INFECCIONES ASOCIADAS A CATETERISMO PERCUTÁNEO EN NEONATOS. SERVICIO DE NEONATOLOGÍA, HOSPITAL DR. VERDI CEVALLOS BALDA, PORTOVIEJO

Abstract

In the present research work it was possible to describe the infections associated with percutaneous catheterization in neonates admitted to the Verdi Cevallos Balda Hospital, which shows the demographic characteristics, types and incidence and risk factors of this type of infections. The research had a retrospective, transversal and descriptive approach, the information was obtained from the medical records and the neonatology culture control book. The universe was worked on due to its limited number to obtain a sample, which consisted of 31 infants to whom the percutaneous catheter was applied during the months of January to June 2019. Two cases of infections associated with the application were found. of percutaneous catheters that represents an incidence of 6%, in addition to identifying Escherichia coli in both cases as the infectious agent, and led them to develop neonatal sepsis. Of the total universe, only 8 neonates were cultured, that is, 26%, for complying with the clinical criteria according to protocol. Preterm infants 65% and male 61% predominated for the application of these devices. the extrinsic risk factors that helped trigger the infection in the two infants and that put the rest at risk, we found the following; the very low birth weight 52%, the main reason for admission was hyaline membrane disease 42% and. On the other hand, we have intrinsic risk factors hospitalization time was greater than 21 days that represented 48%, the main reason for parenteral nutrition was 52%, catheter material in 100% silicone was used and reason The most common withdrawal was the culmination of the 49% treatment.