[Catheter-related bloodstream infections in patients receiving central parenteral nutrition: prevalence, associated factors, and treatment]
| Autor: | Patricia Bravo José, María Dolores Bellés Medall, Virginia Bosó Ribelles, Silvia Conde Giner, Raúl Ferrando Piqueres, Celia Raga Jiménez |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
medicine.medical_specialty Parenteral Nutrition Catheters Adolescent Central catheter Medicine (miscellaneous) Body Mass Index Catheterization Young Adult Risk Factors Bloodstream infection Sepsis medicine Prevalence Humans In patient Child Aged Retrospective Studies Gynecology Aged 80 and over Nutrition and Dietetics business.industry Middle Aged Catheter Parenteral nutrition Catheter-Related Infections Child Preschool business |
| Zdroj: | Nutricion hospitalaria. 37(5) |
| ISSN: | 1699-5198 |
| Popis: | espanolIntroduccion: la infeccion relacionada con el cateter es una de las complicaciones del tratamiento con nutricion parenteral central (NPC) que generan una mayor morbimortalidad. Objetivos: el objetivo principal fue analizar la prevalencia de la bacteriemia asociada al cateter en pacientes con nutricion parenteral central. Los objetivos secundarios fueron: a) evaluar si el tipo de cateter central, la duracion de la nutricion parenteral central, el indice de masa corporal o la estancia en la unidad de cuidados intensivos son factores asociados al desarrollo de bacteriemia; b) analizar el manejo terapeutico de la infeccion. Material y metodos: se trata de un estudio observacional retrospectivo. Se incluyeron los pacientes que recibieron nutricion parenteral central tras una intervencion quirurgica entre julio de 2018 y marzo de 2019. La asociacion de las variables con el desarrollo de la bacteriemia se analizo mediante regresion logistica. Resultados: el 7,3 % (IC 95 %: 3,9-13,3) (n = 9/123) de los pacientes desarrollaron bacteriemia relacionada con el cateter. El unico factor asociado al desarrollo de la infeccion fue la duracion de la nutricion parenteral central (OR = 1,12; IC 95 %: 1,05-1,20; p = 0,001). Conclusiones: la prevalencia de la bacteriemia relacionada con el cateter en este estudio es baja. La duracion del tratamiento con nutricion parenteral central parece estar relacionada con el desarrollo de la bacteriemia. Sin embargo, se necesitan mas estudios para identificar factores de riesgo que permitan minimizar este tipo de complicaciones. EnglishBackground: catheter-related infection is one of the complications of central parenteral nutrition treatment with the highest morbidity and mortality. Objectives: the primary endpoint of this study was to analyze the prevalence of bloodstream infection in patients with central parenteral nutrition. Secondary objectives included: a) an assessment of whether type of central catheter, duration of parenteral nutrition treatment, body mass index, or being admitted to the intensive care unit are factors associated with the development of bloodstream infection; b) an analysis of the therapeutic approach. Material and methods: this was a retrospective observational study. All patients who received central parenteral nutrition after surgery between July 2018 and March 2019 were included. The association between the different variables and the development of bloodstream infection was analyzed by logistic regression. Results: the prevalence of bloodstream infection was 7.3 % (95 % CI: 3.9-13.3) (n = 9/123 patients). The duration of central parenteral nutrition was the only variable associated with the development of bloodstream infection (OR = 1.12; 95 % CI:1.05-1.20; p = 0.001). Conclusions: the prevalence of catheter-related bloodstream infection in this study is low, and the duration of central parenteral nutrition seems to be related to its development. However, further studies are needed to identify risk factors that might help reduce this kind of complications. |
| Databáze: | OpenAIRE |
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