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
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 andMethods:
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.
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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