Avaliação da mortalidade de neonatos e crianças relacionada ao uso do cateter venoso central: revisão sistemática

Abstract

Objective: To analyze mortality related to infections in the use of central venous catheters in newborns and hospitalized children. Methods: This was a systematic review, using studies that were identified in the databases of MEDLINE, EMBASE, Lilacs, CINAHL, SciELO and Cochrane, in bibliographical references of articles, and other reviews. Two reviewers independently identified relevant studies, analyzed the methodological quality, and subsequently, extracted data. Results: We encountered 1,000 articles, of which 16 were related to catheter infection and only two mentioned mortality. Findings of these two studies verified that sepsis was the principal complication related to the use of central venous catheters, and the most prevalent microorganisms in these infections were Candida sp. and Enterococcus sp., with significant impact on neonatal and child mortality. Conclusion: It was observed in this review that sepsis was most prevalent complication related to central catheters. Keywords: Mortality, catheter-related infections; Literature review as a subject RESUMOObjetivo: Avaliar a mortalidade relacionada às infecções no uso de cateter venoso central em recém-nascidos e crianças hospitalizadas. Métodos: Trata-se de uma revisão sistemática, cujos estudos foram identificados nas bases de dados Medline, Embase, Lilacs, Cinahl, SciELO e Cochrane, em referências bibliográficas de artigos e outras revisões. Dois revisores independentes identificaram os estudos relevantes, analisaram a qualidade metodológica e, posteriormente, os dados foram extraídos. Resultados: Foram encontrados 1.000 artigos, dos quais 16 se relacionavam à infecção de cateter e só dois mencionaram mortalidade. Dos estudos achados, verificou-se que a sepse primária foi a principal complicação relacionada ao uso de cateter venoso central, e sendo os micro-organismos mais prevalentes nestas infecções a Candida sp e Enterococcus sp com impacto significante para a mortalidade em neonatos e crianças. Conclusão: Observou-se nesta revisão que a sepse primária foi a complicação mais prevalente relacionada ao cateter central. Descritores: Mortalidade; Infecções relacionadas a cateter; Literatura de revisão como assunto RESUMEN Objetivo: Evaluar la mortalidad relacionada a las infecciones en el uso del cateter venoso central en recién nacidos y niños hospitalizados. Mé-todos: Se trata de una revisión sistemática, cuyos estudios fueron identificados en las bases de datos Medline, Embase, Lilacs, Cinahl, SciELO y Cochrane, en referencias bibliográficas de artículos y otras revisiones. Dos revisores independientes identificaron los estudios relevantes, analizaron la calidad metodológica y, posteriormente, los datos fueron extraidos. Resultados: Se encontraron 1.000 artículos, de los cuales 16 se relacionaban a la infección del cateter y sólo dos mencionaron mortalidad. De los estudios encontrados, se verificó que la sepsis primaria fue la principal complicación relacionada al uso del cateter venoso central, y siendo los microorganismos más prevalentes en...

Complications in adolescent pregnancy: systematic review of the literature

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