Asociación entre el uso de guía ultrasonográfica para la colocación del acceso venoso central con el desarrollo de bacteriemia asociada a catéter en pacientes de la Unidad de Cuidados Intensivos del Hospital Universitario Nacional de Colombia, años 2019 a 2021

ilustraciones, gráficas, tablas

Autores:
Mora Urrego, John Edisson
Tipo de recurso:
Fecha de publicación:
2021
Institución:
Universidad Nacional de Colombia
Repositorio:
Universidad Nacional de Colombia
Idioma:
spa
OAI Identifier:
oai:repositorio.unal.edu.co:unal/79983
Acceso en línea:
https://repositorio.unal.edu.co/handle/unal/79983
https://repositorio.unal.edu.co/
Palabra clave:
610 - Medicina y salud::614 - Medicina Forense; incidencia de lesiones, heridas, enfermedades; medicina preventiva pública
COVID-19
Ultrasonografía
Ultrasonography
Infecciones Relacionadas con Catéteres
Catheter-Related Infection
Cuidado crítico
Catéter venoso central
Guía ultrasonográfica
Bacteriemia asociada a catéter
Critical care
Central line
Ultrasonography guide
Catheter related bloodstream infection
Rights
openAccess
License
Atribución-NoComercial 4.0 Internacional
id UNACIONAL2_8e9f3277b4298fd721afa43dac8a5980
oai_identifier_str oai:repositorio.unal.edu.co:unal/79983
network_acronym_str UNACIONAL2
network_name_str Universidad Nacional de Colombia
repository_id_str
dc.title.spa.fl_str_mv Asociación entre el uso de guía ultrasonográfica para la colocación del acceso venoso central con el desarrollo de bacteriemia asociada a catéter en pacientes de la Unidad de Cuidados Intensivos del Hospital Universitario Nacional de Colombia, años 2019 a 2021
dc.title.translated.eng.fl_str_mv Ultrasonography guide for central line insertion association with catheter related bloodstream infection in patients in intensive care unit of Hospital Universitario Nacional de Colombia, years 2019 yo 2021
title Asociación entre el uso de guía ultrasonográfica para la colocación del acceso venoso central con el desarrollo de bacteriemia asociada a catéter en pacientes de la Unidad de Cuidados Intensivos del Hospital Universitario Nacional de Colombia, años 2019 a 2021
spellingShingle Asociación entre el uso de guía ultrasonográfica para la colocación del acceso venoso central con el desarrollo de bacteriemia asociada a catéter en pacientes de la Unidad de Cuidados Intensivos del Hospital Universitario Nacional de Colombia, años 2019 a 2021
610 - Medicina y salud::614 - Medicina Forense; incidencia de lesiones, heridas, enfermedades; medicina preventiva pública
COVID-19
Ultrasonografía
Ultrasonography
Infecciones Relacionadas con Catéteres
Catheter-Related Infection
Cuidado crítico
Catéter venoso central
Guía ultrasonográfica
Bacteriemia asociada a catéter
Critical care
Central line
Ultrasonography guide
Catheter related bloodstream infection
title_short Asociación entre el uso de guía ultrasonográfica para la colocación del acceso venoso central con el desarrollo de bacteriemia asociada a catéter en pacientes de la Unidad de Cuidados Intensivos del Hospital Universitario Nacional de Colombia, años 2019 a 2021
title_full Asociación entre el uso de guía ultrasonográfica para la colocación del acceso venoso central con el desarrollo de bacteriemia asociada a catéter en pacientes de la Unidad de Cuidados Intensivos del Hospital Universitario Nacional de Colombia, años 2019 a 2021
title_fullStr Asociación entre el uso de guía ultrasonográfica para la colocación del acceso venoso central con el desarrollo de bacteriemia asociada a catéter en pacientes de la Unidad de Cuidados Intensivos del Hospital Universitario Nacional de Colombia, años 2019 a 2021
