| Bloodstream infections among patients using central venous catheters in intensive care units. | |
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MedLine Citation:
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PMID: 17653429 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Central Venous Catheters (CVC), widely used in Intensive Care Units (ICU) are important sources of bloodstream infections (BSI). This prospective cohort epidemiological analytical study, aimed to infer the incidence of BSI, the risk factors associated and evaluate the care actions related to the use of these catheters in seven ICU in the Federal District--Brasília, Brazil. From the 630 patients using CVC, 6.4% developed BSI (1.5% directly related to the catheter and 4.9% clinic BSI). The hospitalization term was 3.5 times greater among these patients. Different modalities of catheter insertion and antiseptic substances use were observed. Time of CVC permanence was significantly associated to infection incidence (p<1x10(-8)) as well as the right subclavian access and double-lumen catheters. Patients with neurological disorders and those submitted to tracheotomy were the most affected. We suggest the organization of a "catheter group" aiming to standardize procedures related to the use of catheters in order to reduce the hospitalization term and hospital costs. |
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Authors:
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Eni Rosa Aires Borba Mesiano; Edgar Merchán-Hamann |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Revista latino-americana de enfermagem Volume: 15 ISSN: 0104-1169 ISO Abbreviation: Rev Lat Am Enfermagem Publication Date: 2007 May-Jun |
Date Detail:
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Created Date: 2007-07-26 Completed Date: 2008-01-25 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9420934 Medline TA: Rev Lat Am Enfermagem Country: Brazil |
Other Details:
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Languages: eng Pagination: 453-9 Citation Subset: N |
Affiliation:
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Health Sciences University of Brasília, Health Sciences School, Collective Health Department, Brazil. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Blood-Borne Pathogens* Catheterization, Central Venous / adverse effects* Cross Infection / epidemiology*, etiology* Female Humans Intensive Care Units* Male Middle Aged Prospective Studies |
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