Clinical and epidemiological characteristics of 17 patients with central venous catheterassociated infections, hospitalized in the critical intensive care unit. Clínica Cardiovascular Santa María, 2010
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Abstract
Objective: To describe the clinical and epidemiologic characteristics of the infections associated to central venous catheter use in 17 patients hospitalized in the critical intensive care unit of Clínica Cardiovascular Santa María.
Methods: A restrospective descriptive case series study was conducted between January and December of 2010. The source of information was the medical record. Descriptive analysis of the data was performed. The definition of infection associated with central venous catheter of the Centers for Disease Control and Prevention (CDC) was used.
Results: During 2010, central venous catheter infection was diagnosed in 17 patients, the median age was 68 (IQR=55-68). A 64.7% of the patients were male. The most common personal antecedents were those associated with cardiovascular disease. The median length of hospital stay was 54 days (IQR=25-83). Catheter insertion by anatomic site was 58.8% jugular and 41.2% subclavian. The median duration of central venous catheter placement was 9 days (IQR=6.5-17.5). The most common identified species related with healthcare associated infections (HAIs) of CVC were: S. epidermidis (21.1%), and E. cloacae, K. pneumoniae and S. marcescens (10.3% each).
Conclusions: The clinical and epidemiological characteristics of cases of central venous catheter-associated infection in the ICU of the CCVSM are similar to those found in other studies worldwide.
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