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Variables associated with peripherally inserted central catheter related infection in high risk newborn infants

OBJECTIVE: to relate the variables from a surveillance form for intravenous devices in high risk newborn infants with peripherally inserted central catheter related infection. METHODOLOGY: approximately 15 variables were studied, being associated with peripherally inserted central catheter related i...

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Autores principales: Rangel, Uesliz Vianna, Gomes, Saint Clair dos Santos, Costa, Ana Maria Aranha Magalhães, Moreira, Maria Elisabeth Lopes
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4292672/
https://www.ncbi.nlm.nih.gov/pubmed/25493681
http://dx.doi.org/10.1590/0104-1169.3481.2488
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author Rangel, Uesliz Vianna
Gomes, Saint Clair dos Santos
Costa, Ana Maria Aranha Magalhães
Moreira, Maria Elisabeth Lopes
author_facet Rangel, Uesliz Vianna
Gomes, Saint Clair dos Santos
Costa, Ana Maria Aranha Magalhães
Moreira, Maria Elisabeth Lopes
author_sort Rangel, Uesliz Vianna
collection PubMed
description OBJECTIVE: to relate the variables from a surveillance form for intravenous devices in high risk newborn infants with peripherally inserted central catheter related infection. METHODOLOGY: approximately 15 variables were studied, being associated with peripherally inserted central catheter related infection, this being defined by blood culture results. The variables analyzed were obtained from the surveillance forms used with intravenous devices, attached to the medical records of newborn infants weighing between 500 and 1,499 g. The statistical association was defined using the Chi-squared and Student t tests. The study was approved by the Research Ethics Committee of the Instituto Fernandes Figueira under process N. 140.703/12. RESULTS: 63 medical records were analyzed. The infection rate observed was 25.4%. Of the variables analyzed, only three had a statistically-significant relationship with the blood culture - the use of drugs capable of inhibiting acid secretion, post-natal steroid use, and undertaking more than one invasive procedure (p-value of 0.0141, 0.0472 and 0.0277, respectively). CONCLUSION: the absence of significance of the variables of the form may be related to the quality of the records and to the absence of standardization. It is recommended that the teams be encouraged to adhere to the protocol and fill out the form.
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spelling pubmed-42926722015-01-26 Variables associated with peripherally inserted central catheter related infection in high risk newborn infants Rangel, Uesliz Vianna Gomes, Saint Clair dos Santos Costa, Ana Maria Aranha Magalhães Moreira, Maria Elisabeth Lopes Rev Lat Am Enfermagem Original Articles OBJECTIVE: to relate the variables from a surveillance form for intravenous devices in high risk newborn infants with peripherally inserted central catheter related infection. METHODOLOGY: approximately 15 variables were studied, being associated with peripherally inserted central catheter related infection, this being defined by blood culture results. The variables analyzed were obtained from the surveillance forms used with intravenous devices, attached to the medical records of newborn infants weighing between 500 and 1,499 g. The statistical association was defined using the Chi-squared and Student t tests. The study was approved by the Research Ethics Committee of the Instituto Fernandes Figueira under process N. 140.703/12. RESULTS: 63 medical records were analyzed. The infection rate observed was 25.4%. Of the variables analyzed, only three had a statistically-significant relationship with the blood culture - the use of drugs capable of inhibiting acid secretion, post-natal steroid use, and undertaking more than one invasive procedure (p-value of 0.0141, 0.0472 and 0.0277, respectively). CONCLUSION: the absence of significance of the variables of the form may be related to the quality of the records and to the absence of standardization. It is recommended that the teams be encouraged to adhere to the protocol and fill out the form. Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo 2014 /pmc/articles/PMC4292672/ /pubmed/25493681 http://dx.doi.org/10.1590/0104-1169.3481.2488 Text en http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
Rangel, Uesliz Vianna
Gomes, Saint Clair dos Santos
Costa, Ana Maria Aranha Magalhães
Moreira, Maria Elisabeth Lopes
Variables associated with peripherally inserted central catheter related infection in high risk newborn infants
title Variables associated with peripherally inserted central catheter related infection in high risk newborn infants
title_full Variables associated with peripherally inserted central catheter related infection in high risk newborn infants
title_fullStr Variables associated with peripherally inserted central catheter related infection in high risk newborn infants
title_full_unstemmed Variables associated with peripherally inserted central catheter related infection in high risk newborn infants
title_short Variables associated with peripherally inserted central catheter related infection in high risk newborn infants
title_sort variables associated with peripherally inserted central catheter related infection in high risk newborn infants
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4292672/
https://www.ncbi.nlm.nih.gov/pubmed/25493681
http://dx.doi.org/10.1590/0104-1169.3481.2488
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