ETIOLOGICAL AND RESISTANCE PROFILE OF BACTERIA ISOLATED FROM PRIMARY BLOODSTREAM INFECTIONS ASSOCIATED WITH PERIPHERALLY INSERTED CENTRAL CATHETER IN NEONATES

Abstract

Introduction: The Peripherally Inserted Central Catheter (PICC) is an intravenous peripherally inserted device with characteristics of central venous access, with bloodstream infection being the main complication associated with the presence of this catheter. The main pathogens involved are: Candida sp., gram-positive cocci of the genus Staphylococcuscoagulase-negative and gram-negative bacilli. Objective:To identify the main risk factors for newborns reported with laboratory-confirmed Primary Bloodstream Infection (IPCSL) associated with PICC, as well as the etiological profile and resistance of the most prevalent bacteria. Methodology: A descriptive study with a quantitative approach was carried out from January 2015 to December 2016 in the ICU of a maternal and child hospital. The sample was composed of cases reported with IPCSL associated with the PICC. Data collection was carried out from the notification forms, blood culture results, and antibiograms attached to the medical records. The data were tabulated and analyzed in the light of descriptive statistics. Results: The main risk factors associated with blood infection were: prematurity, prolonged hospitalization, catheter permanence time, use of antibiotics and parenteral nutrition. Regarding the microbiological profile, S predominated. epidermidiswith 71% of oxacillin-resistant strains. Conclusion: The planning of care by the interdisciplinary team for the appropriate management of the PICC, as well as the monitoring, evaluation and discussion of the IPC indices associated with this catheter will enable the adequacy of practices that minimize the rates of nosocomial infections.