Risk factors for catheter-associated bloodstream infections in Pediatric Intensive Care Unit (PICU) of Instituto Nacional de Salud del Niño
DOI:
https://doi.org/10.61651/rped.2009v62n2p56-61Keywords:
Catheter-Related Infections, Intensive Care Units, Pediatric, Central Venous CathetersAbstract
Objective: To determine the risk factors for catheter - associated bloodstream infection in Pediatric Intensive Care Unit (PICU) of Instituto Nacional de Salud del Niño.
Material and Methods: Design: Prospective cohort study at the PICU of Instituto Nacional de Salud del Niño (Lima - Peru). Patients: PICU patients admitted between June 1, 2007, and May 31,2008. Interventions: None. Outcome measures: Catether - Associated Bloodstream Infections (CABSI) developed from PICU admission until 48 hours after PICU discharge.
Results: Of 183 patients, 99 (54%) were male and 84 (46%) were female. The rate of CABSI was 14.03 infections per 1,000 catheter days. There were 24 cases of CABSI. Coagulase-negative Staphylococcus was the leading cause of CABSI (n = 8), followed by Candida albicans ( n = 7). In logistic regression analysis, patients with CABSI were more likely to have multiple central vascular catheter (p: 0.030; RR: 3.2; 95% confidence interval: 1.1 - 9.2 ) and be male ( p: 0.013; RR: 3.1; 95% confidence interval: 1.3 - 7.7).
Conclusions: This study identified a high rate of CABSI. Male sex and multiple CVC (>1) were risk factors for Catheter-Associated Bloodstream Infections (CABSIs). A prospective study with more number of patients is needed to identify other risk factors.
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