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Preventing catheter-associated infections in the Pediatric Intensive Care Unit: impact of an educational program surveying policies for insertion and care of central venous catheters in a Brazilian teaching hospital
Abramczyk, Marcelo Luiz; Carvalho, Werter B; Medeiros, Eduardo A. S.
  • Abramczyk, Marcelo Luiz; Universidade Federal de São Paulo. Infectious Disease Pediatric Department. BR
  • Carvalho, Werter B; Universidade de São Paulo. Pediatric Intensive Care Unit. Pediatrics Department. BR
  • Medeiros, Eduardo A. S; UNIFESP. Division of Infectious Diseases. Hospital Infection Program. BR
Braz. j. infect. dis ; 15(6): 573-577, Nov.-Dec. 2011. tab
Artículo en Inglés | LILACS | ID: lil-610529
ABSTRACT

Objectives:

To determine the impact of an educational program on the prevention of central venous catheter-related infections in a Brazilian Pediatric Intensive Care Unit. Patients and

Methods:

All patients admitted to the unit between February 2004 and May 2005 were included in the cohort study in a longitudinal assessment. An educational program was developed based on the Centers for Disease Control and Prevention recommendations for prevention of catheter-associated infections and was adapted to local conditions and resources after an initial observational phase. Incidence of catheter-associated infections was measured by means of on-site surveillance.

Results:

One hundred eighteen nosocomial infections occurred in 253 patients (46.6 infections per 100 admissions) and in 2,954 patient-days (39.9 infections per 1,000 patient-days). The incidence-density of catheter infections was 31.1 episodes per 1.000 venous central catheter-days before interventions, and 16.5 episodes per 1,000 venous central catheter-days afterwards (relative risk 0.53 [95 percent CI 0.28-1.01]). Corresponding rates for exit-site catheter infections were 8.0 and 2.5 episodes per 1,000 venous central catheter-days [0.32 (0.07-1.49)], and the rates for bloodstream infections were 23.1 and 13.9 episodes per 1,000 venous central catheter-days, before and after interventions [0.61 (0.32-1.14)].

Conclusion:

A prevention strategy targeted at the insertion and maintenance of vascular access can decrease rates of vascular-access infections in pediatric intensive care unit.
Asunto(s)


Texto completo: Disponible Índice: LILACS (Américas) Asunto principal: Cateterismo Venoso Central / Unidades de Cuidado Intensivo Pediátrico / Infección Hospitalaria / Infecciones Relacionadas con Catéteres / Capacitación en Servicio Tipo de estudio: Estudio de etiología / Estudios de evaluación / Estudio observacional / Factores de riesgo Límite: Niño / Humanos / Lactante País/Región como asunto: America del Sur / Brasil Idioma: Inglés Revista: Braz. j. infect. dis Asunto de la revista: Enfermedades Transmisibles Año: 2011 Tipo del documento: Artículo País de afiliación: Brasil Institución/País de afiliación: UNIFESP/BR / Universidade Federal de São Paulo/BR / Universidade de São Paulo/BR

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Texto completo: Disponible Índice: LILACS (Américas) Asunto principal: Cateterismo Venoso Central / Unidades de Cuidado Intensivo Pediátrico / Infección Hospitalaria / Infecciones Relacionadas con Catéteres / Capacitación en Servicio Tipo de estudio: Estudio de etiología / Estudios de evaluación / Estudio observacional / Factores de riesgo Límite: Niño / Humanos / Lactante País/Región como asunto: America del Sur / Brasil Idioma: Inglés Revista: Braz. j. infect. dis Asunto de la revista: Enfermedades Transmisibles Año: 2011 Tipo del documento: Artículo País de afiliación: Brasil Institución/País de afiliación: UNIFESP/BR / Universidade Federal de São Paulo/BR / Universidade de São Paulo/BR