INFECCIÓN DEL TORRENTE SANGUÍNEO RELACIONADA AL CATÉTER VENOSO CENTRAL Y AL CUMPLIMIENTO DE LAS MEDIDAS DE PREVENCIÓN EN LA UNIDAD DE CUIDADOS INTENSIVOS PEDIÁTRICOS

Daisy Aguilar de Morós; Carmen María Flores de Bishop

Submitted May 20, 2021

Published 2018-07-02

Research Articles

Vol. 23 No. 19 (2018): Enfoque

INFECTION OF THE BLOOD STREAM RELATED TO THE CENTRAL VENOUS CATHETER AND THE COMPLIANCE WITH THE PREVENTION MEASURES IN THE PEDIATRIC INTENSIVE CARE UNIT

Daisy Aguilar de Morós⁺⁻
Carmen María Flores de Bishop⁺⁻

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Citación:

DOI: ND

Published: 2018-07-02

How to Cite

Aguilar de Morós, D., & Flores de Bishop, C. M. (2018). INFECTION OF THE BLOOD STREAM RELATED TO THE CENTRAL VENOUS CATHETER AND THE COMPLIANCE WITH THE PREVENTION MEASURES IN THE PEDIATRIC INTENSIVE CARE UNIT. Enfoque, 23(19), 41–51. Retrieved from https://revistas.up.ac.pa/index.php/enfoque/article/view/2138

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Abstract

The aim of the study was to analyze the incidence of bloodstream infections associated with the central venous catheter and its relationship with the compliance of prevention measures by health personnel in the intensive care unit.

Methods:

A prospective cohort analytical study was carried out. The sample consisted of 106 pediatric patients admitted from May 1 to July 31, 2017 to the Intensive Care Unit to whom a Central Venous Catheter (CVC) was placed. An instrument for the surveillance of infections, associated with the health care approved and used by the MINSA for the surveillance of the infections, was adapted to the hospital where the sample was obtained.

Two instruments were used, a checklist for the CVC insertion and checklists for the CVC maintenance.

Result:

A statistical significance was demonstrated (?² greater than 3.84 and p less 0.05) and that the following were constituted as risk factors: the non-compliance with the guidelines in the placement of the CVC in less than 100% by the physician; the non-compliance in less than 100% of hand hygiene in the maintenance of the CVC by the nurse; not performing skin antisepsis with 2.0% chlorhexidine, not placing a chlorhexidine-impregnated dressing; not cleaning the blood remains at the insertion site with chlorhexidine antiseptic, not using a 2% chlorhexidine-impregnated washcloth for bathing. The incidence rate of infections associated with central venous catheters was 11.3 per 1000 catheter days and it is necessary to implement measures to reduce them.

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