title_full_unstemmed Asociación entre el uso de guía ultrasonográfica para la colocación del acceso venoso central con el desarrollo de bacteriemia asociada a catéter en pacientes de la Unidad de Cuidados Intensivos del Hospital Universitario Nacional de Colombia, años 2019 a 2021
title_sort Asociación entre el uso de guía ultrasonográfica para la colocación del acceso venoso central con el desarrollo de bacteriemia asociada a catéter en pacientes de la Unidad de Cuidados Intensivos del Hospital Universitario Nacional de Colombia, años 2019 a 2021
dc.creator.fl_str_mv Mora Urrego, John Edisson
dc.contributor.advisor.none.fl_str_mv Espinosa Almanza, Carmelo José
Ruiz Ávila, Héctor Andrés
dc.contributor.author.none.fl_str_mv Mora Urrego, John Edisson
dc.subject.ddc.spa.fl_str_mv 610 - Medicina y salud::614 - Medicina Forense; incidencia de lesiones, heridas, enfermedades; medicina preventiva pública
topic 610 - Medicina y salud::614 - Medicina Forense; incidencia de lesiones, heridas, enfermedades; medicina preventiva pública
COVID-19
Ultrasonografía
Ultrasonography
Infecciones Relacionadas con Catéteres
Catheter-Related Infection
Cuidado crítico
Catéter venoso central
Guía ultrasonográfica
Bacteriemia asociada a catéter
Critical care
Central line
Ultrasonography guide
Catheter related bloodstream infection
dc.subject.decs.none.fl_str_mv COVID-19
Ultrasonografía
Ultrasonography
Infecciones Relacionadas con Catéteres
Catheter-Related Infection
dc.subject.proposal.spa.fl_str_mv Cuidado crítico
Catéter venoso central
Guía ultrasonográfica
Bacteriemia asociada a catéter
dc.subject.proposal.eng.fl_str_mv Critical care
Central line
Ultrasonography guide
Catheter related bloodstream infection
description ilustraciones, gráficas, tablas
publishDate 2021
dc.date.accessioned.none.fl_str_mv 2021-08-20T16:35:17Z
dc.date.available.none.fl_str_mv 2021-08-20T16:35:17Z
dc.date.issued.none.fl_str_mv 2021-08
dc.type.spa.fl_str_mv Trabajo de grado - Especialidad Médica
dc.type.driver.spa.fl_str_mv info:eu-repo/semantics/masterThesis
dc.type.version.spa.fl_str_mv info:eu-repo/semantics/acceptedVersion
dc.type.content.spa.fl_str_mv Text
dc.type.redcol.spa.fl_str_mv http://purl.org/redcol/resource_type/TM
status_str acceptedVersion
dc.identifier.uri.none.fl_str_mv https://repositorio.unal.edu.co/handle/unal/79983
dc.identifier.instname.spa.fl_str_mv Universidad Nacional de Colombia
dc.identifier.reponame.spa.fl_str_mv Repositorio Institucional Universidad Nacional de Colombia
dc.identifier.repourl.spa.fl_str_mv https://repositorio.unal.edu.co/
url https://repositorio.unal.edu.co/handle/unal/79983
https://repositorio.unal.edu.co/
identifier_str_mv Universidad Nacional de Colombia
Repositorio Institucional Universidad Nacional de Colombia
dc.language.iso.spa.fl_str_mv spa
language spa
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6. Timsit JF, Baleine J, Bernard L, Calvino-Gunther S, Darmon M, Dellamonica J, Desruennes E, Leone M, Lepape A, Leroy O, Lucet JC, Merchaoui Z, Mimoz O, Misset B, Parienti JJ, Quenot JP, Roch A, Schmidt M, Slama M, Souweine B, Zahar JR, Zingg W, Bodet-Contentin L, Maxime V. Expert consensus-based clinical practice guidelines management of intravascular catheters in the intensive care unit. Ann Intensive Care. 2020 Sep 7;10(1):118.
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8. McGee DC, Gould MK. Preventing complications of central venous catheterization. N Engl J Med. 2003 Mar 20;348(12):1123-33.
