Prevalencia de patógenos asociados a sepsis por catéter venoso central en pacientes de Unidad de Cuidados Intensivos del Hospital General Guasmo sur en el periodo 2023-2024.

Abstract

Objective: To estimate the prevalence of pathogens associated with sepsis by central venous catheter in patients in the intensive care unit of the General Hospital Guasmo Sur in the period 2023-2024. Materials and methods: This study has an observational approach that will analyze the microbiological data of positive blood cultures obtained in patients hospitalized in intensive care unit between January 2023 and January 2024. Results: The results identified Staphylococci aureus, Klebsiella pneumoniae and Pseudomonas aeruginosa as the most frequent pathogenic microorganism causing sepsis among others, These, combined with high antimicrobial resistance and poor asepsis and antisepsis measures during placement and maintenance of CVC and other factors increase the risk of severe complications and complicate treatment. Conclusions: Sepsis associated with central venous catheter (CVC) is a very frequent complication observed in intensive care units (ICUs), with a mortality rate of 43.1%, making clear that it is a major cause of mortality and morbity in hospital units. Knowing microbiological agents such as, negative coagulase Staphylococci, as the most common colonizing germ. However, microorganism such as Pseudomonas aeruginosa, Klebsiella pneumoniae, Escherichia coli and Candida spp showed a clear link with the development of sepsis. There are long-term risk factors, procedures performed in the cvc and comorbidities specific of the patient as chronic diseases that will be highlighted in this study, which highlights the importance of correct techniques, evidencebased prevention protocols and strategies such as Clinical Practice Guidelines (CPG).