Estudio prospectivo sobre el empleo de catéteres umbilicales en el recién nacido
Prospective evaluation of umbilical catheters in newborn infants. the castrillo hospital group
B. Fernández Colomer, A. Ramos Aparicio, J.B. López Sastre, G.D. Coto Cotallo, Grupo de Hospitales Castrillo *
Hospital Central de Asturias. Oviedo
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"apellidos" => "López Sastre" ] 3 => array:2 [ "nombre" => "G.D." "apellidos" => "Coto Cotallo" ] 4 => array:2 [ "colaborador" => "Grupo de Hospitales Castrillo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Hospital Central de Asturias. Oviedo" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "<span class="elsevierStyleItalic">Correspondencia:</span> Servicio de Neonatología. Hospital Central de Asturias. Celestino Villamil, s/n. 33006 Oviedo." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Prospective evaluation of umbilical catheters in newborn infants. the castrillo hospital group" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2000-05-01" "fechaAceptado" => "2000-09-01" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec186477" "palabras" => array:7 [ 0 => "<span class="elsevierStyleItalic">Catéter umbilical</span>" 1 => "<span class="elsevierStyleItalic">Neonato</span>" 2 => "<span class="elsevierStyleItalic">Factores de riesgo</span>" 3 => "<span class="elsevierStyleItalic">Sepsis relacionada con catéter</span>" 4 => "<span class="elsevierStyleItalic">Staphylococcus epidermidis</span>" 5 => "<span class="elsevierStyleItalic">Estudios prospectivos</span>" 6 => "<span class="elsevierStyleItalic">Análisis multivariante</span>" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec186478" "palabras" => array:11 [ 0 => "<span class="elsevierStyleItalic">Catheterization</span>" 1 => "<span class="elsevierStyleItalic">Umbilical arteries</span>" 2 => "<span class="elsevierStyleItalic">Umbilical veins</span>" 3 => "<span class="elsevierStyleItalic">Newborn infants</span>" 4 => "<span class="elsevierStyleItalic">Risk factors</span>" 5 => "<span class="elsevierStyleItalic">Sepsis</span>" 6 => "<span class="elsevierStyleItalic">Staphylococcus epidermidis</span>" 7 => "<span class="elsevierStyleItalic">Prospective studies</span>" 8 => "<span class="elsevierStyleItalic">Multivariate analysis</span>" 9 => "<span class="elsevierStyleItalic">Catheters</span>" 10 => "<span class="elsevierStyleItalic">Indwelling</span>" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Conocer la situación actual en nuestro país sobre el empleo de catéteres umbilicales en recién nacidos, analizando características técnicas y complicaciones infecciosas, mecánicas y locales.</p> <span class="elsevierStyleSectionTitle">Métodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Entre el 15 de julio de 1997 y el 31 de diciembre de 1998, en los servicios de neonatología de los hospitales integrantes del Grupo de Hospitales Castrillo se estudiaron prospectivamente los catéteres umbilicales colocados en recién nacidos.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se han estudiado 489 catéteres umbilicales (201 venosos y 288 arteriales) colocados en 475 recién nacidos. Se insertaron con facilidad, permanecieron colocados por lo general menos de 5 días y la mayoría se retiraron de forma electiva. Se enviaron para estudio bacteriológico 461puntas de catéter (94,3 %) y en 98 (21,2 %) el cultivo resultó positivo; 85 (18,4 %) se consideraron contaminados y 11 (2,4 %) con sepsis relacionada con catéter (SRC). Staphylococcus epidermidis fue el germen aislado más habitualmente (72,2 % en contaminación y 63,6 % en SRC). La permanencia del catéter 3 días o más fue el principal factor de riesgo para la contaminación y para la SRC fueron la permanencia 3 días o más y el peso del recién nacido menor o igual a 1.500 g. El 7,9 % de los catéteres venosos y el 9% de los arteriales presentaron complicaciones locales; la salida accidental fue la complicación más habitual en los catéteres venosos (3,98 %) y alteración de perfusión en extremidades en los arteriales (2,77 %).