Experiência do Centro Nacional de Transplante de Medula Óssea (CEMO) com uso de Cateteres tipo Hickman-Broviac
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Revista Brasileira de Cancerologia (Online) |
Texto Completo: | https://rbc.inca.gov.br/index.php/revista/article/view/3185 |
Resumo: | Forty-seven patients were admitted to National Center for Bone Marrow Transplantation — CEMO in Rio de Janeiro. Fifty-seven Hickman-Broviac catheters were inserted by venous access. The mean duration of catheterization was 38days (range, 1-209days) fora total of 3104 catheter-days. Twenty-eight catheters (49.1 %) were removed after catheter-related infections; infection rate was 42.1 % and mortality rate 4.2%. After modification to a weekly catheter care and heparinization program assisted by nursing staff, the initial infection rate (45.2%) dropped to 20 % for the last 15 catheters evaluated. Neutropenia was nota risk factor for the development of sepsis related to the catheter. Gram-negative organisms were the predominant etiologic agents isolated during the infectious episodes (52 %). Enterobacter sp. and S. epidermidis were isolated with equal frequency and represented 48% of the isolates. Six microorganisms (24 %) were resistant to antibioties used during the infectious episodes. Four gram-negative organisms were resistant to amikacin and two, gram-positive, were resistant to oxacillin. |
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Experiência do Centro Nacional de Transplante de Medula Óssea (CEMO) com uso de Cateteres tipo Hickman-BroviacCatéter Venoso Central de Longa PermanênciaInfecção Relacionada ao CatéterComplicaçõesMicrorganismos IsoladosCentral Venous CathetersCatheter-Related InfectionsComplicationsGram-Negative OrganismsForty-seven patients were admitted to National Center for Bone Marrow Transplantation — CEMO in Rio de Janeiro. Fifty-seven Hickman-Broviac catheters were inserted by venous access. The mean duration of catheterization was 38days (range, 1-209days) fora total of 3104 catheter-days. Twenty-eight catheters (49.1 %) were removed after catheter-related infections; infection rate was 42.1 % and mortality rate 4.2%. After modification to a weekly catheter care and heparinization program assisted by nursing staff, the initial infection rate (45.2%) dropped to 20 % for the last 15 catheters evaluated. Neutropenia was nota risk factor for the development of sepsis related to the catheter. Gram-negative organisms were the predominant etiologic agents isolated during the infectious episodes (52 %). Enterobacter sp. and S. epidermidis were isolated with equal frequency and represented 48% of the isolates. Six microorganisms (24 %) were resistant to antibioties used during the infectious episodes. Four gram-negative organisms were resistant to amikacin and two, gram-positive, were resistant to oxacillin. Quarenta e sete pacientes foram admitidos no Centro Nacional de Transplante de Medula Óssea - CEMO - do Rio de Janeiro, tendo sido introduzidos 57 cateteres de Hickman-Broviac. O período mediano de permanência dos cateteres foi de 38 dias, com uma variação de um a 209 dias e um total de 3.104 dias de catéter Vinte e oito cateteres (49,1 %) foram removidos devido a complicações relacionadas ao catéter. Vinte e quatro cateteres apresentaram complicações infecciosas, com uma taxa de infecção de 42,1 % e uma taxa de mortalidade de 4,2%. Após a introdução do manuseio e heparinização semanal dos cateteres pela equipe de enfermagem, a taxa inicial de infecção (45,2%) foi reduzida para 20% nos últimos 15 cateteres avaliados. A neutropenia não constituiu um fator de risco para o desenvolvimento de sepse relacionada ao catéter. Os microorganismos Gram-negativos predominaram como agentes etiológicos durante os episódios infeciosos (52%>). Isoladamente, a Enterobacter sp. E o S. epidermidis foram responsáveis por 48%) das infecções relacionadas ao catéter. Seis microorganismos (24%) foram resistentes aos antibióticos em uso durante o episódio infeccioso, sendo quatro bactérias Gram-negativas resistentes à amicacina, e duas Gram-positivas resistentes à oxacilina.INCA2023-08-04info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigos, Avaliado pelos paresapplication/pdfhttps://rbc.inca.gov.br/index.php/revista/article/view/318510.32635/2176-9745.RBC.1987v33n1.3185Revista Brasileira de Cancerologia; Vol. 33 No. 1 (1987): Mar.; 23-28Revista Brasileira de Cancerologia; Vol. 33 Núm. 1 (1987): mar.; 23-28Revista Brasileira de Cancerologia; v. 33 n. 1 (1987): mar.; 23-282176-9745reponame:Revista Brasileira de Cancerologia (Online)instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)instacron:INCAporhttps://rbc.inca.gov.br/index.php/revista/article/view/3185/2039https://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessVelasco, Eduardo D.Bouzas, Luis Fernando da SilvaTabak, Daniel2023-08-04T19:54:44Zoai:rbc.inca.gov.br:article/3185Revistahttps://rbc.inca.gov.br/index.php/revistaPUBhttps://rbc.inca.gov.br/index.php/revista/oairbc@inca.gov.br0034-71162176-9745opendoar:2023-08-04T19:54:44Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)false |
