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.contributor.advisor | Espinosa Almanza, Carmelo José | |
| dc.contributor.advisor | Ruiz Ávila, Héctor Andrés | |
| dc.contributor.author | Mora Urrego, John Edisson | |
| dc.date.accessioned | 2021-08-20T16:35:17Z | |
| dc.date.available | 2021-08-20T16:35:17Z | |
| dc.date.issued | 2021-08 | |
| dc.description | ilustraciones, gráficas, tablas | spa |
| dc.description.abstract | Introducción: 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) | spa |
| dc.description.abstract | 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) | eng |
| dc.description.degreelevel | Especialidades Médicas | spa |
| dc.description.degreename | Especialista en Medicina Interna | spa |
| dc.description.methods | 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. | spa |
| dc.description.researcharea | Medicina Intensiva y cuidado crítico | spa |
| dc.format.extent | 59 páginas | spa |
| dc.format.mimetype | application/pdf | spa |
| dc.identifier.instname | Universidad Nacional de Colombia | spa |
| dc.identifier.reponame | Repositorio Institucional Universidad Nacional de Colombia | spa |
| dc.identifier.repourl | https://repositorio.unal.edu.co/ | spa |
| dc.identifier.uri | https://repositorio.unal.edu.co/handle/unal/79983 | |
| dc.language.iso | spa | spa |
| dc.publisher | Universidad Nacional de Colombia | spa |
| dc.publisher.branch | Universidad Nacional de Colombia - Sede Bogotá | spa |
| dc.publisher.department | Departamento de Medicina Interna | spa |
| dc.publisher.faculty | Facultad de Medicina | spa |
| dc.publisher.place | Bogotá, Colombia | spa |
| dc.publisher.program | Bogotá - Medicina - Especialidad en Medicina Interna | spa |
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| dc.rights | Derechos reservados al autor, 2021 | spa |
| dc.rights.accessrights | info:eu-repo/semantics/openAccess | spa |
| dc.rights.license | Atribución-NoComercial 4.0 Internacional | spa |
| dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | spa |
| dc.subject.ddc | 610 - Medicina y salud::614 - Medicina Forense; incidencia de lesiones, heridas, enfermedades; medicina preventiva pública | spa |
| dc.subject.decs | COVID-19 | |
| dc.subject.decs | Ultrasonografía | |
| dc.subject.decs | Ultrasonography | |
| dc.subject.decs | Infecciones Relacionadas con Catéteres | |
| dc.subject.decs | Catheter-Related Infection | |
| dc.subject.proposal | Cuidado crítico | spa |
| dc.subject.proposal | Catéter venoso central | spa |
| dc.subject.proposal | Guía ultrasonográfica | spa |
| dc.subject.proposal | Bacteriemia asociada a catéter | spa |
| dc.subject.proposal | Critical care | eng |
| dc.subject.proposal | Central line | eng |
| dc.subject.proposal | Ultrasonography guide | eng |
| dc.subject.proposal | Catheter related bloodstream infection | eng |
| dc.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 | spa |
| dc.title.translated | 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 | eng |
| dc.type | Trabajo de grado - Especialidad Médica | spa |
| dc.type.coar | http://purl.org/coar/resource_type/c_bdcc | spa |
| dc.type.coarversion | http://purl.org/coar/version/c_ab4af688f83e57aa | spa |
| dc.type.content | Text | spa |
| dc.type.driver | info:eu-repo/semantics/masterThesis | spa |
| dc.type.redcol | http://purl.org/redcol/resource_type/TM | spa |
| dc.type.version | info:eu-repo/semantics/acceptedVersion | spa |
| dcterms.audience | Especializada | |
| oaire.accessrights | http://purl.org/coar/access_right/c_abf2 | spa |
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