Colonização e infecção em pacientes com cateter peridural não tunelizado para analgesia

OBJECTIVE: To correlate the colonization and infection in patients using non-tunneled epidural catheter for analgesia effects. METHODS: This is a prospective study of 109 clinical or surgical patients, with catheter dwell time> 72 hours, in a private hospital in the city of São Paulo. The culture...

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Detalhes bibliográficos
Autores: Diccini, Solange [UNIFESP], Ilsilara, Maria Cecília Torres de Araújo Pimenta [UNIFESP], Miyake, Mara Harumi [UNIFESP], Belasco, Angélica Gonçalves Silva [UNIFESP], Barbosa, Dulce Aparecida [UNIFESP]
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2010
País:Brasil
Recursos:Universidade Federal de São Paulo (UNIFESP)
Repositorio:Repositório Institucional da UNIFESP
Idioma:portugués
OAI Identifier:oai:repositorio.unifesp.br:11600/5958
Acesso em linha:http://dx.doi.org/10.1590/S0103-21002010000500006
http://repositorio.unifesp.br/handle/11600/5958
Access Level:acceso abierto
Palavra-chave:Epidural analgesia
Nursing care
Pain
Infection
Analgesia epidural
Cuidados de enfermagem
Dor
Infecção
Descrição
Resumo:OBJECTIVE: To correlate the colonization and infection in patients using non-tunneled epidural catheter for analgesia effects. METHODS: This is a prospective study of 109 clinical or surgical patients, with catheter dwell time> 72 hours, in a private hospital in the city of São Paulo. The culture of surveillance was carried out based on the collection of the epidural catheter tip, swab peri-catheter and peripheral blood cultures. RESULTS: Among the 109 patients accompanied, 106 (97.2%) were surgical and 3 (2.8%) clinical. The catheter dwell time ranged from 3 to 18 days and the rate of colonization was 11%. Twelve patients had epidural catheter colonization and the main organism isolated was coagulase-negative Staphylococcus. CONCLUSIONS: The positive culture of epidural catheter was a predictive factor for colonization; however, it was not found positive patients who evolved to infection.