Bacteriemia relacionada con catéter venoso central: incidencia y factores de riesgo en un hospital del occidente de México

Lona-Reyes, Juan Carlos; López-Barragán, Brenda; Rosa, Alfredo De; Pérez-Molina, J. Jesús; Ascencio-Esparza, Elba Patricia

doi:10.1016/j.bmhimx.2015.09.011

Cited by 4 publications

(5 citation statements)

References 29 publications

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“…Así, se observa el predominio S. aureus Meticilino resistente (SAMR) y de E. faecalis. Asimismo en un estudio de cohorte prospectivo en un hospital de concentración del occidente de México, los microorganismos identificados fueron cocos Gram positivos (37.5%, n = 6), bacilos Gram negativos (37.5%, n = 6) y Candida albicans (25%, n = 4) (Lona, López, Barragána, Pérez & Ascencio, 2016).…”

Section: Discussionunclassified

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Infecciones asociadas a procedimientos invasivos. Hospital de alta complejidad. Paraguay en eñ 2015

Garay¹

2017

rcei

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Health care associated infections (HCAI) prolong hospital stay, increase mortality and costs. The objectives of the study were: to determine the characteristics of the patients, incidence rate and the microorganisms isolated in the HCAI associated to devices. A descriptive, retrospective study of patients admitted from January to December 2015 to the Adult Intensive Care Unit (ICU) with a central venous catheter (CVC); invasive mechanical ventilation (MV), and permanent urinary catheter (CUP).Data were extracted from the risk factor sheet and the HCAI notification sheet used for surveillance. 529 patients were included with exposure to invasive devices. The rate of ventilator-associated pneumonia (VAN) was 15.9 / 1000 days of MV, the rate of central venous catheter-associated bloodstream (STI / CVC) infection was 9.2 / 1000 days CVC And the urinary tract infection rate associated with permanent urinary catheter (UTI / CUP) was 4.5/1000 days CUP. The most frequent microorganisms were: NAVM, A. baumannii complex 10/31 (32%), P. aeruginosa 8/31 (26%), K pneumoniae 5/31 (16%). In ITS / CVC S. aureus 7/28 (25%), K. pneumoniae 5/28 (18%), E. faecalis 5/28 (18%), and in ITU/CUP predominance of Candida sp. 4/13 31%), Candida tropicalis, 3/13 (23%), A. baumannii 2/13 (15%). 80% of Enterococcus spp were resistant to Vancomycin, 42% of Staphylococcus spp were methicillin resistant, 70% of Acinetobacter spp, 33% of P. aeruginosa and were multiresistant. Carbapenemase produced 33% of K. pneumoniae. High resistance has been observed for which the implementation of preventive measures is fundamental.

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Section: Discussionunclassified

“…Los índices de incidencia nacional de IAAS reportados en centros de referencia oscilan entre 8 -24/1000 días-paciente (Pérez, 2016). La prevalencia de IAAS en el Paraguay reportados en centros de referencia oscila entre 11 -30%.…”

Section: Introductionunclassified

Infecciones asociadas a procedimientos invasivos. Hospital de alta complejidad. Paraguay en eñ 2015

Garay¹

2017

rcei

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“…A recent study suggested biofilms were responsible for 65% of nosocomial infections in this country [ 20 ]. As an example, in 2016, 204 patients with a CVC (Central Venous Catheter) between 4 and 6 years under critical condition were monitored after placing this device in the intensive care area for seven days, taking two blood cultures daily (one through this catheter and another through the peripheral vein) [ 21 ]. The cultures were analyzed using a MicroSan autoSCAN-4 System, revealing the presence of microorganisms in the blood cultures of 24 patients, of which nine were not related to the catheters and 15 were related to colonized catheters.…”

Section: Relevance Of Biofilms In the Biomedical Fieldmentioning

confidence: 99%

“…were found in the cultures. The researchers concluded that the contamination had an external origin and was not caused by commensal germs on the skin [ 21 ].…”

Section: Relevance Of Biofilms In the Biomedical Fieldmentioning

confidence: 99%

Advances in Material Modification with Smart Functional Polymers for Combating Biofilms in Biomedical Applications

