Abstract

COPANA O., Raul; COSSIO A., Nayda  and  GUZMAN R., Gustavo. Effect of the use of Bundles in bloodstream infections associated to central venous catheter in a pediatric intensive care unit . Gac Med Bol [online]. 2017, vol.40, n.2, pp.22-26. ISSN 1012-2966.

Objectives: Bloodstream Central Venous Catheter Infections (BCVCI) leads increased morbidity and mortality. This rate could be reduced by the implementation of good practice guidelines (GBP) and bundles. The study aims to determine the incidence of IHACVC, after application of insertion and maintenance CVC validate bundles. Methods: An observational, descriptive longitudinal study was performed at Manuel Ascencio Villarroel Children Hospital, in 94 patients with CVC, stratified into 2 groups: CVCs inserted without application of bundles and those inserted with the application of bundles. Performing following-up on infections and colonizations presentation. Results: The incidence of BCVCI was 3.9 / 1000 days of CVC, 12 cases of colonization associated to CVC were detected. Isolated pathogens were multiresistant Gram-negative. Adherence to bundles during insertion of the CVC met 5.8 (SD 0.8) criteria of 6; And during maintenance, 4.6 (DS 1.3) of 6 are met. Conclusions: The rate of BCVCI is low due to the use of short-term CVC, colonization or biofilm formation could be evidenced after 10 days of exposure and in patients in whom the recommended criteria were not followed. Reduction of IAAS should be a permanent task of the hospital; we recommend to maintain the application of bundles, emphasizing the permanent education of staff and mechanisms of active surveillance.

Keywords : bloodstream infections; central venous catheter; pediatric intensive care unit.

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