Risk factors for catheter-related bloodstream infection: a prospective multicenter study in Brazilian intensive care units
Braz. j. infect. dis
; Braz. j. infect. dis;15(4): 328-331, July-Aug. 2011. tab
Article
em En
| LILACS
| ID: lil-595673
Biblioteca responsável:
BR1.1
ABSTRACT
INTRODUCTION:
Central venous catheters (CVC) are devices of great importance in health care. The advantages gained from the use of catheters outweigh the complications that might result from their use, among which bloodstream infections (BSI). In spite of its importance, few national studies have addressed this issue.OBJECTIVE:
The aim this study was to determine the incidence of BSI in patients with CVC, hospitalized in ICU, as well as the variables associated with this complication.METHODS:
Multicentric cohort study carried out at ICUs of three hospitals at Universidade Federal de São Paulo complex.RESULTS:
A total of 118 cases of BSI in 11.546 catheters day were observed 10.22 BSI per 1,000 catheters day. On average, BSI was associated to seven additional days of hospital stay in our study (p < 0.001), with a significant difference between types of catheters. Concerning the place of insertion, there was no statistical difference in BSI rates.CONCLUSION:
We concluded that a patient who uses a catheter for longer than 13 days presents a progressive risk for infection of approximately three times higher in relation to a patient who uses the catheter for less than 13 days (p < 0.001). The median duration of catheter use was 14 days among patients with BSI and 9 days in patients without infection (p < 0.001). There was higher prevalence of Gram-negative infections. The risk factors for BSI were utilization of multiple-lumen catheters, duration of catheterization and ICU length of stay.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
LILACS
Assunto principal:
Cateterismo Venoso Central
/
Infecção Hospitalar
/
Infecções Relacionadas a Cateter
/
Unidades de Terapia Intensiva
Tipo de estudo:
Clinical_trials
/
Etiology_studies
/
Observational_studies
/
Risk_factors_studies
Limite:
Female
/
Humans
/
Male
País/Região como assunto:
America do sul
/
Brasil
Idioma:
En
Revista:
Braz. j. infect. dis
Assunto da revista:
DOENCAS TRANSMISSIVEIS
Ano de publicação:
2011
Tipo de documento:
Article
País de afiliação:
Brasil
País de publicação:
Brasil