</p> <span class="elsevierStyleSectionTitle">Conclusión</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Los catéteres umbilicales en nuestra casuística, han tenido una baja incidencia de complicaciones. Debe evitarse una permanencia prolongada y así los beneficios prevalecerán sobre los riesgos en estos catéteres.</p>" ] "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To evaluate the current use of umbilical catheters in newborn infants in Spain by analyzing technical characteristics and infections, as well as mechanical and local complications.</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Umbilical catheters inserted in newborns in the neonatal units of the hospitals in the Castrillo Hospital Group from July 15, 1998 to December 31, 1998 were collected for prospective analysis.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">A total of 489 umbilical catheters (201 venous and 288 arterial) placed in 475 newborns were analysed. No difficulties were found in inserting the catheters and they had an average indwelling time of less than 5 days. Most were removed electively. A total of 461 (94.3 %) catheter tips were sent for microbiological examination and cultures were positive in 98 (21.2 %). Of these, catheter contamination was found in 85 (18.4%) and catheter-related sepsis was confirmed in 11 (2.4 %). Staphylococcus epidermidis was the most commonly isolated organism (72.2% of contaminated catheters and 63.6% of catheterrelated sepsis). The main risk factor for contamination was duration of catheterization $ 3 days and that for cather- related sepsis was duration of catheterization $ 3 days and birth weight # 1500 g. Local or mechanical complications were documented in 7.9 % of venous catheters and 9% of arterial catheters. The most common complications were accidental dislodgment in venous catheters (3.98%) and clinical vascular compromise in the lower extremities in arterial catheters (2.77 %).</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">In our experience, the umbilical catheter had a low complication rate. To ensure that the benefits of catheterization outweigh the risks, prolonged use of these devices should be avoided.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliogrífia" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:38 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Erythroblastosis foetalis or haemolytic disease of the newborn" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "L.K. 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Noviembre | 5 | 7 | 12 |
| 2024 Octubre | 48 | 49 | 97 |
| 2024 Septiembre | 63 | 40 | 103 |
| 2024 Agosto | 77 | 79 | 156 |
| 2024 Julio | 50 | 47 | 97 |
| 2024 Junio | 63 | 47 | 110 |
| 2024 Mayo | 64 | 55 | 119 |
| 2024 Abril | 48 | 33 | 81 |
| 2024 Marzo | 48 | 52 | 100 |
| 2024 Febrero | 46 | 41 | 87 |
| 2024 Enero | 31 | 31 | 62 |
| 2023 Diciembre | 62 | 33 | 95 |
| 2023 Noviembre | 46 | 38 | 84 |
| 2023 Octubre | 58 | 30 | 88 |
| 2023 Septiembre | 50 | 25 | 75 |
| 2023 Agosto | 49 | 32 | 81 |
| 2023 Julio | 36 | 33 | 69 |
| 2023 Junio | 30 | 40 | 70 |
| 2023 Mayo | 39 | 27 | 66 |
| 2023 Abril | 25 | 18 | 43 |
| 2023 Marzo | 27 | 25 | 52 |
| 2023 Febrero | 22 | 24 | 46 |
| 2023 Enero | 18 | 23 | 41 |
| 2022 Diciembre | 27 | 32 | 59 |
| 2022 Noviembre | 37 | 33 | 70 |