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11. Parienti JJ. Catheter-Related Bloodstream Infection in Jugular Versus Subclavian Central Catheterization. Crit Care Med. 2017 Jul;45(7):e734-e735.
12. Parienti JJ, Mongardon N, Mégarbane B, Mira JP, Kalfon P, Gros A, Marqué S, Thuong M, Pottier V, Ramakers M, Savary B, Seguin A, Valette X, Terzi N, Sauneuf B, Cattoir V, Mermel LA, du Cheyron D; 3SITES Study Group. Intravascular Complications of Central Venous Catheterization by Insertion Site.
13. Marik PE, Flemmer M, Harrison W. The risk of catheter-related bloodstream infection with femoral venous catheters as compared to subclavian and internal jugular venous catheters: a systematic review of the literature and meta-analysis. Crit Care Med. 2012;40(8):2479–85
14. Ge X, Cavallazzi R, Li C, Pan SM, Wang YW, Wang FL. Central venous access sites for the prevention of venous thrombosis, stenosis and infection. Cochrane Database Syst Rev. 2012 Mar 14;2012(3):CD004084.
15. Timsit JF, Bouadma L, Mimoz O, Parienti JJ, Garrouste-Orgeas M, Alfandari S, Plantefeve G, Bronchard R, Troche G, Gauzit R, Antona M, Canet E, Bohe J, Herrault MC, Schwebel C, Ruckly S, Souweine B, Lucet JC. Jugular versus femoral short-termcatheterization and risk of infection in intensive care unit patients. Causal analysis otwo randomized trials. Am J Respir Crit Care Med. 2013 Nov 15;188(10):1232-9.
16. Xiong Z, Chen H. Interventions to reduce unnecessary central venous catheter useto prevent central-line-associated bloodstream infections in adults: A systematicreview. Infect Control Hosp Epidemiol. 2018 Dec;39(12):1442-1448.
17. Lai NM, Chaiyakunapruk N, Lai NA, ORiordan E, Pau WS, Saint S. Catheterimpregnation, coating or bonding for reducing central venous catheter-relatedinfections in adults. Cochrane Database Syst Rev. 2016 Mar 16;3(3):CD007878.
18. Karakitsos D, Labropoulos N, De Groot E, Patrianakos AP, Kouraklis G, Poularas J, Samonis G, Tsoutsos DA, Konstadoulakis MM, Karabinis A. Real-time ultrasoundguided catheterisation of the internal jugular vein: a prospective comparison with thelandmark technique in critical care patients. Crit Care. 2006;10(6):R162.
19. Gok F. et al. The effect of ultrasound guidance on central venous catheterassociated bloodstream infection in critical care patients. Acta Medica Mediterranea2013;29: 677
20. Imataki O, Shimatani M, Ohue Y, Uemura M. Effect of ultrasound-guided centralvenous catheter insertion on the incidence of catheter-related bloodstream infectionsand mechanical complications. BMC Infectious Diseases 2019; 19: 857.
21. Kunhahamed MO, Abraham SV, Palatty BU, Krishnan SV, Rajeev PC, Gopinathan V. A Comparison of Internal Jugular Vein Cannulation by Ultrasound-Guided andAnatomical Landmark Technique in Resource-Limited Emergency Department SettingJ Med Ultrasound. 2019 May 13;27(4):187-191.
22. Buetti N, Mimoz O, Mermel L, Ruckly S, Mongardon N, Dupuis C, Mira JP, Lucet JC, Mégarbane B, Bailly S, Parienti JJ, Timsit JF. Ultrasound guidance and risk focentral venous catheter-related infections in the ICU. A post hoc analysis of individualdata of three multi-centric randomized trials. Clin Infect Dis. 2020 Dec 5:ciaa1817.
23. Millington SJ, Lalu MM, Boivin M, Koenig S. Better With Ultrasound: SubclavianCentral Venous Catheter Insertion. Chest. 2019 May;155(5):1041-1048.
