%0 Journal Article
%T Estudio comparativo de incidencia de bacteriemias relacionadas con el cat¨¦ter de hemodi¨¢lisis: bioconectores frente a conexi¨®n directa
%A Cobo S¨¢nchez
%A Jos¨¦ Luis
%A Sainz Alonso
%A Rosa Ana
%A Vicente Jim¨¦nez
%A Ma Yolanda
%A Cepa Garc¨ªa
%A Hortensia
%A Pelayo Alonso
%A Raquel
%A Menezo Viadero
%A Raquel
%A Ibarguren Rodr¨ªguez
%A Emilio
%A P¨¦rez Garmilla
%A Ana Isabel
%A Rojo Tordable
%A Marina
%A Begines Ram¨ªrez
%A Ana
%A Sola Garc¨ªa
%A Ma Teresa
%A Alonso Nates
%A Rosa
%J Revista de la Sociedad Espa£¿ola de Enfermer¨ªa Nefrol¨®gica
%D 2011
%I Scientific Electronic Library Online
%R 10.4321/S1139-13752011000400004
%X objective: to compare hemodialysis catheter-related bacteremia rate between bioconectors use and direct connection. methodology: comparative, retrospective and cross-sectional study over 2 consecutive years (one year with direct connection - 2009 february to 2010 february - and 1 year using bioconectors tego£¿ -2010 march to 2011 march-) in hemodialysis patients in our unit with a permanent catheter as vascular access. catheters connection and disconnection protocol was the same during the study period, except for the disinfecting solution used: iodine povidone was using in direct connection, and 2% chlorhexidine was using with bioconectors. catheter-related bacteremia was defined as onset of fever with a positive blood culture in the absence of another infection source. results: 69 patients were studied: 36 during direct connection period and 33 during use bioconectors period. six patients were studied during both periods. bacteremia rate during direct connection period was 24.6/1000 catheters-day (9 bacteremia), while during the using bioconectors period, bacteremia rate was 5.47/1000 catheters-day (2 bacteremia) (p = 0.036). staphylococcus aureus (3 patients) and staphylococcus coagulase negative (3 patients) were the most common infectious agents during direct connection period. conclusions: use of bioconectors significantly decreases the rate of bacteremia catheter-related in hemodialysis patients versus direct connection.
%K haemodialysis
%K catheters
%K catheters-related infection
%K bacteremia
%K luer-lock bioconector
%K nursing care.
%U http://scielo.isciii.es/scielo.php?script=sci_abstract&pid=S1139-13752011000400004&lng=en&nrm=iso&tlng=en