| 2022 Octubre | 39 | 47 | 86 |
| 2022 Septiembre | 30 | 43 | 73 |
| 2022 Agosto | 33 | 56 | 89 |
| 2022 Julio | 24 | 33 | 57 |
| 2022 Junio | 31 | 39 | 70 |
| 2022 Mayo | 28 | 35 | 63 |
| 2022 Abril | 29 | 38 | 67 |
| 2022 Marzo | 43 | 44 | 87 |
| 2022 Febrero | 36 | 36 | 72 |
| 2022 Enero | 34 | 48 | 82 |
| 2021 Diciembre | 46 | 42 | 88 |
| 2021 Noviembre | 64 | 57 | 121 |
| 2021 Octubre | 46 | 45 | 91 |
| 2021 Septiembre | 33 | 43 | 76 |
| 2021 Agosto | 28 | 35 | 63 |
| 2021 Julio | 31 | 37 | 68 |
| 2021 Junio | 34 | 37 | 71 |
| 2021 Mayo | 36 | 30 | 66 |
| 2021 Abril | 89 | 52 | 141 |
| 2021 Marzo | 95 | 38 | 133 |
| 2021 Febrero | 97 | 21 | 118 |
| 2021 Enero | 51 | 17 | 68 |
| 2020 Diciembre | 47 | 20 | 67 |
| 2020 Noviembre | 32 | 10 | 42 |
| 2020 Octubre | 44 | 12 | 56 |
| 2020 Septiembre | 26 | 14 | 40 |
| 2020 Agosto | 13 | 11 | 24 |
| 2020 Julio | 43 | 13 | 56 |
| 2020 Junio | 38 | 17 | 55 |
| 2020 Mayo | 37 | 22 | 59 |
| 2020 Abril | 33 | 14 | 47 |
| 2020 Marzo | 19 | 12 | 31 |
| 2020 Febrero | 36 | 29 | 65 |
| 2020 Enero | 33 | 18 | 51 |
| 2019 Diciembre | 41 | 25 | 66 |
| 2019 Noviembre | 19 | 20 | 39 |
| 2019 Octubre | 2 | 11 | 13 |
| 2019 Septiembre | 20 | 21 | 41 |
| 2019 Agosto | 14 | 15 | 29 |
| 2019 Julio | 20 | 16 | 36 |
| 2019 Junio | 37 | 36 | 73 |
| 2019 Mayo | 35 | 26 | 61 |
| 2019 Abril | 12 | 29 | 41 |
| 2019 Marzo | 5 | 8 | 13 |
| 2019 Febrero | 11 | 14 | 25 |
| 2019 Enero | 10 | 12 | 22 |
| 2018 Diciembre | 12 | 14 | 26 |
| 2018 Noviembre | 12 | 14 | 26 |
| 2018 Octubre | 27 | 10 | 37 |
| 2018 Septiembre | 12 | 7 | 19 |
| 2018 Junio | 1 | 0 | 1 |
| 2018 Mayo | 1 | 0 | 1 |
| 2018 Abril | 14 | 0 | 14 |
| 2018 Marzo | 8 | 0 | 8 |
| 2018 Febrero | 9 | 0 | 9 |
| 2018 Enero | 15 | 0 | 15 |
| 2017 Diciembre | 11 | 0 | 11 |
| 2017 Noviembre | 7 | 0 | 7 |
| 2017 Octubre | 9 | 0 | 9 |
| 2017 Septiembre | 11 | 0 | 11 |
| 2017 Agosto | 16 | 0 | 16 |
| 2017 Julio | 10 | 1 | 11 |
| 2017 Junio | 20 | 5 | 25 |
| 2017 Mayo | 14 | 6 | 20 |
| 2017 Abril | 14 | 4 | 18 |
| 2017 Marzo | 14 | 0 | 14 |
| 2017 Febrero | 12 | 8 | 20 |
| 2017 Enero | 11 | 2 | 13 |
| 2016 Diciembre | 17 | 3 | 20 |
| 2016 Noviembre | 24 | 7 | 31 |
| 2016 Octubre | 25 | 7 | 32 |
| 2016 Septiembre | 29 | 7 | 36 |
| 2016 Agosto | 34 | 6 | 40 |
| 2016 Julio | 12 | 4 | 16 |
| 2016 Mayo | 1 | 0 | 1 |
| 2016 Abril | 1 | 0 | 1 |
| 2016 Marzo | 2 | 0 | 2 |
| 2016 Febrero | 3 | 0 | 3 |
| 2016 Enero | 1 | 0 | 1 |
| 2015 Diciembre | 3 | 0 | 3 |
| 2015 Noviembre | 1 | 0 | 1 |
| 2015 Octubre | 1 | 0 | 1 |
| 2015 Septiembre | 1 | 0 | 1 |
| 2015 Agosto | 3 | 0 | 3 |
| 2015 Julio | 9 | 0 | 9 |
| 2015 Junio | 20 | 0 | 20 |
| 2015 Mayo | 14 | 0 | 14 |
| 2015 Abril | 10 | 8 | 18 |
| 2015 Marzo | 12 | 0 | 12 |
| 2015 Febrero | 6 | 0 | 6 |
| 2015 Enero | 13 | 0 | 13 |
| 2014 Diciembre | 33 | 2 | 35 |
| 2014 Noviembre | 10 | 0 | 10 |
| 2014 Octubre | 20 | 1 | 21 |
| 2014 Septiembre | 18 | 3 | 21 |
| 2014 Agosto | 15 | 1 | 16 |
| 2014 Julio | 16 | 1 | 17 |
| 2014 Junio | 29 | 1 | 30 |
| 2014 Mayo | 43 | 2 | 45 |
| 2014 Abril | 24 | 3 | 27 |
| 2014 Marzo | 25 | 7 | 32 |
| 2014 Febrero | 21 | 7 | 28 |
| 2014 Enero | 16 | 8 | 24 |
| 2013 Diciembre | 27 | 9 | 36 |
| 2013 Noviembre | 22 | 7 | 29 |
| 2013 Octubre | 26 | 10 | 36 |
| 2013 Septiembre | 21 | 13 | 34 |
| 2013 Agosto | 22 | 11 | 33 |
| 2013 Julio | 6 | 5 | 11 |
| 2013 Junio | 0 | 2 | 2 |
| 2013 Mayo | 4 | 2 | 6 |
| 2013 Abril | 2 | 2 | 4 |
| 2013 Marzo | 4 | 3 | 7 |
| 2013 Febrero | 26 | 2 | 28 |
| 2013 Enero | 20 | 2 | 22 |
| 2012 Diciembre | 14 | 1 | 15 |
| 2012 Noviembre | 13 | 3 | 16 |
| 2012 Octubre | 8 | 0 | 8 |
| 2012 Septiembre | 1 | 1 | 2 |
| 2000 Noviembre | 2746 | 0 | 2746 |
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