24. Smallwood N, Dachsel M. Point-of-care ultrasound (POCUS): unnecessarygadgetry or evidence-based medicine? Clin Med (Lond). 2018 Jun;18(3):219-224.
25. Aakjær Andersen C, Brodersen J, Davidsen AS, Graumann O, Jensen MBB. Useand impact of point-of-care ultrasonography in general practice: a prospectiveobservational study. BMJ Open. 2020 Sep 17;10(9):e037664.
26. Choi WJ, Ha YR, Oh JH, Cho YS, Lee WW, Sohn YD, Cho GC, Koh CY, Do HH,Jeong WJ, Ryoo SM, Kwon JH, Kim HM, Kim SJ, Park CY, Lee JH, Lee JH, Lee DH,Park SY, Kang BS. Clinical Guidance for Point-of-Care Ultrasound in the Emergencyand Critical Care Areas after Implementing Insurance Coverage in Korea. J KoreanMed Sci. 2020 Feb 24;35(7):e54.
27. Rothman KJ, Greenland S, Lash TL. Modern Epidemiology. 3rd ed. Philadelphia,PA: Lippincott Williams & Wilkins; 2012.
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32. Viderman D, Khudaibergenova M, Kemaikin V, Zhumadilov A, Poddighe D.Outbreak of catheter related Burkholderia cepacia sepsis acquired from contaminatedultrasonography gel: the importance of strengthening hospital infection controlmeasures in low resourced settings. Infez Med. 2020 Dec 1;28(4):551-557. PMID:33257630.
33. Abdelfattah R, Al-Jumaah S, Al-Qahtani A, Al-Thawadi S, Barron I, Al-Mofada S.Outbreak of Burkholderia cepacia bacteraemia in a tertiary care centre due tocontaminated ultrasound probe gel. J Hosp Infect. 2018 Mar;98(3):289-294.
34. Søgaard KK, Baettig V, Osthoff M, Marsch S, Leuzinger K, Schweitzer M, Meier J,Bassetti S, Bingisser R, Nickel CH, Khanna N, Tschudin-Sutter S, Weisser M, BattegayM, Hirsch HH, Pargger H, Siegemund M, Egli A. Community-acquired and hospital acquired respiratory tract infection and bloodstream infection in patients hospitalized with COVID-19 pneumonia. J Intensive Care. 2021 Jan 18;9(1):10.
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37. Spencer TR, Bardin-Spencer AJ. Pre- and post-review of a standardized ultrasound-guided central venous catheterization curriculum evaluating procedural skills acquisition and clinician confidence. J Vasc Access. 2020 Jul;21(4):440-448.
38. Cheng S, Xu S, Guo J, He Q, Li A, Huang L, Liu Z, Li S. Risk Factors of Central Venous Catheter-Related Bloodstream Infection for Continuous Renal Replacement Therapy in Kidney Intensive Care Unit Patients. Blood Purif. 2019;48(2):175-182.
39. Kaur M, Gupta V, Gombar S, Chander J, Sahoo T. Incidence, risk factors, microbiology of venous catheter associated bloodstream infections--a prospective study from a tertiary care hospital. Indian J Med Microbiol. 2015 Apr-Jun;33(2):248-54.
