Microrganismos isolados de pacientes em hemodiálise por cateter venoso central e evolução clínica relacionada

OBJECTIVE: To identify the microorganisms isolated on the pericatheter skin, catheter tip and blood stream of patients on hemodialysis by central venous catheter, to verify the profile of sensitivity of these microorganisms to antimicrobials and to assess the clinical evolution and mortality related...

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Detalles Bibliográficos
Autores: Esmanhoto, Cibele Grothe [UNIFESP], Taminato, Mônica [UNIFESP], Fram, Dayana Souza [UNIFESP], Belasco, Angélica Gonçalves Silva [UNIFESP], Barbosa, Dulce Aparecida [UNIFESP]
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2013
País:Brasil
Institución:Universidade Federal de São Paulo (UNIFESP)
Repositorio:Repositório Institucional da UNIFESP
Idioma:portugués
OAI Identifier:oai:repositorio.unifesp.br:11600/7525
Acceso en línea:http://dx.doi.org/10.1590/S0103-21002013000500003
http://repositorio.unifesp.br/handle/11600/7525
Access Level:acceso abierto
Palabra clave:Nursing care
Clinical nursing research
Nursing education
Hemodialysis
Central venous catheters
Catheter-related infections
Cuidados em enfermagem
Pesquisa em enfermagem clínica
Educação em enfermagem
Hemodiálise
Cateteres venosos centrais
Infecções relacionadas a cateter
Descripción
Sumario:OBJECTIVE: To identify the microorganisms isolated on the pericatheter skin, catheter tip and blood stream of patients on hemodialysis by central venous catheter, to verify the profile of sensitivity of these microorganisms to antimicrobials and to assess the clinical evolution and mortality related to these microorganisms. METHODS: A cross sectional study. The strains were isolated from the patients on hemodialysis by central venous catheter that, in a previous study, presented pericatheter skin, catheter tip and blood stream infection and were analyzed for microbiological profile and lethality related. RESULTS: 128 microorganisms were isolated in the bloodstream in the 94 patients studied. There were 35 cases of septicemia and 27 of endocarditis. The mortality in cases of endocarditis due to methicillin-resistant Staphylococcus aureus was 100%. CONCLUSION: Infection in the bloodstream and endocarditis caused by methicillin-resistant Staphylococcus aureus was predictive of mortality and lethality.