bibliographicCitation24. John M, Debra F, Dionne A, Gail P et al. Systematic Intervention to Reduce Central Line_Associated Bloodstream Infection Rates in a Pediatric Cardiac Intensive Care Unit. Pediatrics 2008;121(5);915-923
dc.source.bibliographicCitation25. Michele L, Walter J, Julia S, Audrey A, Donald E, David W et al. Guidelline for prevention of intavascular device-related. Part I. intavascular device-related infections: An overview. Am J Infect Control 1996;24;262-293.
dc.source.bibliographicCitation26. Juli M, and Richard J. It's All About Dwell Time Reduce It and Infection Rates Decrease?. Pediatrics 2010;125(4);820-821.
dc.source.bibliographicCitation27. Nathaniel R, Joseph H, Gary J, Jeffrey D and Jeannette R. Marginal Increase in Cost and Excess Length of Stay Associated With Nosocomial Bloodstream Infections in Surviving Very Low Birth Weight Infants. Pediatrics 2004;114(2);348-355.
dc.source.bibliographicCitation28. Susan A y David A. Assessment of infant with peripherrally inserted central catheters: Part 1. Detecting the most frequently ocurring complications. Advances in Neonatal Care 2002;2(6);304-315
dc.source.bibliographicCitation29. Leonard A, Michael A, Emilio B, Donald E et al. Clinical Practice Guidelines for the Diagnosis and Management of Intravascular Catheter-Related Infection: 2009 Update by the Infectious Diseases Society of America. Clinical Infectious Diseases 2009; 49:1–45.
dc.source.bibliographicCitation30. Michael J. Catheter-related bloodstream infections in children. Am J Infect Control 2008;36:S173.e1-S173.e3.
dc.source.bibliographicCitation31. Jayashree R. Complications of Vascular Catheters in the Neonatal Intensive Care Unit. Clin Perinatol 35 (2008) 199–222.
dc.source.bibliographicCitation32. Hany A, Victor H, Anne D, Jill H, Jean B, Kantilal P and Ayman A. Is Bloodstream Infection Preventable Among Premature Infants? A Tale of Two Cities. Pediatrics 2005;115(6);1513-1518
dc.source.bibliographicCitation33. Holmes A, Dore C, Saraswatula A, Bamford K, Richards M, Coello R, Modi N. Risk factors and recommendations for rate stratification for surveillance of neonatal healthcare-associated bloodstream infection.Journal of Hospital Infection 2008;68:66-72
dc.source.bibliographicCitation34. Michele L, Walter J, Julia S, Audrey A, Donald E, David W et al. Part II: Recommendations for the prevention of nosocomial intravascular device-related infections . Am J Infect Control 1996;24;262-293.
dc.source.bibliographicCitation35. Valerie Y. Therapeutic Techniques: Peripherally Inserted Central Catheters in Neonates. NeoReviews 2004;5(2);60-62
dc.source.bibliographicCitation36. Susan A y David A. Assessment of infant with peripherrally inserted central catheters: Part 2. Detecting the less frequently ocurring complications. Advances in Neonatal Care 2003;3(1);14-26.
dc.source.bibliographicCitation37. Amerasekera S, Jones C, Patel R. Imaging of the complications of peripherally inserted central venous catheters. Clinical Radiology 2009; 4,;832-840
dc.source.bibliographicCitation38. Rogier C, Kees H, Reinoud J. Central venous catheter use in the pediatric patient: Mechanical and infectious complications. Pediatr Crit Care Med 2005;6(3);329-339.
dc.source.bibliographicCitation39. Li-yin C, Ying M, Khalid A, Wayne A, Douglas D, Shoo K and the Canadian Neonatal Network. Variations in central venous catheter-related infection risks among Canadian neonatal intensive care units. Pediatr Infect Dis J 2002;21:505–511.
dc.source.bibliographicCitation40. Patricia M. Diagnosis and Management of Central Venous Catheter-Related Bloodstream Infections in Pediatric Patients. Pediatr Infect Dis J 2009;28: 1016–1017.
dc.source.bibliographicCitation41. Juli M. and Richard J. It's All About Dwell Time_Reduce It and Infection Rates Decrease?. Pediatrics 2010;125(4);820-821.
dc.source.bibliographicCitation42. Folafoluwa O, Frank W, Ronald E, Kristen V, Carol C. Nosocomial catheter-related bloodstream infections in a pediatric intensive care unit: Risk and rates associated with various intravascular technologies. Pediatr Crit Care Med 2003;4(4);432-436.
dc.source.bibliographicCitation43. Viet H, Jack S, Michelle C, Erin B et al. Percutaneously Inserted Central Catheter for Total Parenteral Nutrition in Neonates: Complications Rates Related to Upper Versus Lower Extremity Insertion. Pediatrics 2008;121(5);1152-1159.
dc.source.bibliographicCitation44. Marianne O. Epidemiology of bloodstream infection associated with parenteral nutrition. Am J Infect Control 2008;36:S173.e5-S173.e8.
dc.source.bibliographicCitation45. Robles G, Díaz A, Jarvis W, Orejas G, Rey G. Factores de riesgo asociados con bacteriemia nosocomial en recién nacidos de bajo peso al nacimiento. Hospital Grady Memorial, Atlanta. Gac Sanit 2001;15 (2):111-117.
dc.source.bibliographicCitation46. Ming-H, MD, Reyin L, Jiunn-W, Hsuan-R, Chiao-C, Shih-M, Jen-F and Yhu-C. Complication Rates With Central Venous Catheters Inserted at Femoral and Non-Femoral Sites in Very Low Birth Weight Infants. Pediatr Infect Dis J 2009; 28(11);966-970.
dc.source.bibliographicCitation47. Daniel K, Benjamin W, Harmony G, Daniel K, Ross E et al. Bacteremia, Central Catheters, and Neonates: When to Pull the Line. Pediatrics 2001;107(6);1272-1276.
dc.source.bibliographicCitation48. Jonas M, Leonard A, David C, Kathleen M, Kelly P et al. Estrategias para prevenir bacteriemias asociadas a accesos vasculares centrales en hospitales de cuidados agudos. Suplemento: SHEA/IDSA recomendaciones practicas 2008;1-
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