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dc.rights.spa.fl_str_mv Derechos reservados al autor, 2021
dc.rights.coar.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.rights.license.spa.fl_str_mv Atribución-NoComercial 4.0 Internacional
dc.rights.uri.spa.fl_str_mv http://creativecommons.org/licenses/by-nc-nd/4.0/
dc.rights.accessrights.spa.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv Atribución-NoComercial 4.0 Internacional
Derechos reservados al autor, 2021
http://creativecommons.org/licenses/by-nc-nd/4.0/
http://purl.org/coar/access_right/c_abf2
eu_rights_str_mv openAccess
dc.format.extent.spa.fl_str_mv 59 páginas
dc.format.mimetype.spa.fl_str_mv application/pdf
dc.publisher.spa.fl_str_mv Universidad Nacional de Colombia
dc.publisher.program.spa.fl_str_mv Bogotá - Medicina - Especialidad en Medicina Interna
dc.publisher.department.spa.fl_str_mv Departamento de Medicina Interna
dc.publisher.faculty.spa.fl_str_mv Facultad de Medicina
dc.publisher.place.spa.fl_str_mv Bogotá, Colombia
dc.publisher.branch.spa.fl_str_mv Universidad Nacional de Colombia - Sede Bogotá
institution Universidad Nacional de Colombia
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spelling Atribución-NoComercial 4.0 InternacionalDerechos reservados al autor, 2021http://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Espinosa Almanza, Carmelo José8860bb863b8c1304c6a9b8f90ac82a2cRuiz Ávila, Héctor Andrés6aee827f6152a64a82f32dcea62d315dMora Urrego, John Edisson3033a7214327437c22e247fa1361eb0a2021-08-20T16:35:17Z2021-08-20T16:35:17Z2021-08https://repositorio.unal.edu.co/handle/unal/79983Universidad Nacional de ColombiaRepositorio Institucional Universidad Nacional de Colombiahttps://repositorio.unal.edu.co/ilustraciones, gráficas, tablasIntroducción: La colocación de catéteres venosos centrales (CVC) por guía de ultrasonido ha venido creciendo en la última década, demostrando reducir de forma importante las complicaciones mecánicas. Sin embargo, no está claro aún si existe mayor riesgo de complicaciones infecciosas del procedimiento. Objetivo: Establecer si existe asociación entre el uso de la guía ultrasonográfica (US) en la colocación del CVC y el desarrollo de bacteriemia asociada a catéter en pacientes críticamente enfermos de Unidad de Cuidado Intensivo (UCI). Metodología: Estudio de casos y controles pareado de pacientes adultos críticamente enfermos en UCI, con indicación de CVC de inserción central entre los años de 2019 a 2021. Resultados: Se incluyeron 250 pacientes, 76% presentaron infección COVID-19. Se utilizo guía ultrasonográfica para la inserción del CVC en 72.8% y el sitio anatómico más frecuente fue vena subclavia en 56%. Los agentes más frecuentes de bacteriemia fueron Gram negativos en 70%. Se documento una tendencia de asociación entre el uso de guía US para la inserción de CVC y el desarrollo de bacteriemia (OR 2.16 (IC 95% 0.89-5.21, p=0.085). Se halló una asociación estadísticamente significativa entre los días de uso del CVC y el desarrollo de bacteriemia OR 1.06 (IC 1.00 - 1.13, p=0.038). Conclusiones: El uso de guía ultrasonográfica en la colocación de catéteres venosos centrales muestra una tendencia de asociación con el desarrollo de bacteriemia, siendo el número de días de uso del dispositivo un factor de riesgo independiente, con una menor frecuencia de complicaciones mecánicas. (Texto tomado de la fuente)Introduction: Ultrasonography guided central line insertion has increased in last years, it has proved a significantly reduction in mechanical complications. However, it is no clear if use of ultrasonography associates with more infectious complications. Objective: To establish whether ultrasonography guided central line insertion is associated with catheter related bloodstream infection increase in critically ill patients in Intensive care Unit. Methodology: Matched case and control study of critically ill patients in intensive care unit with central line insertion indication between years 2019 to 2021. Results: