Fatores de risco para infecção de corrente sanguínea associada ao cateter central de inserção periférica em neonatos

Fatores de risco para infecção de corrente sanguínea associada ao cateter central de inserção periférica em neonatos

Alternative title Risk factors for bloodstream infection associated with peripherally inserted central catheters in neonates
Author Costa, Priscila Autor UNIFESP Google Scholar
Paiva, Eny Dorea Google Scholar
Kimura, Amelia Fumiko Autor UNIFESP Google Scholar
de Castro, Talita Elci Google Scholar
Abstract Objective: To identify the risk factors for bloodstream infection associated with peripherally inserted central catheters in neonates. Methods: A prospective cohort study conducted in the neonatal intensive care unit with newborns undergoing insertion of 401 peripherally inserted central catheters. Clinical characteristics of the newborn, catheter insertion technique, intravenous therapy and catheter dwell time were tested as risk factors for removal due to catheter associated bloodstream infection, using bivariate analysis and multivariate analysis with Poisson regression. Results: The data suggest that the lowest mean in weight and corrected gestational age, as well as the largest catheter dwell time time were associated with the occurrence of bloodstream infection associated with the catheters. The corrected gestational age, clinical diagnosis of transitional metabolic disorder or apnea, and the use of two- lumen catheters have been identified as risk factors. Conclusion: The lowest correct gestational age of the newborn, the clinical diagnosis of metabolic disorder or apnea, and the use of two- lumen catheters were identified as risk factors for bloodstream infection associated with peripherally inserted central catheters in neonates.
Keywords Neonatal nursing
Infant
newborn
Catheterization
central venous
Risk factors
Enfermagem neonatal
Recém-nascido
Cateterismo venoso central
Fatores de risco
xmlui.dri2xhtml.METS-1.0.item-coverage Sao Paulo
Language English
Sponsor Conselho Nacional de Desenvolvimento Científico e Tecnológico CNPQ (National Council for Scientific and Technological Development)
Grant number CNPq : 14/2012
CNPq: 480398 / 2012-7
Date 2016
Published in Acta Paulista De Enfermagem. Sao Paulo, v. 29, n. 2, p. 161-168, 2016.
ISSN 0103-2100 (Sherpa/Romeo, impact factor)
Publisher Univ Fed Sao Paulo, Dept Enfermagen
Extent 161-168
Origin http://dx.doi.org/10.1590/1982-0194201600023
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000389765800006
SciELO ID S0103-21002016000200161 (statistics in SciELO)
URI https://repositorio.unifesp.br/handle/11600/57804

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