Catheter-related bloodstream infections in patients receiving central parenteral nutrition: prevalence, associated factors, and treatment
Por:
Conde Giner S, Bosó Ribelles V, Bellés Medall MD, Raga Jiménez C, Ferrando Piqueres R and Bravo José P
Publicada:
1 sep 2020
Resumen:
Background: catheter-related infection is one of the complications of central parenteral nutrition treatment with the highest morbidity and mortality.
Objectives: the primary endpoint of this study was to analyze the prevalence of bloodstream infection in patients with central parenteral nutrition. Secondary objectives included: a) an assessment of whether type of central catheter, duration of parenteral nutrition treatment, body mass index, or being admitted to the intensive care unit are factors associated with the development of bloodstream infection; b) an analysis of the therapeutic approach.
Material and methods: this was a retrospective observational study. All patients who received central parenteral nutrition after surgery between July 2018 and March 2019 were included. The association between the different variables and the development of bloodstream infection was analyzed by logistic regression.
Results: the prevalence of bloodstream infection was 7.3 % (95 % CI: 3.9-13.3) (n = 9/123 patients). The duration of central parenteral nutrition was the only variable associated with the development of bloodstream infection (OR =1.12; 95 % CI:1.05-1.20; p = 0.001).
Conclusions: the prevalence of catheter-related bloodstream infection in this study is low, and the duration of central parenteral nutrition seems to be related to its development. However, further studies are needed to identify risk factors that might help reduce this kind of complications.
Filiaciones:
:
Hospital General Universitario de Castellón
:
Hospital General Universitario de Castellón
:
Hospital General Universitario de Castellón
:
Hospital General Universitario de Castellón
:
Hospital General Universitario de Castellón
Bravo José P:
Residencia de Personas Mayores Dependientes de Burriana
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