Infecciones asociadas al uso de catéter venoso central en neonatos, Hospital Dr. Francisco Icaza Bustamante, año 2017 - 2019
Fecha
2021
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
Resumen
Las infecciones asociadas al uso de catéter venoso central representan una de las causas más importante de morbimortalidad además de un aumento de la estadía hospitalaria y los costos en salud en UCIN, representando un gran reto para el neonatólogo. Una vez establecida se debe empezar con tratamiento precoz y adecuado para disminuir este evento adverso de la atención. Sus signos y síntomas son inespecíficos. La fiebre representa el signo más frecuente, por lo tanto, se debe sospechar en todo paciente portador de cualquier tipo de catéter que presenta fiebre sin otra causa probable. El objetivo del presente estudio es evaluar las infecciones asociadas con el uso de catéter venoso central, además de los factores de riesgo, incidencia, agentes más comunes y causas de morbimortalidad asociada. Material y métodos: en este estudio retrospectivo, se examinó historias clínicas de los recién nacidos que ingresaron a Terapia Intensiva Neonatal a quienes se le colocó un catéter venoso central, desde el 1 de enero del 2017 hasta el 31 de diciembre del 2019 en el Hospital del niño “Dr. Francisco de Icaza Bustamante” de la ciudad de Guayaquil – Ecuador. Se registraron 93 neonatos a quienes se les colocó un catéter venoso central en quirófano.
Infections associated with the use of a central venous catheter represent one of the most important causes of morbidity and mortality in addition to an increase in hospital stay and health costs in the NICU, representing a great challenge for the neonatologist. Once established, early and adequate treatment should be started to reduce this adverse event of care. Its signs and symptoms are nonspecific. Fever represents the most frequent sign, therefore, it should be suspected in all patients with any type of catheter who present with fever without another probable cause. The objective of the present study is to evaluate the infections associated with the use of a central venous catheter, in addition to the risk factors, incidence, most common agents and causes of associated morbidity and mortality. Material and methods: in this retrospective study, the medical records of newborns admitted to Neonatal Intensive Care who received a central venous catheter were examined from January 1, 2017 to December 31, 2019 at the Hospital of the child “Dr. Francisco de Icaza Bustamante ”from the city of Guayaquil – Ecuador. 93 neonates were registered who had a central venous catheter placed in the operating room.
Infections associated with the use of a central venous catheter represent one of the most important causes of morbidity and mortality in addition to an increase in hospital stay and health costs in the NICU, representing a great challenge for the neonatologist. Once established, early and adequate treatment should be started to reduce this adverse event of care. Its signs and symptoms are nonspecific. Fever represents the most frequent sign, therefore, it should be suspected in all patients with any type of catheter who present with fever without another probable cause. The objective of the present study is to evaluate the infections associated with the use of a central venous catheter, in addition to the risk factors, incidence, most common agents and causes of associated morbidity and mortality. Material and methods: in this retrospective study, the medical records of newborns admitted to Neonatal Intensive Care who received a central venous catheter were examined from January 1, 2017 to December 31, 2019 at the Hospital of the child “Dr. Francisco de Icaza Bustamante ”from the city of Guayaquil – Ecuador. 93 neonates were registered who had a central venous catheter placed in the operating room.
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RECIEN NACIDO, INFECCIONES RELACIONADAS CON CATETERES, CATETER VENOSO CENTRAL, ESTUDIOS RETROSPECTIVOS, HOSPITAL DEL NIÑO FRANCISCO DE ICAZA BUSTAMANTE, CANTON GUAYAQUIL, ECUADOR