[Frequency of colonization and isolated bacteria from the tip of the epidural catheter implanted for postoperative analgesia].

Autor:	Stabille DM; Ciências da Saúde (CS), Universidade Federal de Uberlândia (UFU), Uberlândia, MG, Brasil. Electronic address: deboramdiogo@yahoo.com.br., Filho AD; Programa de Pós-graduação, Ciências da Saúde (CS), Universidade Federal de Uberlândia (UFU), Uberlândia, MG, Brasil; Colégio Brasileiro de Cirurgiões, Rio de Janeiro, RJ, Brasil; Colégio Brasileiro de Cirurgia Digestiva, São Paulo, SP, Brasil; Departamento de Cirurgia, Faculdade de Medicina, Universidade Federal de Uberlândia (UFU), Uberlândia, MG, Brasil., Mandim BL; Serviço de Anestesiologia, Hospital de Clínicas, Universidade Federal de Uberlândia (UFU), Uberlândia, MG, Brasil., Araújo LB; Faculdade de Matemática da Universidade Federal de Uberlândia (UFU), Uberlândia, MG, Brasil., Mesquita PM; Ciências da Saúde (CS), Universidade Federal de Uberlândia (UFU), Uberlândia, MG, Brasil., Jorge MT; Programa de Pós-graduação, Ciências da Saúde (CS), Universidade Federal de Uberlândia (UFU), Uberlândia, MG, Brasil; Departamento de Clínica Médica, Faculdade de Medicina da Universidade Federal de Uberlândia (UFU), Uberlândia, MG, Brasil.
Jazyk:	portugalština
Zdroj:	Revista brasileira de anestesiologia [Rev Bras Anestesiol] 2015 May-Jun; Vol. 65 (3), pp. 200-6. Date of Electronic Publication: 2014 Nov 28.
DOI:	10.1016/j.bjan.2014.05.015
Abstrakt:	Background and Objective: The increased use of epidural analgesia with catheter leads to the need to demonstrate the safety of this method and know the incidence of catheter colonization, inserted postoperatively for epidural analgesia, and the bacteria responsible for this colonization. Methods: From November 2011 to April 2012, patients electively operated and maintained under epidural catheter for postoperative analgesia were evaluated. The catheter tip was collected for semiquantitative and qualitative microbiological analysis. Results: Of 68 cultured catheters, six tips (8.8%) had positive cultures. No patient had superficial or deep infection. The mean duration of catheter use was 43.45hours (18-118) (p=0.0894). The type of surgery (contaminated or uncontaminated), physical status of patients, and surgical time showed no relation with the colonization of catheters. Microorganisms isolated from the catheter tip were Staphylococcus aureus, Pseudomonas aeruginosa and Sphingomonas paucimobilis. Conclusion: Postoperative epidural catheter analgesia, under this study conditions, was found to be low risk for bacterial colonization in patients at surgical wards. (Copyright © 2014 Sociedade Brasileira de Anestesiologia. Publicado por Elsevier Editora Ltda. All rights reserved.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu