Caracterización de los pacientes con catéter venoso central en un hospital universitario de cuarto nivel en Bogotá 2011 - 2013

Abstract

Introduction: The use of central venous catheters (CVC) in the intensive care unit has great importance and wide use, they are a source of support for the realization of various activities, but with a great potential for complications, so it is essential to know all aspects related to its use, in order to control them. Methods: A descriptive cross-sectional study aimed to characterize patients requiring CVC at University Hospital Fundación Santa Fe de Bogotá in June 2011 and May 2013, describe their associated mechanical and infectious complications, determine the rate of bacteremia, causative organisms and their resistance patterns. Results: 2.286 CVC were placed, 52,9% in men, the average age was 58,9 years. Total complications amount to 4.5%, 4.0% mechanical and infectious 0.6%. Only we find immediate mechanical complications, no late. Within infectious complications we find insertion site infection and bacteremia. The bacteremia rate was of 3,4 per 1.000 catheter-days in 2013, decreased compared to 2012 (3,9) and 2011 (4,4). The most frequently isolated microorganism was Staphylococcus Coagulase Negative with usual pattern of resistance. Conclusion: Complications associated with CVC in HUFSFB, occur less frequently than those described internationally; the rate of CVC-associated bacteremia has decreased year by year, possibly associated with the strictest care after the implementation of management protocols.