Risk factors for catheter-associated bloodstream infections in Pediatric Intensive Care Unit (PICU) of Instituto Nacional de Salud del Niño

Authors

  • Christian Aburto Torres Instituto Nacional de Salud del Niño. Lima, Perú
  • José Tantaleán Da Fieno Instituto Nacional de Salud del Niño. Lima, Perú
  • Graciela Nakachi Instituto Nacional de Salud del Niño. Lima, Perú
  • Jaime Tasayco Instituto Nacional de Salud del Niño. Lima, Perú
  • Rosario Becerra Instituto Nacional de Salud del Niño. Lima, Perú
  • Rosa León Instituto Nacional de Salud del Niño. Lima, Perú
  • Alejandro Santos Instituto Nacional de Salud del Niño. Lima, Perú
  • María Acosta Instituto Nacional de Salud del Niño. Lima, Perú

DOI:

https://doi.org/10.61651/rped.2009v62n2p56-61

Keywords:

Catheter-Related Infections, Intensive Care Units, Pediatric, Central Venous Catheters

Abstract

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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Published

2009-12-31

How to Cite

1.
Aburto Torres C, Tantaleán Da Fieno J, Nakachi G, Tasayco J, Becerra R, León R, et al. Risk factors for catheter-associated bloodstream infections in Pediatric Intensive Care Unit (PICU) of Instituto Nacional de Salud del Niño. Rev Peru Pediatr [Internet]. 2009 Dec. 31 [cited 2024 Nov. 23];62(2):56-61. Available from: https://pediatria.pe/index.php/pedperu/article/view/370

Issue

Vol. 62 Num. 2 (2009)

Section

ORIGINAL ARTICLE

Categories

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