Abstract

AGUERO LOPEZ, Nathalia Soledad  and  MEZA TORRES, Giselle Elizabeth. Central venous catheter-associated infections in patients admitted to the pediatric service of the Central Hospital of the Social Security Institute from April 2020 to April 2021. Rev. cient. cienc. salud [online]. 2021, vol.3, n.2, pp.78-84. ISSN 2664-2891.  https://doi.org/10.53732/rccsalud/03.02.2021.78.

Introduction: Central venous catheters (CVC) are very useful for the diagnosis and use of treatment in various diseases, infections associated with it are one of the most frequent complications. Objective: To describe the characteristics of the infections associated with the use of a CVC in the pediatric service of the Central Hospital of the Social Security Institute from April 2020 to April 2021. Methodology: Observational, descriptive, retrospective cross-sectional study in patients from the pediatric service of the IPS Central Hospital who required the placement of a central venous catheter during the period from April 2020 to April 2021. The variables analyzed were age, sex, comorbidities, insertion site, interval of time, isolated germs. SPSS v.23 was used for data analysis, using descriptive statistics. Results: 198 patients with CVC were included with a mean age of 64.3 ± 58.8 months, 53% male (n = 105), 41.4% with surgical pathologies (n = 82), 26. 8% hematological (n = 53), infectious 21.7% (n = 43). The frequency of associated associates was 16.2% (n = 32), the mean time for infections was 11.5 ± 3.3 days, the germs most frequently associated were negative-coagulase Staphylococcus (n = 9) and Klebsiella pneumoniae (n = 6). 12% (4/32) of the patients presented concomitant bacteremia with isolation in blood cultures of the same germs that were found in the central venous catheter, which were Staphylococcus aureus more frequently. Conclusion: The frequency of infections associated with CVC occurs in around a quarter of the population studied. The most frequently responsible germ was negative-coagulase Staphylococcus.

Keywords : patients; infections; central venous catheter.

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