Prevalence of infection in patients with central venous catheter

Main Article Content

Areli Alonso-Morquecho
Hortensia Flores-Preciado
María del Carmen Martínez-García

Keywords

Cathetezation central venous, Infection, Fluid therapy, Drug therapy

Abstract

Central venous catheters are used to ensure access for fluid therapy, drug infusion, parenteral nutrition and for monitoring central venous pressure in patients hospitalized in different services. Colonization of the catheter is produced by several factors such as: number of lumens, type of adapters, residence time, intravenous solutions and manufacturing material. Due to the frequent need to use catheters in patients, there is an obligation to know the prevalence of catheter infection and the possible contributing factors in order to prevent it.

Objective: to know the prevalence of central venous catheter infection in patients hospitalized in different services.

Methodology: from May 1999 to May 2000, a sample of 839 patients that required a central venous catheter was collected, of which 108 patients presented with infection, considering the following criteria: complete file, that the infection was referred in the clinical file and diagnosed by a basic doctor and with positive culture reported.

Results: 108 patients hospitalized with an infected catheter were studied during the aforementioned period, with a higher incidence in the ICU service (80%), nephrology (74%) and hematology (66%). The most frequently isolated germ is coagulase-negative staphylococcus.

Conclusion: prevalence of infection in central venous catheter of the Specialties Hospital was 12.87%.

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