Examinando por Materia "Bacteremia"
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Ítem Acceso abierto Bacteremia related to intravascular catheters in hospitalized neonates, Hipólito Unanue National Hospital 2016-2017(Universidad Privada Norbert Wiener, 2020-09-04) Liñan Vega, Maria Angelica; Zarate Salvador, Merli Dionisia; Rivera Lozada de Bonilla, OrianaBacteremia encompasses a wide variety of clinical manifestations. In this research, 514 samples (257 blood cultures and 257 intravascular catheter samples) were collected from patients in the neonatology service of the National Hospital Hipólito Unanue over the years.Ítem Acceso abierto Effective interventions in preventing bacteremia in patients with central venous catheters for hemodialysis(Universidad Privada Norbert Wiener, 2018-08-12) Crisólogo Mendoza, Roxana Maribel; Tuesta Loja, Sandy Yessenia; Calsin Pacompia, WilmerObjective: Analyze and systematize the evidence on effective interventions to prevent bacteremia in patients with central venous catheters for hemodialysis. Materials and Methods: the type of quantitative study was used and the study design is a systematic review, with a population consisting of the bibliographic review of 24 articles, and the sample of 10 scientific articles, using the GRADE method, in relation to The designs and types of studies, 50% correspond to systematic review, 30% retrospective and 20%. Results: 60% of the articles on effective interventions and preventive measures for the prevention of bacteremia were due to good handling and use of the correct hygiene and asepsis protocol, 40% are based on the use of antibiotics and mupirocin ointment can reduce the risk of bacteremia. Conclusions: 6 of 10 articles on effective interventions and preventive measures to reduce bacteremia were the correct handling and strict use of the protocol of hygiene and asepsis measures, since all this is the fundamental basis of the prevention of bacteremia. Mainly emphasis is placed on the role played by nursing staff, being a key element in ensuring this is achieved.Ítem Acceso abierto Effectiveness of antibiotic locking solutions in preventing hemodialysis catheter-associated bacteremia(Universidad Privada Norbert Wiener, 2017-11-12) Barazorda Pedraza, Nancy; Ramirez Sotelo, Karla Jazmin; Pretell Aguliar, Rosa MaríaMaterials and methods: The search was restricted to full-text articles, and the selected articles were critically reviewed using the GRADE system to identify their level of evidence. A total of 10 scientific articles were selected, of which 80% were systematic reviews and 20% were meta-analyses, all with high-quality evidence and strong recommendations. 40% (n=4/10) are from the United States, 20% (n=2/10) from China, 10% (n=1/10) from Israel, 10% (n=1/10) from Belgium, 10% (n=1/10) from Chile, and 10% (n=1/10) from the Netherlands. Results: Of the total 10 articles reviewed, 80% (8/10) (14-18;21-23) show that antibiotic lock solutions for hemodialysis catheters reduce catheter-related bloodstream infections. On the other hand, 10% (1/10) (20) concludes that the use of antibiotic lock solutions likely decreases the number of bloodstream infections associated with central venous catheters in hemodialysis patients. The other 10% (1/10) (19) claims that the use of antibiotic lock solutions will promote long-term antimicrobial resistance in the hemodialysis population. Conclusions: Antibiotic lock solutions are effective in preventing catheter-related bacteremia in hemodialysis, and will be more effective when used in conjunction with preventive measures such as handwashing, use of masks, caps, and sterile manipulation of the hemodialysis catheter.Ítem Acceso abierto Efficacy of the use of adhesives with chlorhexidine for central venous catheters, in the prevention of bacteremia in patients in intensive care units(Universidad Privada Norbert Wiener, 1905-07-09) Caballero Malaver, Mónica Elena; Samanamú Mauricio, Gabriela Cecilia; Gómez Gonzales, Walter EdgarObjective: Determine the effectiveness of the use of chlorhexidine dressings for central venous catheters, for the prevention of bacteremia in patients in intensive care units. Materials and methods: Systematic Review, observational and retrospective research design, the search has been restricted to articles with full text, and the selected articles were subjected to a critical reading according to the degree of evidence that synthesizes the results of 01 Meta-analysis and 03 scientific articles that demonstrate the powerful bactericidal activity of the use of dressings with Chlorhexidine for central venous catheters as a preventive measure against bloodstream infections. Results: 1 meta-analysis and 3 articles were chosen in which we found that 50% (02) correspond to the United States with 25% (01), we find France and Israel with 25% (01) respectively. Of the total number of articles analyzed, 100% affirm the effectiveness of the use of dressings with chlorhexidine for CVC in the prevention of bacteremia and infections. The meta-analysis included 9 primary studies that showed a significant reduction in the incidence of infections due to colonization of the central venous catheter as well as bloodstream infection. A randomized trial demonstrated that the use of dressings impregnated with Chlorhexidine gel decreases the rate of CRF in ICU patients with a central venous catheter. A prospective comparative trial provided excellent results of bactericidal and antimicrobial action of the use of transparent dressings impregnated with CHG and finally a randomized controlled study was carried out in a pediatric cardiac intensive unit where gluconate sponge impregnated with chlorhexidine is safe and significantly reduces rates. of CVC colonization in infants and children after cardiac surgery. Conclusion: It was evident in the reviewed research that there is effectiveness in the use of adhesives with chlorhexidine for venous catheters in the prevention of bacteremia since it reduces the percentages of bacteremia associated with central venous catheters, therefore reducing hospital stay, deaths and costs. .
