Sepsis por catéter

• Main Authors: Simón Ovalles, Simón Ríos
• Format: Article
• Language: English
• Published: Universidad Nacional de Colombia 2001-07-01
• Series: Revista de la Facultad de Medicina
• Subjects: catéteres venosos centrales; morbimortalidad; colonización del catéter; infección del catéter; bacteremia por catéter; patogénesis
• Online Access: https://revistas.unal.edu.co/index.php/revfacmed/article/view/19783

Catheter-related sepsis is a serious complication secondary to the use of such devices for invasive monitorization and treatment with several implications on morbidity and mortality. The mortality average is 3 %. Internal and external colonization over catheter surfaces is the most important source of infectious process. The gold standard for diagnosis is still today controversial, semicuantitative culture using Maki's technique is the most frequent procedure, however, it isn't the most accurate on this regard with suboptimal sensibility and specificity values in meta-analysis studies. Evidence supports level I preventive maneuvers like: prophylactic heparin, avoiding routine change of catheters using guidewire, impregnated catheters with chlorhexidine-silver sulfadiazine.