Boletín médico del Hospital Infantil de México
versión impresa ISSN 1665-1146
HERNANDEZ-DELGADO, Lorena et al. Post intervention reduction of bacteremias related to vascular catheters into Neonatal and Pediatrics Intensive Care. Bol. Med. Hosp. Infant. Mex. [online]. 2009, vol.66, n.5, pp. 419-424. ISSN 1665-1146.
Introduction. Intravascular catheter-related infection is the major complication in patients with intravascular catheter. Intravascular catheter-related infection rate is derived by dividing the number of these infections between day-line vascular catheters and multiplied x 1 000. The rates have been reported to be as high as 11.3 x 1 000 catheter-days, increasing hospitalization days, morbidity and mortality. Educational initiatives decrease the rate of intravascular catheter-related infections according to different studies. We undertook this study to determine the rate of intravascular catheter-related infections in pediatric and neonatal intensive care units in a general hospital, as well as to establish preventive educational actions and quantify their impact. Methods. We compared the rate of intravascular catheter-related infections before and after an educational intervention. Results. During the first period, we found 25 intravascular catheter-related infections in 2 280 catheter-days with a rate of 10.9 x 1 000 catheter-days. Following the educational initiatives, we found 16 intravascular catheter-related infections in 2 850 catheter-days and the rate decreased to 5.6, which was statistically significant. Conclusions. Educational initiatives aimed at decreasing the rate of intravascular catheter-related infections were shown to be effective.
Palabras llave : Bacteremia, catheterization; intra-arterial lines; infection, intravascular catheter-related; intensive care units, neonatal; intensive care units, pediatric; program, intervention.