Incidence of infection associated with central venous catheter and related risk factors in patients on total parenteral nutrition in a third level hospital

Parra-Flores, Miguel; Souza-Gallardo, Luis Manuel; García-Correa, Gabriel Adrián; Centellas-Hinojosa, Sócrates

doi:10.1016/j.circen.2017.02.007

Cited by 6 publications

(6 citation statements)

References 18 publications

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“…In addition, fungal organisms accounted for ≈12% of cases. The spectrum of isolated microorganisms was comparable to previous reports 11,33‐35 …”

Section: Discussionsupporting

confidence: 89%

“…The spectrum of isolated microorganisms was comparable to previous reports. 11,[33][34][35] Previous studies have demonstrated that PN support, especially long-term PN, is associated with increased risk of NIs and metabolic complications in critically ill patients. 8,10,32 Netto et al 8 revealed that the duration of PN is one of the most significant risk factors for NIs in cardiac surgical patients admitted to a pediatric cardiac ICU.…”

Section: Discussionmentioning

confidence: 99%

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Prolonged Parenteral Nutrition Is One of the Most Significant Risk Factors for Nosocomial Infections in Adult Patients With Intestinal Failure

et al. 2020

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Background Intestinal failure (IF) and its management are associated with an increased likelihood of infectious complications. This study aimed to evaluate the prevalence and potential risk factors for nosocomial infections (NIs) in hospitalized adult patients with IF. Methods In total, 259 eligible patients with IF admitted to a single clinical nutrition center in a tertiary referral hospital from January 1, 2012, to January 1, 2019, were retrospectively identified. NIs were defined according to the 2008 Centers for Disease Control and Prevention criteria. Univariate and multivariate analyses were performed to identify independent risk factors for NIs. Results The mean age of the study population was 47.0 ± 17.7 years, and 158 (61.0%) were men. The mean body mass index was 16.2 ± 2.9 kg/m2, and 219 (84.6%) were diagnosed with malnutrition. The prevalence of NIs was 25.5% (113 NIs in 66 patients). The most common NIs were pneumonia (14.3%), bacteremia of unknown origin (13.5%), catheter‐related bloodstream infection (5.0%), lower respiratory tract infection (5.0%), surgical site infection (3.9%), and urinary tract infection (1.9%). Multivariate analysis revealed that decreased serum albumin level (odds ratio [OR], 0.884; 95% CI, 0.883–0.978, P < .05), presence of gallbladder stones or cholestasis (OR, 3.144; 95% CI, 1.044–9.464; P < .05), and prolonged parenteral nutrition (PN) use (OR, 1.072; 95% CI, 1.039–1.105; P < .001) were independent predictors for NIs. Conclusions NIs remain prevalent in hospitalized adult patients with IF. Prolonged PN use was one of the most significant predictors for NIs.

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“…In addition, fungal organisms accounted for ≈12% of cases. The spectrum of isolated microorganisms was comparable to previous reports 11,33‐35 …”

Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Prolonged Parenteral Nutrition Is One of the Most Significant Risk Factors for Nosocomial Infections in Adult Patients With Intestinal Failure

et al. 2020

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“…In addition, the use of enteral nutrition alone may be seriously related to malnutrition and there may be some restrictions on the use of severe patients. Naomi et al reported that patients received about 59% of their daily calories only through enteral nutrition in the first 12 days in the intensive care unit [22]. In many guidelines and larger randomized trials, it is difficult for patients to fully achieve their goals by receiving enteral nutrition alone, and it takes a long time to achieve their goals [23].…”

Section: Discussionmentioning

confidence: 99%

Effects of Adipose Plasma Transfusion Compared with Normal Plasma Transfusion on Adverse Transfusion Reactions, Important Functional Indicators, and Clinical Safety in Patients with Parenteral Nutrition: Based on a Retrospective Cohort Study

