Los días de exposición a nutrición parenteral aumentan el riesgo de bacteriemia asociada a catéter venoso central

Vergara, Teresa Delgado; Véliz, Elena; Fíca, Alberto

doi:10.4067/s0716-10182016000600001

Cited by 5 publications

(4 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Exposition to TPN increases the risk to CRBSI in adult patients with CVC and this risk raise with exposition time [ 51 ]. Not surprisingly, our study showed that immunosuppression was an independent risk factor of SSI (OR = 2.87).…”

Section: Discussionmentioning

confidence: 99%

Risk factors of central catheter bloodstream infections in intensive care units: A systematic review and meta-analysis

Huang,

Chang,

Zhou

et al. 2024

PLoS ONE

View full text Add to dashboard Cite

Background Central catheter bloodstream infections (CRBSI) is a major cause of healthcare-associated infections. However, few factors are generally accepted and some studies have conflicting finding about some factors, possibly caused by limitation associated with an individual study. This study was to identify risk factors for CRBSI in intensive care units. Methods We searched the PubMed, Cochrane Library, Web of science and EMBASE databases and the 4 top Chinese-language databases, including WanFang data, China National Knowledge Infrastructure (CNKI), and Chinese Science and Technology Journal Database (VIP), China Biology Medicine disc (CBM) as of July 2023. Case control and cohort studies were included. Two authors independently screened the literature and evaluated the quality of the studies using the Newcastle-Ottawa scale (NOS). The pooled effect size was estimated using the odds ratio (OR), and the corresponding 95% confidence interval (CI) was calculated. The Cochrane Q (χ2) and I2 tests were used to assess heterogeneity among studies, and each risk factor was tested for its robustness using fixed- or random-effects models. Findings A total of 32 studies enrolled, among which eleven factors were identified, they were divided into two categories: modifiable and unmodifiable factors. Modifiable factors: duration of catheterization (≥ 5d) (OR: 2.07, 95%CI: 1.41–3.03), duration of catheterization (≥ 7d) (OR: 3.62, 95%CI: 2.65–4.97), duration of catheterization (≥ 14d)(OR: 4.85, 95%CI: 3.35–7.01), total parenteral nutrition (OR: 2.27,95%CI: 1.56–3.29), use of multiple-lumen catheters(OR: 3.41, 95%CI: 2.27–5.11), times of tube indwelling (OR: 3.50, 95%CI: 2.93–4.17), length of ICU stay (OR: 4.05, 95%CI: 2.41–6.80), the position of indwelling(OR: 2.41, 95%CI: 2.03–2.85); Unmodifiable factors: APACHEII scores (OR: 1.84, 95%CI: 1.54–2.20), Age≥ 60 years old (OR: 2.19, 95%CI: 1.76–2.73), the extensive use of antibiotic (OR: 3.54, 95%CI: 1.65–7.61), Diabetes mellitus (OR: 3.06, 95%CI: 2.56–3.66), Immunosuppression (OR: 2.87, 95%CI: 2.08–3.95). Conclusions Effective interventions targeting the above modifiable factors may reduce the risk of developing CRBSI in ICU and improve the clinical outcome of patients. Further prospective studies are needed to confirm these findings.

show abstract

Section: Discussionmentioning

confidence: 99%

Risk factors of central catheter bloodstream infections in intensive care units: A systematic review and meta-analysis

Huang,

Chang,

Zhou

et al. 2024

PLoS ONE

View full text Add to dashboard Cite

show abstract

“…The fourth procedure was the administration or changing of the total parenteral nutrition (TPN) bag and line. Total parenteral nutrition is high in lipids and carries a great infection risk 30,31 if the procedure is not conducted aseptically.…”

Section: Before Clean or Aseptic Proceduresmentioning

confidence: 99%

“…Studies 30,31,32 have shown that the incidence of bloodstream infections is high in patients on TPN, which warrants that each instance of commencing, changing or terminating the TPN be performed with strict adherence to the aseptic principles. In general, the management of intravenous lines was often associated with the absence of hand hygiene.…”

