Clinical and epidemiological characteristics of patients with central venous catheter colonized by yeasts.
Autor(a) principal: | |
---|---|
Data de Publicação: | 2011 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1503 |
Resumo: | Among others complications due central venous catheters (CVCs), the blood infection (BI) deserves particular attention. The purposes of this study were to analyze the clinical and epidemiological characteristics of adult patients using CVC; to know the yeast colonization index; and to link it to risk factors for BI. Yeasts were investigated in 156 CVCs removed from 91 patients of the Regional University Hospital of Maringá from February to August, 2008. Yeast colonization was detected in 10.89% of the catheters, which were removed from 15 patients, three of them had a fatal hospital yeast infection due to catheter. There was a preponderance of male subjects; median age was 66 years and the mean hospitalization time was 15 days, greater than that of the non-colonized (p = 0.003). The mortality rate was significantly greater in this group than among those with non-colonized catheters (p = 0.01). Total parenteral nutrition and hemodialysis were the risk factors significantly more frequent in this group (p = 0.002 and 0.001, respectively). The most frequently found yeast was Candida parapsilosis. Among the colonized catheters those of double-lumen for infusion predominated and the site of insertion was the right subclavian vein. In conclusion the colonization by yeasts rate of CVC was 10.89% and 20% of them resulted in infection. These results add to higher mortality in patients who CVC was colonized by yeasts deserve attention considering the increasing of the hospital fungal infections. |
id |
RCAP_9a492a66ccc39c01a10f26a175c011fe |
---|---|
oai_identifier_str |
oai:ojs.www.actamedicaportuguesa.com:article/1503 |
network_acronym_str |
RCAP |
network_name_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository_id_str |
7160 |
spelling |
Clinical and epidemiological characteristics of patients with central venous catheter colonized by yeasts.Características clínicas e epidemiológicas de doentes com cateter venoso central colonizado por leveduras.Among others complications due central venous catheters (CVCs), the blood infection (BI) deserves particular attention. The purposes of this study were to analyze the clinical and epidemiological characteristics of adult patients using CVC; to know the yeast colonization index; and to link it to risk factors for BI. Yeasts were investigated in 156 CVCs removed from 91 patients of the Regional University Hospital of Maringá from February to August, 2008. Yeast colonization was detected in 10.89% of the catheters, which were removed from 15 patients, three of them had a fatal hospital yeast infection due to catheter. There was a preponderance of male subjects; median age was 66 years and the mean hospitalization time was 15 days, greater than that of the non-colonized (p = 0.003). The mortality rate was significantly greater in this group than among those with non-colonized catheters (p = 0.01). Total parenteral nutrition and hemodialysis were the risk factors significantly more frequent in this group (p = 0.002 and 0.001, respectively). The most frequently found yeast was Candida parapsilosis. Among the colonized catheters those of double-lumen for infusion predominated and the site of insertion was the right subclavian vein. In conclusion the colonization by yeasts rate of CVC was 10.89% and 20% of them resulted in infection. These results add to higher mortality in patients who CVC was colonized by yeasts deserve attention considering the increasing of the hospital fungal infections.Among others complications due central venous catheters (CVCs), the blood infection (BI) deserves particular attention. The purposes of this study were to analyze the clinical and epidemiological characteristics of adult patients using CVC; to know the yeast colonization index; and to link it to risk factors for BI. Yeasts were investigated in 156 CVCs removed from 91 patients of the Regional University Hospital of Maringá from February to August, 2008. Yeast colonization was detected in 10.89% of the catheters, which were removed from 15 patients, three of them had a fatal hospital yeast infection due to catheter. There was a preponderance of male subjects; median age was 66 years and the mean hospitalization time was 15 days, greater than that of the non-colonized (p = 0.003). The mortality rate was significantly greater in this group than among those with non-colonized catheters (p = 0.01). Total parenteral nutrition and hemodialysis were the risk factors significantly more frequent in this group (p = 0.002 and 0.001, respectively). The most frequently found yeast was Candida parapsilosis. Among the colonized catheters those of double-lumen