Gong

Qin

Chen

et al. 2022

Evidence-Based Complementary and Alternative Medicine

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Objective. Based on a retrospective cohort study, the study aims to investigate the effects of adipose plasma transfusion compared with normal plasma transfusion on adverse transfusion reactions, important functional indicators, and clinical safety in patients with parenteral nutrition (PN). Methods. One hundred and twenty inpatients who needed PN and plasma transfusion in Xianning Central Hospital from September 1, 2021, to March 31, 2022, were enrolled as the actual application verification cases. All the patients in the group noticed the informed consent form, and the normal plasma transfusion was set as the control group (n = 40), and the fat plasma transfusion was set as the study group. Mild adipose plasma transfusion was adopted in study group ① and moderate adipose plasma transfusion was used in study group ②, 40 cases in each group. The blood routine tests, blood lipids, blood coagulation, liver function tests, and the incidence of adverse reactions of blood transfusion were compared. Results. The comparison results of platelet count, red blood cell count, hemoglobin, and hematocrit among the three groups are as follows: study group ②> study group ①> control group ( P < 0.05 ).The levels of blood lipids in the three groups, triglyceride, total cholesterol, high density lipoprotein, and low density lipoprotein were compared in group ②>group ①>control group ( P < 0.05 ).The liver function tests indexes of the three groups were compared: ALT, AST, LDH: study ②<study ①<control group; ALP: study ②>study ①>control group. Regarding the incidence of adverse transfusion reactions, the incidence of adverse transfusion reactions in the study group was lower than in the control group ( P < 0.05 ). Conclusion. Compared with normal plasma transfusion, the inpatients who need PN and plasma transfusion can effectively use the scrapped mild and moderate fatty plasma and reduce the plasma scrap rate. In the meantime, it has little effect on the function of the important indexes of the patients, and the incidence of adverse reactions of blood transfusion is low and the safety is high. Infusion of adipose plasma can also improve the effective individual and rational utilization of blood products. Trial registration: This trial is registered with chiCTR220005918.

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“…Em um estudo realizado em um hospital municipal de Teresina sobre a avaliação de 313 prescrições de NP, ocorrência do uso dessa terapia foi também prevalente na clínica cirúrgica (60,61%; n= 83), a NPT foi prescrita em 87,86% da amostra e apenas 8,7% utilizaram a NP por mais de 15 dias 15 . De forma semelhante, Parra-Flores et al 16 verificaram ausência de infecção em 81% (n=69) dos participantes e um período aproximadamente de 34 dias com acesso venoso central sem essa intercorrência.…”

Section: Discussionunclassified

Complicações e desfechos clínicos de pacientes em uso de nutrição parenteral em um hospital público do Distrito Federal

Granjeiro¹,

Borges²,

Fortes³

2020

Braspen J

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Introduction: Parenteral nutrition has become an effective alternative for caloric-protein supply in hospitalized patients. The objective of this study is to evaluate the use, complications and clinical outcomes of patients using parenteral nutrition. Methods: Analytical, quantitative, longitudinal, retrospective study with patients admitted to a public hospital. The variables analyzed were: sex, age, presence of malnutrition, nutritional risk, achievement of nutritional goals, reason for indication, type of access, time of use, present complications and deaths. Results: The sample consisted of 62 patients aged 55.1±17.95 years old. Total parenteral nutrition was found more frequently (61%; n=38) and used within 30 days (74%; n=28). As indicated, the postoperative period was prevalent in 45.2% (n=28) of the cases. Nutritional risk (58.1%, n=36) and malnutrition (40.3%; n=25) were prevalent. Hyperglycemia (50%; n=31) and water retention (48.4%; n=30) were the most frequent complications. The presence of water retention increased the chances of death by 3.75 times (OR=3.75; 95%IC 1.25-11.24; p=0.018). Conclusion: The indication of parenteral nutrition was prevalent in postoperative situations, in patients with nutritional risk and malnutrition. Hyperglycemia was the most observed complication and the presence of water retention associated with a higher risk of mortality when using this therapy.

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Incidence of infection associated with central venous catheter and related risk factors in patients on total parenteral nutrition in a third level hospital

Cited by 6 publications

References 18 publications

Prolonged Parenteral Nutrition Is One of the Most Significant Risk Factors for Nosocomial Infections in Adult Patients With Intestinal Failure

Prolonged Parenteral Nutrition Is One of the Most Significant Risk Factors for Nosocomial Infections in Adult Patients With Intestinal Failure

Effects of Adipose Plasma Transfusion Compared with Normal Plasma Transfusion on Adverse Transfusion Reactions, Important Functional Indicators, and Clinical Safety in Patients with Parenteral Nutrition: Based on a Retrospective Cohort Study

Complicações e desfechos clínicos de pacientes em uso de nutrição parenteral em um hospital público do Distrito Federal

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