Bacteriemia asociada a catéter epicutáneo en la unidad de cuidado intensivo neonatal de la Fundación Cardioinfantil
Pinilla Reyes, Darly Rocio
The 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.