Mejía-Manzano,

Vázquez-Villegas,

Prado-Cervantes

et al. 2023

Polymers

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Biofilms as living microorganism communities are found anywhere, and for the healthcare sector, these constitute a threat and allied mechanism for health-associated or nosocomial infections. This review states the basis of biofilms and their formation. It focuses on their relevance for the biomedical sector, generalities, and the major advances in modified or new synthesized materials to prevent or control biofilm formation in biomedicine. Biofilm is conceptualized as an aggregate of cells highly communicated in an extracellular matrix, which the formation obeys to molecular and genetic basis. The biofilm offers protection to microorganisms from unfavorable environmental conditions. The most frequent genera of microorganisms forming biofilms and reported in infections are Staphylococcus spp., Escherichia spp., and Candida spp. in implants, heart valves, catheters, medical devices, and prostheses. During the last decade, biofilms have been most commonly related to health-associated infections and deaths in Europe, the United States, and Mexico. Smart, functional polymers are materials capable of responding to diverse stimuli. These represent a strategy to fight against biofilms through the modification or synthesis of new materials. Polypropylene and poly-N-isopropyl acrylamide were used enough in the literature analysis performed. Even smart polymers serve as delivery systems for other substances, such as antibiotics, for biofilm control.

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“…Un ejemplo de esto es la higiene de manos 11 , uso de apósito estéril transparente 12 , programas de educación establecidos en correcta instalación y mantenimiento de acceso vasculares [13][14] , uso de clorhexidina como antiséptico para la preparación de la piel [15][16][17] , uso de la barrera máxima durante la inserción y mantenimiento [18][19][20][21][22][23][24][25] , así como uso de listas de verificación (check-list) de procedimientos 26 .…”

Section: Introductionunclassified

Uso de kits desechables para optimizar tiempos, movimientos y apego a protocolos de la terapia intravenosa

Zamudio

Chávez

2017

Rev Cuid

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Introducción: En México un 95% de los pacientes hospitalizados requerirán un acceso vascular y terapia intravenosa; sin embargo, el uso de intervenciones estandarizadas favorece a la prevención y reducción de infecciones asociadas a catéter vascular. El objetivo es demostrar el beneficio al implementar el uso de kits desechables en procedimientos de terapia intravenosa en comparación con el método tradicional en instituciones de salud en México. Materiales y Métodos: Estudio prospectivo cuasiexperimental. Se comparó el apego al uso de barrera máxima estéril, tiempos y movimientos en la recolección del material hasta la realización del procedimiento en 278 pacientes utilizando kits desechables y 322 pacientes con el procedimiento tradicional en 7 instituciones de salud de segundo nivel en México. Resultados: El uso de kits desechables presentan los siguientes beneficios: aumento del uso de máximas barreras durante los procedimientos, reducción de tiempos y movimientos del personal de salud. Existe diferencia significativa con el uso de kits desechables (p<0.001). Discusión: El uso de kits desechables favorece a la estandarización y apego del uso de barrera máxima; lo anterior incrementa la adherencia a normatividad y protocolos institucionales. Conclusiones: El uso de un kit desechable como intervención; optimiza tiempo y favorece la estandarización, apego a las estrategias nacionales e internacionales en materia de prevención de infecciones asociadas a cateterismo vascular.Cómo citar este artículo: Escamilla JJ, Ramírez GI. Uso de kits desechables para optimizar tiempos, movimientos y apego a protocolos de la terapia intravenosa. Rev Cuid. 2017; 8(3): 1749-57. http://dx.doi.org/10.15649/cuidarte.v8i3.412

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Bacteriemia relacionada con catéter venoso central: incidencia y factores de riesgo en un hospital del occidente de México

Cited by 4 publications

References 29 publications

Infecciones asociadas a procedimientos invasivos. Hospital de alta complejidad. Paraguay en eñ 2015

Infecciones asociadas a procedimientos invasivos. Hospital de alta complejidad. Paraguay en eñ 2015

Advances in Material Modification with Smart Functional Polymers for Combating Biofilms in Biomedical Applications

Uso de kits desechables para optimizar tiempos, movimientos y apego a protocolos de la terapia intravenosa

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