for infusion predominated and the site of insertion was the right subclavian vein. In conclusion the colonization by yeasts rate of CVC was 10.89% and 20% of them resulted in infection. These results add to higher mortality in patients who CVC was colonized by yeasts deserve attention considering the increasing of the hospital fungal infections.Ordem dos Médicos2011-12-29info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1503oai:ojs.www.actamedicaportuguesa.com:article/1503Acta Médica Portuguesa; Vol. 24 (2011): Suplemento 2; 257-262Acta Médica Portuguesa; Vol. 24 (2011): Suplemento 2; 257-2621646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1503https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1503/1088Ramos, Rosana TLeite, Gisela MMartinez, Hilton VSibin, Kátia CGermano, AlmirSvidzinski, Terezinhainfo:eu-repo/semantics/openAccess2022-12-20T10:57:57Zoai:ojs.www.actamedicaportuguesa.com:article/1503Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:17:11.360021Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Clinical and epidemiological characteristics of patients with central venous catheter colonized by yeasts. Características clínicas e epidemiológicas de doentes com cateter venoso central colonizado por leveduras. |
title |
Clinical and epidemiological characteristics of patients with central venous catheter colonized by yeasts. |
spellingShingle |
Clinical and epidemiological characteristics of patients with central venous catheter colonized by yeasts. Ramos, Rosana T |
title_short |
Clinical and epidemiological characteristics of patients with central venous catheter colonized by yeasts. |
title_full |
Clinical and epidemiological characteristics of patients with central venous catheter colonized by yeasts. |
title_fullStr |
Clinical and epidemiological characteristics of patients with central venous catheter colonized by yeasts. |
title_full_unstemmed |
Clinical and epidemiological characteristics of patients with central venous catheter colonized by yeasts. |
title_sort |
Clinical and epidemiological characteristics of patients with central venous catheter colonized by yeasts. |
author |
Ramos, Rosana T |
author_facet |
Ramos, Rosana T Leite, Gisela M Martinez, Hilton V Sibin, Kátia C Germano, Almir Svidzinski, Terezinha |
author_role |
author |
author2 |
Leite, Gisela M Martinez, Hilton V Sibin, Kátia C Germano, Almir Svidzinski, Terezinha |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Ramos, Rosana T Leite, Gisela M Martinez, Hilton V Sibin, Kátia C Germano, Almir Svidzinski, Terezinha |
description |
Among others complications due central venous catheters (CVCs), the blood infection (BI) deserves particular attention. The purposes of this study were to analyze the clinical and epidemiological characteristics of adult patients using CVC; to know the yeast colonization index; and to link it to risk factors for BI. Yeasts were investigated in 156 CVCs removed from 91 patients of the Regional University Hospital of Maringá from February to August, 2008. Yeast colonization was detected in 10.89% of the catheters, which were removed from 15 patients, three of them had a fatal hospital yeast infection due to catheter. There was a preponderance of male subjects; median age was 66 years and the mean hospitalization time was 15 days, greater than that of the non-colonized (p = 0.003). The mortality rate was significantly greater in this group than among those with non-colonized catheters (p = 0.01). Total parenteral nutrition and hemodialysis were the risk factors significantly more frequent in this group (p = 0.002 and 0.001, respectively). The most frequently found yeast was Candida parapsilosis. Among the colonized catheters those of double-lumen for infusion predominated and the site of insertion was the right subclavian vein. In conclusion the colonization by yeasts rate of CVC was 10.89% and 20% of them resulted in infection. These results add to higher mortality in patients who CVC was colonized by yeasts deserve attention considering the increasing of the hospital fungal infections. |
publishDate |
2011 |
dc.date.none.fl_str_mv |
2011-12-29 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1503 oai:ojs.www.actamedicaportuguesa.com:article/1503 |
url |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1503 |
identifier_str_mv |
oai:ojs.www.actamedicaportuguesa.com:article/1503 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1503 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1503/1088 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Ordem dos Médicos |
publisher.none.fl_str_mv |
Ordem dos Médicos |
dc.source.none.fl_str_mv |
Acta Médica Portuguesa; Vol. 24 (2011): Suplemento 2; 257-262 Acta Médica Portuguesa; Vol. 24 (2011): Suplemento 2; 257-262 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
|
_version_ |
1799130625325662208 |