dc.title.none.fl_str_mv |
Experiência do Centro Nacional de Transplante de Medula Óssea (CEMO) com uso de Cateteres tipo Hickman-Broviac |
title |
Experiência do Centro Nacional de Transplante de Medula Óssea (CEMO) com uso de Cateteres tipo Hickman-Broviac |
spellingShingle |
Experiência do Centro Nacional de Transplante de Medula Óssea (CEMO) com uso de Cateteres tipo Hickman-Broviac Velasco, Eduardo D. Catéter Venoso Central de Longa Permanência Infecção Relacionada ao Catéter Complicações Microrganismos Isolados Central Venous Catheters Catheter-Related Infections Complications Gram-Negative Organisms |
title_short |
Experiência do Centro Nacional de Transplante de Medula Óssea (CEMO) com uso de Cateteres tipo Hickman-Broviac |
title_full |
Experiência do Centro Nacional de Transplante de Medula Óssea (CEMO) com uso de Cateteres tipo Hickman-Broviac |
title_fullStr |
Experiência do Centro Nacional de Transplante de Medula Óssea (CEMO) com uso de Cateteres tipo Hickman-Broviac |
title_full_unstemmed |
Experiência do Centro Nacional de Transplante de Medula Óssea (CEMO) com uso de Cateteres tipo Hickman-Broviac |
title_sort |
Experiência do Centro Nacional de Transplante de Medula Óssea (CEMO) com uso de Cateteres tipo Hickman-Broviac |
author |
Velasco, Eduardo D. |
author_facet |
Velasco, Eduardo D. Bouzas, Luis Fernando da Silva Tabak, Daniel |
author_role |
author |
author2 |
Bouzas, Luis Fernando da Silva Tabak, Daniel |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Velasco, Eduardo D. Bouzas, Luis Fernando da Silva Tabak, Daniel |
dc.subject.por.fl_str_mv |
Catéter Venoso Central de Longa Permanência Infecção Relacionada ao Catéter Complicações Microrganismos Isolados Central Venous Catheters Catheter-Related Infections Complications Gram-Negative Organisms |
topic |
Catéter Venoso Central de Longa Permanência Infecção Relacionada ao Catéter Complicações Microrganismos Isolados Central Venous Catheters Catheter-Related Infections Complications Gram-Negative Organisms |
description |
Forty-seven patients were admitted to National Center for Bone Marrow Transplantation — CEMO in Rio de Janeiro. Fifty-seven Hickman-Broviac catheters were inserted by venous access. The mean duration of catheterization was 38days (range, 1-209days) fora total of 3104 catheter-days. Twenty-eight catheters (49.1 %) were removed after catheter-related infections; infection rate was 42.1 % and mortality rate 4.2%. After modification to a weekly catheter care and heparinization program assisted by nursing staff, the initial infection rate (45.2%) dropped to 20 % for the last 15 catheters evaluated. Neutropenia was nota risk factor for the development of sepsis related to the catheter. Gram-negative organisms were the predominant etiologic agents isolated during the infectious episodes (52 %). Enterobacter sp. and S. epidermidis were isolated with equal frequency and represented 48% of the isolates. Six microorganisms (24 %) were resistant to antibioties used during the infectious episodes. Four gram-negative organisms were resistant to amikacin and two, gram-positive, were resistant to oxacillin. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-08-04 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Artigos, Avaliado pelos pares |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rbc.inca.gov.br/index.php/revista/article/view/3185 10.32635/2176-9745.RBC.1987v33n1.3185 |
url |
https://rbc.inca.gov.br/index.php/revista/article/view/3185 |
identifier_str_mv |
10.32635/2176-9745.RBC.1987v33n1.3185 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://rbc.inca.gov.br/index.php/revista/article/view/3185/2039 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
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https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
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application/pdf |
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INCA |
publisher.none.fl_str_mv |
INCA |
dc.source.none.fl_str_mv |
Revista Brasileira de Cancerologia; Vol. 33 No. 1 (1987): Mar.; 23-28 Revista Brasileira de Cancerologia; Vol. 33 Núm. 1 (1987): mar.; 23-28 Revista Brasileira de Cancerologia; v. 33 n. 1 (1987): mar.; 23-28 2176-9745 reponame:Revista Brasileira de Cancerologia (Online) instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA) instacron:INCA |
instname_str |
Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA) |
instacron_str |
INCA |
institution |
INCA |
reponame_str |
Revista Brasileira de Cancerologia (Online) |
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Revista Brasileira de Cancerologia (Online) |
repository.name.fl_str_mv |
Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA) |
repository.mail.fl_str_mv |
rbc@inca.gov.br |
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