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Multimed

versión On-line ISSN 1028-4818

Resumen

CAMEJO SERRANO., Yanet de los Ángeles et al. Prognostic factors for death in patients with central venous catheter-associated bacteraemia. Multimed [online]. 2020, vol.24, n.5, pp.1126-1139.  Epub 17-Sep-2020. ISSN 1028-4818.

Introduction:

pediatric patients hospitalized in intensive care units (ICU) have a high risk of acquiring infections associated with their own health care.

Objective:

to identify the prognostic factors of Bacteremia associated with the use of a central venous catheter.

Methods:

a prospective analytical observational study was carried out in patients admitted to the Intensive Care Unit of the Hospital Provincial Pediátrico Docente General Milanés de Bayamo, Granma, in the period 2017-2019.

Results:

in the univariate analysis, factors influencing death were found, with statistical significance and in order of association: the presence of hypoalbuminemia, (OR: 10.05; p: 0.027; 95% CI); the use of a central venous catheter for more than 7 days (OR 8.333; p 0.006; 95% CI) and age less than 1 year (OR 3.631; p 0.036 95% CI). The presence of comorbidity (OR 2.860; p 0.112; 95% CI) or male sex (OR 2.603; p 0.219; 95% CI) did not show statistical significance. The multivariate analysis showed that the most important independent factor was the presence of hypoalbuminemia, (OR 6.888; p 0.032; 95% CI), followed by the use of a central venous catheter for more than 7 days (OR 4.822; p 0.016; CI 95 %).

Conclusions:

the investigated factors contributed to the risk of dying from bacteraemia associated with the use of the central venous catheter, except for sex and the presence of comorbidity.

Palabras clave : Nosocomial bacteremia; Central venouscatheter; Prognosticfactors.

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