SciELO - Scientific Electronic Library Online

 
vol.15 número6Population exposure to mercury in the municipality of San Marcos (Sucre department) due to eating contaminated rice (Oryza sativa)HIV/AIDS prevalence in Medellin and presumptive test diagnostic accuracy (2006-2012) índice de autoresíndice de assuntospesquisa de artigos
Home Pagelista alfabética de periódicos  

Serviços Personalizados

Journal

Artigo

Indicadores

Links relacionados

  • Em processo de indexaçãoCitado por Google
  • Não possue artigos similaresSimilares em SciELO
  • Em processo de indexaçãoSimilares em Google

Compartilhar


Revista de Salud Pública

versão impressa ISSN 0124-0064

Resumo

MIGUELENA, Dayra; PARDO, Rosalba  e  MORON-DUARTE, Lina S.. Central venous catheter-related complications in critically ill children. Rev. salud pública [online]. 2013, vol.15, n.6, pp.886-898. ISSN 0124-0064.

Objective Placing central venous catheters is essential when managing critically ill children. This paper was thus aimed at identifying the major complications involved in this and determining the incidence of mechanical and infection-related complications associated with central venous catheterization in critically ill children. Material and Methods A descriptive study was undertaken between October 2011 and March 2012 of all new central venous catheters inserted in critically ill children. The definition of central venous catheter infection was based on CDC criteria. Results During the study period 200 central venous catheters were placed, 51 % in male patients, mostly infants; 71 % required mechanical ventilation and 56.5 % medication for hemodynamic support. Respiratory tract infections were the leading diagnosis on admission in 33 % of the cases. Complications were reported in 8.5 % of the children (52 % of these being due to mechanical complication and 48 % to infection). Mechanical complication incidence was 4.5% and eight central venous catheters fulfilled CDC criteria for central line associated blood stream infection (4 % incidence, i.e. 5 per 1,000 catheter/day rate). Conclusions Despite some complications arising from its use, central venous catheter placement is a safe procedure. Mechanical and infection incidence associated with central venous catheter placement should be known, not only because it differs from that regarding adult patients but also because this can help to establish preventative measures for reducing such complications and improving the care of critically ill children.

Palavras-chave : Cateterismo venoso central; enfermedad crítica; niño; infecciones relacionadas con catéteres; Catheterization; central venous catheter; critical illness; child; catheter-related infection.

        · resumo em Espanhol     · texto em Espanhol     · Espanhol ( pdf )