We included 250 patients, 76% had COVID-19. Ultrasonography guide was used for central line insertion in 72.8% and subclavian vein was the principal anatomical site used in 56%. Gram negative bacteria was the most frequent etiology in 70%. We documented a trend of association between ultrasonography guide for central line insertion and catheter related bloodstream infection OR=2.16 (CI 95%, 0.89-5.21, p=0.085). Duration of catheterization was associated with catheter related bloodstream infection OR=1.06 (CI95%, 1.00 - 1.13, p=0.038). Conclusions: Use of ultrasonography for central line insertion has a trend of association with catheter related bloodstream infection, with duration of catheterization as an independent risk factor, and a reduction in mechanical complications. (Text taken from source)Especialidades MédicasEspecialista en Medicina InternaEstudio de casos y controles pareado de pacientes adultos críticamente enfermos en UCI, con indicación de CVC de inserción central entre los años de 2019 a 2021.Medicina Intensiva y cuidado crítico59 páginasapplication/pdfspaUniversidad Nacional de ColombiaBogotá - Medicina - Especialidad en Medicina InternaDepartamento de Medicina InternaFacultad de MedicinaBogotá, ColombiaUniversidad Nacional de Colombia - Sede Bogotá610 - Medicina y salud::614 - Medicina Forense; incidencia de lesiones, heridas, enfermedades; medicina preventiva públicaCOVID-19UltrasonografíaUltrasonographyInfecciones Relacionadas con CatéteresCatheter-Related InfectionCuidado críticoCatéter venoso centralGuía ultrasonográficaBacteriemia asociada a catéterCritical careCentral lineUltrasonography guideCatheter related bloodstream infectionAsociación entre el uso de guía ultrasonográfica para la colocación del acceso venoso central con el desarrollo de bacteriemia asociada a catéter en pacientes de la Unidad de Cuidados Intensivos del Hospital Universitario Nacional de Colombia, años 2019 a 2021Ultrasonography guide for central line insertion association with catheter related bloodstream infection in patients in intensive care unit of Hospital Universitario Nacional de Colombia, years 2019 yo 2021Trabajo de grado - Especialidad Médicainfo:eu-repo/semantics/masterThesisinfo:eu-repo/semantics/acceptedVersionTexthttp://purl.org/redcol/resource_type/TM1. 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Medicine (Baltimore). 2018 Oct;97(42):e12782.EspecializadaCC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-8805https://repositorio.unal.edu.co/bitstream/unal/79983/3/license_rdf4460e5956bc1d1639be9ae6146a50347MD53LICENSElicense.txtlicense.txttext/plain; charset=utf-83964https://repositorio.unal.edu.co/bitstream/unal/79983/1/license.txtcccfe52f796b7c63423298c2d3365fc6MD51ORIGINALAsociación entre el uso de guía ultrasonográfica para la colocación del acceso venoso central con el desarrollo de bacteriemia asociada a catéter .pdfAsociación entre el uso de guía ultrasonográfica para la colocación del acceso venoso central con el desarrollo de bacteriemia asociada a catéter .pdfTesis de Especialidad en Medicina 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Thumbnailimage/jpeg5994https://repositorio.unal.edu.co/bitstream/unal/79983/4/Asociaci%c3%b3n%20entre%20el%20uso%20de%20gu%c3%ada%20ultrasonogr%c3%a1fica%20para%20la%20colocaci%c3%b3n%20del%20acceso%20venoso%20central%20con%20el%20desarrollo%20de%20bacteriemia%20asociada%20a%20cat%c3%a9ter%20.pdf.jpg7a7bdb3d72f75ba7239cbd8ccd09f3a2MD54unal/79983oai:repositorio.unal.edu.co:unal/799832023-07-26 23:03:33.845Repositorio Institucional Universidad Nacional de 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GVyZWNob3MgZGUgYXV0b3IgcXVlIGNvbmxsZXZlIGxhIGRpc3RyaWJ1Y2nDs24gZGUgZXN0b3MgYXJjaGl2b3MgeSBtZXRhZGF0b3MuCkFsIGhhY2VyIGNsaWMgZW4gZWwgc2lndWllbnRlIGJvdMOzbiwgdXN0ZWQgaW5kaWNhIHF1ZSBlc3TDoSBkZSBhY3VlcmRvIGNvbiBlc3RvcyB0w6lybWlub3MuCgpVTklWRVJTSURBRCBOQUNJT05BTCBERSBDT0xPTUJJQSAtIMOabHRpbWEgbW9kaWZpY2FjacOzbiAyNy8yMC8yMDIwCg==

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