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• W2049264468 abstract "En las guidelines para la prevención de la bacteriemia relacionada con catéter venoso central (BCVC) de los Centers for Disease Control and Prevention (CDC) de 2002, de la Sociedad Española de Medicina Intensiva, Crítica y Unidades Coronarias/ Sociedad Española de Enfermedades Infecciosas y Microbiología Clínica (SEMICYUC/SEIMC) de 2004, y en las recientemente publicadas guidelines de la Society for Healthcare Epidemiology of America/Infectious Diseases Society of America (SHEA/IDSA) de 2008 se recomienda utilizar preferentemente la vena subclavia y evitar la femoral, y considerar el uso de CVC impregnados en antisépticos o antimicrobianos en unidades hospitalarias o grupos de pacientes que tienen una alta incidencia de BCVC. A la hora de la implantación de estas guidelines podrían plantearse dos preguntas: 1) ¿el abuso de la vena subclavia y el desuso de la femoral podrían conllevar una disminución de la incidencia de BCVC pero un aumento de la tasa de complicaciones mecánicas como neumotórax o hemotórax?, y 2) ¿no se podrían utilizar catéteres impregnados en antimicrobianos para prevenir la BCVC cuando se utilice la vena femoral? The guidelines to prevent central venous catheter related bloodstream infections (CVCBSI) of the Centers for Disease Control and Prevention (CDC) of 2002, Sociedad Española de Medicina Intensiva, Crítica y Unidades Coronarias/ Sociedad Española de Enfermedades Infecciosas y Microbiología Clínica (SEMICYUC/SEIMC) of 2004, and the recently published guidelines of the Society for Healthcare Epidemiology of America/Infectious Diseases Society of America (SHEA(IDSA) of 2008 have recommended using the subclavian vein and avoiding the use of the femoral vein. They also recommend considering the use of antiseptic- or antimicrobial-impregnated CVCs for hospital units or groups of patients with a high incidence of CVCBSI. When implementing these guidelines, two questions could be asked: 1) Could the abuse of the subclavian vein and avoiding the use of the femoral vein imply a decrease in the incidence of CVCBSI, but an increase in the rate of mechanical complications as pneumothorax and/or hemothorax? 2) Couldn’t antimicrobial-impregnated CVCs be used to prevent CVCBSI when the femoral venous access is used?" @default.
• W2049264468 created "2016-06-24" @default.
• W2049264468 creator A5026258590 @default.
• W2049264468 creator A5051037120 @default.
• W2049264468 date "2009-12-01" @default.
• W2049264468 modified "2023-10-18" @default.
• W2049264468 title "Cateterización venosa femoral: ¿realmente hay que evitarla?" @default.
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• W2049264468 doi "https://doi.org/10.1016/j.medin.2009.03.009" @default.
• W2049264468 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/19922826" @default.
• W2049264468 hasPublicationYear "2009" @default.
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