Abstract

NAKACHI-MORIMOTO, Graciela; ALVARADO-PALACIOS, Margarita; SANTIAGO-ABAL, Mitzi  and  SHIMABUKU-AZATO, Roberto. Decrease of central venous catheter-related infections by implementing simple lowcost interventions in a pediatric intensive critical care unit. An. Fac. med. [online]. 2017, vol.78, n.3, pp.303-308. ISSN 1025-5583.  http://dx.doi.org/10.15381/anales.v78i3.13764.

Objective: To decrease the nosocomial central line-associated bloodstream infections (CLABSI) implementing simple low-cost evidenced-based interventions in a pediatric intensive care unit. Design: Prospective cohort study. Setting: Pediatric Intensive Care Unit, Instituto Nacional de Salud del Niño (INSN), Lima, Perú. Methods: We evaluated all patients under the age of 18 years with central venous catheter in the PICU were evaluated, from 2009 to 2012. A basal measure was performed from 2007 to 2010. During the project, from 2011 to 2012, simple, low-cost measures were implemented. Main outcome measures: Rate of catheter line associated bloodstream infection (CLABSI) per 1 000 catheter days. Results: During the pre-project period (2007-2010), 1 047 patients with CVC were followed during 9 303 catheter-days; 60 patients presented CLABSI, and the average annual CLABSI rate was 6.03 (10.01, 5.33, 3.28 y 5.49 per year, respectively). During the project, 267 patients were followed, with 2 303 catheter-days; 4 patients presented CLABSI, with an average annual rate of 1.7. In 2011, an estimation of nine CLABSI that could have been prevented gave an estimated cost of 338 364 soles per year. Conclusions: There was a constant decrease of CLABSI in the PICU during the months of implementation of the project. The simple, low-cost measures decreased the average annual rate of CLABSI to 1.7.

Keywords : Catheter-related Infections; Cross Infection; Critical Care; Children; Peru.

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