Incidencia y factores de riesgo de infecciones del torrente sanguíneo asociadas a catéter central

Diego M. Cabrera; Fiorella K. Cuba; Roger Hernández; Yolanda Prevost-Ruiz

doi:10.17843/rpmesp.2021.381.5108

Authors

Diego M. Cabrera Facultad de Medicina Humana «Alberto Hurtado», Universidad Peruana Cayetano Heredia, Lima, Perú.Médico cirujano https://orcid.org/0000-0002-3987-9433
Fiorella K. Cuba Facultad de Medicina Humana «Alberto Hurtado», Universidad Peruana Cayetano Heredia, Lima, Perú.Médico cirujano https://orcid.org/0000-0002-1315-1356
Roger Hernández Facultad de Medicina Humana «Alberto Hurtado», Universidad Peruana Cayetano Heredia, Lima, Perú.Servicio de Infectología Pediátrica, Hospital Cayetano Heredia, Lima, Perú.Médico cirujano https://orcid.org/0000-0002-1906-9599
Yolanda Prevost-Ruiz Facultad de Medicina Humana «Alberto Hurtado», Universidad Peruana Cayetano Heredia, Lima, Perú.Servicio de UCI Neonatal, Hospital Cayetano Heredia, Lima, Perú.Médico cirujano https://orcid.org/0000-0002-5585-5255

DOI:

https://doi.org/10.17843/rpmesp.2021.381.5108

Keywords:

Catheter-Related Infections, Newborn, Risk Factors, Peru

Abstract

Central line catheter-related bloodstream infections (CLABSI) burdens great morbidity, mortality and unnecessary hospital expenses. Studies related to its incidence and epidemiological and clinical profile among neonates in Peru are scarce, not being clear it's actual impact. A prospective cohort study was conducted in a neonatal intensive care unit (ICU) of a public hospital in Lima, Peru between 2017- 2018. 167 patients were included (52,7% male) with gestational age between 24-41 weeks, obtaining 1999 catheter-days and 16 cases of CLABSI. The incidence rate was 8/1000 catheter-days. Use of umbilical catheter (p=0,005) and multiple catheters (p<0,001) both showed a statistically significant correlation regarding the development of CLABSI. It’s necessary to extend the study to other ICUs and stablish solid, efficient and long-lasting system of CLABSI surveillance that allows the evaluation of possible interventions to reduce the incidence of CLABSI.