Abstract

IROA, Andrea; DA ROSA, María José; TELECHEA, Héctor  and  MENCHACA, Amanda. Prevention of catheter-related bacteremia in the Pediatrics Critical Care Unit by means of a protocol. Arch. Pediatr. Urug. [online]. 2015, vol.86, n.2, pp.106-112. ISSN 1688-1249.

Introduction: intravascular-device bacteremia is a frequent cause of intrahospitalary infections in the Pediatrics Critical Care Units. Objective: to establish the impact of a bunddle of strategies on the incidence of catheter-related bacteremia in the Pediatrics Critical Care Unit of Centro Hospitalario Pereira Rossell. Method: an observational descriptive study was conducted from May 1, 2013 to October 31, 2013. Patients hospitalized in the Pediatrics Critical Care Unit with a central catheter were included. Six interventions were applied as a bundle at the moment of insertion of catheter. Data were collected from the patients’ clinical history and from the checklist filled at the moment of insertion of catheter. Density of the incidence of of bacteremia related to central catheter was calculated. Results: 45 children were included in the study, adding up to 51 central venous access and 419 days of catheterization. One case of catheter-related bacteremia was identified, there being 2.38 cases/ 1000 days of catheterization. The isolation was coagulase negative Staphylococcus. The bundle of interventions was highly accepted. Conclusions: the incidence of catheter-related bacteremia has diminished since 2010. The bundle of interventions has been established as a guide in the Pediatrics Critical Care Unit of Centro Hospitalario Pereira Rossell.

Keywords : BACTEREMIA - prevention & control; CATHETERIZATION CENTRAL VENOUS; PROTOCOLS; PEDIATRIC INTENSIVE CARE UNITS.

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