<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0375-0760</journal-id>
<journal-title><![CDATA[Revista Cubana de Medicina Tropical]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Med Trop]]></abbrev-journal-title>
<issn>0375-0760</issn>
<publisher>
<publisher-name><![CDATA[Centro Nacional de Información de Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0375-07602022000100007</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Bacteriemias relacionadas con el uso del catéter venoso en una unidad de hemodiálisis en Cuba]]></article-title>
<article-title xml:lang="en"><![CDATA[Bacteremia related to the use of venous catheter in a hemodialysis unit in Cuba]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alfonso Sánchez]]></surname>
<given-names><![CDATA[Yunior]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Toraño Peraza]]></surname>
<given-names><![CDATA[Gilda]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General Docente Ciro Redondo García Laboratorio de Microbiología ]]></institution>
<addr-line><![CDATA[ Artemisa]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto de Medicina Tropical Pedro Kourí (IPK) Departamento Bacteriología-Micología Centro de Investigación, Diagnóstico y Referencia]]></institution>
<addr-line><![CDATA[ La Habana]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2022</year>
</pub-date>
<volume>74</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0375-07602022000100007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0375-07602022000100007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0375-07602022000100007&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: Las bacteriemias relacionadas con el uso de catéter (BRC) en pacientes con enfermedad renal crónica avanzada (ERCA) representan un importante problema sanitario.  Objetivos: Estimar la incidencia de BRC en pacientes con ERCA en el Hospital Ciro Redondo García, Artemisa, Cuba; y describir su relación con el tipo de acceso vascular (AV), así como la conducta médica que se adopta después del diagnóstico.  Métodos: Se realizó un estudio descriptivo entre mayo-octubre del 2019, en el que se incluyó el total de los pacientes (n = 78) de la unidad de hemodiálisis del hospital. Se recogió información acerca del tipo y tiempo de uso del AV. Ante un episodio sugerente de bacteriemia, se obtuvo una muestra de sangre para hemocultivo. Se informó la incidencia de BRC según los criterios de Bouza (2004).  Resultados:  La tasa de incidencia de BRC se estimó buena (1,18/1 000 días-catéter). Para las producidas por Staphylococcus aureus y por bacterias gramnegativas (Escherichia coli, Enterobacter spp., Pseudomonas spp. y Alcaligenes spp.) las tasas fueron excelentes: 0,44 y 0,88/1 000 días-catéter, respectivamente. Los catéteres venosos centrales se constataron como los AV predominantes. Se verificó que se impuso tratamiento empírico ante signos de probable BRC y este se modificó tras el diagnóstico etiológico específico, acompañado de la retirada del AV siempre que las condiciones clínicas lo permitieron.  Conclusiones:  Se mantienen en el servicio de hemodiálisis buenas prácticas clínicas para la prevención de BRC. Los agentes etiológicos demostrados obligan a mantener la indicación de tratamiento empírico con antibióticos de amplio espectro.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: Catheter-related bacteremias (CRB) in patients with advanced chronic kidney diseases represent a major health problem.  Objective: To estimate the incidence of CRB in patients with advanced chronic kidney diseases at Ciro Redondo García Hospital, Artemisa, Cuba; and to describe its relationship with the type of vascular access (VA), as well as the medical protocol adopted after diagnosis.  Methods: A descriptive study was conducted between May and October 2019. All patients (n=78) in the hospital hemodialysis unit were included. Information about the type and duration of VA was collected. In the presence of an episode suggestive of bacteremia, a blood sample was obtained for blood culture. The incidence of CRB was informed according to Bouza´s criteria (2004).  Results: The incidence rate of CRB was estimated good (1.18/1 000 1000 catheter-days). For those caused by Staphylococcus aureus and by gram-negative bacteria (Escherichia coli, Enterobacter spp., Pseudomonas spp. y Alcaligenes spp.), the rates were excellent: 0.44 and 0.88/1000 catheter -days, respectively. Central venous catheters were the predominant VAs. It was confirmed that empirical treatment was initiated in the presence of signs of a probable CRB, which was modified after specific etiological diagnosis, together with the withdrawal of the VA whenever the clinical conditions allowed it.  Conclusions: Good clinical practices for the prevention of CBR are maintained at the hemodialysis service. The confirmed etiological agents make it necessary to continue with the indication of empirical treatment with broad-spectrum antibiotics.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[hemodiálisis]]></kwd>
<kwd lng="es"><![CDATA[bacteriemia]]></kwd>
<kwd lng="es"><![CDATA[bacteriemia relacionada a catéter]]></kwd>
<kwd lng="es"><![CDATA[catéter venoso central]]></kwd>
<kwd lng="es"><![CDATA[acceso venoso]]></kwd>
<kwd lng="en"><![CDATA[hemodialysis]]></kwd>
<kwd lng="en"><![CDATA[bacteremia]]></kwd>
<kwd lng="en"><![CDATA[catheter-related bacteremia]]></kwd>
<kwd lng="en"><![CDATA[central venous catheter]]></kwd>
<kwd lng="en"><![CDATA[venous access]]></kwd>
</kwd-group>
</article-meta>
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