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espanolObjetivo: determinar las diferencias a lo largo de los tres anos en el manejo de las vias centrales de bebes prematuros menores de 1.500 gramos. Metodo: estudio descriptivo longitudinal retrospectivo en bebes de Resultados: se estudiaron 120 bebes, siendo la media de edad gestacional de 29,8 semanas y el peso medio al nacimiento de 1.148 gramos. En 62 bebes (51,6%) se inserto una via central, siendo la de primera eleccion la via umbilical, con un tiempo medio de permanencia de seis dias, seguido del PICC, con una permanencia media de ocho dias y de localizacion mas habitual en el miembro superior, seguida del miembro inferior y la cabeza. La causa mas comun de retirada de la via central fue la electiva, debido a la finalizacion del tratamiento, y la contaminacion mas frecuente el Estafilococo epidermidis. En el periodo de estudio se encontro una leve disminucion, estadisticamente significativa (p= 0,033). Conclusiones: el acceso vascular central se muestra como la principal via de manejo del gran prematuro menor de 1.000 gramos de peso, siendo la via umbilical la de primera eleccion, seguido del PICC. Aproximadamente la mitad de los bebes tuvo una via central. EnglishObjective: to determine any differences in the management of central lines in preterm babies weighing less than 1,500 grams, during a 3-year period. Method: a descriptive longitudinal retrospective study in babies Results: the study included 120 babies, with a mean gestational age of 29.8 weeks and 1,148 grams as mean weight at birth; 62 babies (51.6%) had a central line inserted, with umbilical access as first choice, for a mean period of six days, followed by peripheral catheterization, for a mean period of eight days, and the most frequent location was upper limb, followed by lower limb and head. The most frequent cause for removal of the central line was elective, due to treatment completion, and the most frequent contamination was by Staphylococcus Epidermidis. During the period of the study, a mild reduction was found, which was statistically significant (p= 0.033). Conclusions: central vascular access appears as the main pathway for management in preterm babies weighing less than 1,000 grams, with umbilical access as first choice, followed by peripheral catheterization. Approximately half of male and female babies had a central line inserted. |
