[Control of pediatric nosocomial bacteremia by a program based on culturing of parenteral solutions in use]. / Control de bacteriemia nosocomial pediátrica mediante un programa de cultivo de soluciones parenterales en uso.
Salud Publica Mex
; 41 Suppl 1: S32-7, 1999.
Article
em Es
| MEDLINE
| ID: mdl-10608175
ABSTRACT
OBJECTIVE:
As Klebsiella, Enterobacter and Serratia are capable of growth in i.v. fluids and these bacteria are commonly implicated in nosocomial bacteremia, a control strategy through microbiological surveillance of in-use parenteral solutions is proposed. MATERIAL ANDMETHODS:
A second level general teaching hospital, serving low-income patients. Through four consecutive strategies, a continuous surveillance program of i.v. fluids sterility in pediatric wards was stablished in 1992. During the first stage all of the in-use solutions were cultured. During the second stage randomly selected samples were studied. Third stage was designed as a case-control study. The last stage included samples drawn in convenience. Positive cultures point out eventual infusion mishandling, as well as high-risk areas and patients.RESULTS:
After culturing 1940 parenteral solutions, infusion contamination rates decreased from 29.6% in 1992 to 12.9% in 1997 (p < 0.001). The proportion of Gram-negative rods isolated from blood cultures went from 72.7% to 40.85% (p < 0.0001), and the nosocomial bacteremia rate dropped from 3.12 to 1.54 per 100 discharges.CONCLUSIONS:
The program has enabled us to 1) Detect and control eventual bacteremia outbreaks; 2) Assess the endemic infusion contamination rate; 3) Arouse healthcare workers awareness about infusion line precautions; 4) Have a suitable surveillance strategy according to our laboratory's workload.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Soluções
/
Bactérias
/
Infecção Hospitalar
/
Bacteriemia
/
Nutrição Parenteral
Tipo de estudo:
Observational_studies
/
Risk_factors_studies
Limite:
Child
/
Humans
País/Região como assunto:
Mexico
Idioma:
Es
Revista:
Salud Publica Mex
Ano de publicação:
1999
Tipo de documento:
Article