Section: Before Clean or Aseptic Proceduresmentioning

confidence: 99%

Evaluation of compliance to the World Health Organization’s five moments of hand hygiene: Cross-sectional observation of healthcare professionals

Bale

Ramukumba

Mudau

2021

Southern African Journal of Infectious Diseases

View full text Add to dashboard Cite

Background: Human hands are home to thousands of microorganisms, which may be transmitted to surfaces that the hands come into contact with. When in contact with people who are ailing or have weakened immune systems, some of these microorganisms can cause infections and disease. Correct hand hygiene goes a long way in eradicating these potentially infective microorganisms and forms the cornerstone of infection prevention and control (IPC) within healthcare facilities and beyond. The healthcare industry is constantly challenged by healthcare-associated infections (HAIs) and their negative effects on patient safety and clinical outcomes. Hospitals in Pretoria are facing similar challenges posed by HAIs and there is no report available on compliance of healthcare professionals (HCPs) to the World Health Organization’s (WHO) ‘five moments of hand hygiene’. Healthcare professional’s compliance to all of the five moments of hand hygiene, particularly within the patient zone, is crucial in mitigating and reducing the spread of contact-based infections in the healthcare setting.Methods: A quantitative longitudinal design was used in a covert direct observation of HCP compliance to the WHO’s five moments of hand hygiene. The observations were conducted over 4 weeks in three hospitals, covering 25 wards, inclusive of four adult critical care units using the WHO’s ‘five moments of hand hygiene’ observation form.Results: A total of 1906 hand hygiene opportunities were directly observed in three hospitals. Hand hygiene compliance was 17.26% (n = 329). Allied health professionals had higher compliance (23.02%) than medical (19.26%) and nursing professionals (15.76%). The moment before patient contact had the lowest compliance (8.21%) as compared with all other moments.Conclusions: In general, HCPs had low compliance to the five moments of hand hygiene within the patient zone. Allied health professionals had higher compliance than medical and nursing professionals. Compliance in public hospitals was lower than in private hospitals. Critical care units had higher compliance compared to general wards. Healthcare professionals better complied to the moments meant for their safety as compared to those indicated for patient safety.

show abstract

“…Otro factor es la colocación en la vena yugular, por la cercanía a la posible contaminación con secreciones proveniente de la tráquea durante las aspiraciones rutinarias y a que es más difícil su fijación por ser un área de difícil inmovilización (27). Un estudio determinó que la nutrición parenteral con una duración mayor a 14 días puede llegar a incrementar hasta cinco veces el riesgo de adquirir una ITS/CVC (28).…”

Section: Introducción Y Justificaciónunclassified

Factores de riesgo para complicaciones de la inserción de catéter venoso central en el servicio de emergencia. Hospital Nacional Arzobispo Loayza, 2020-2021

Loli¹

View full text Add to dashboard Cite

Objetivos del estudio: determinar los factores de riesgo para complicaciones de la inserción de catéter venoso central en el servicio de emergencia del Hospital Nacional Arzobispo Loayza, 2020-2021. Metodología: Investigación observacional, analítico de casos y controles, retrospectivo, que incluirá a pacientes en quienes se realizó inserción de catéter venoso central (CVC) en el servicio de la instrucción y periodo mencionado. Se estudiarán como variable independiente, factores de riesgo y variable dependiente, presencia de complicaciones. El análisis se realizará con la prueba Chi Cuadrado, además de calcular el Odds Ratio (OR), con significancia del 5%.

show abstract

Los días de exposición a nutrición parenteral aumentan el riesgo de bacteriemia asociada a catéter venoso central

Cited by 5 publications

References 8 publications

Risk factors of central catheter bloodstream infections in intensive care units: A systematic review and meta-analysis

Risk factors of central catheter bloodstream infections in intensive care units: A systematic review and meta-analysis

Evaluation of compliance to the World Health Organization’s five moments of hand hygiene: Cross-sectional observation of healthcare professionals

Factores de riesgo para complicaciones de la inserción de catéter venoso central en el servicio de emergencia. Hospital Nacional Arzobispo Loayza, 2020-2021

Contact Info

Product

Resources

About