[Catheter-related infection in home-based parenteral nutrition: outcomes from the NADYA group and presentation of a new protocol].
Hom parenteral nutrition (HPN) is a nutritional support modality that allows for the supply of parenteral nutrition bags to the patient's home. Since its first use in the late 60s, this therapy has allowed maintaining patients with intestinal failure alive that previously were doomed to death. In our country, this therapy is used by 2.15 patients pmp. According to the NADYA data, catheter-related infections account for 50% of all HPN-related complications. In larger series, infection rates are 0.5-2 infections/1000 days or 0.3-0.5 infections/patient/year. Most of them are produced by gram-positive organisms that migrate from the skin or from catheter connections to the tip. These infections are diagnosed by means of clinical data and with different microbiological cultures. When treating these infections, it is important to keep the catheter in place, and administering antibiotics through it, conventionally or with the antibioticolade technique.
Cuerda
Compés C
CC
Unidad de Nutrición Clínica y Dietética, HGU Gregorio Marañon, Madrid. mcuerda.hgugm@salud.madrid.org
Bretón
Lesmes I
LI
Bonada Sanjaume
A
A
Planas Vila
M
M
D002405:Catheterization, Central Venous / Q000009:adverse effects; D002408:Catheters, Indwelling / Q000009:adverse effects / Q000382:microbiology; D006801:Humans; D017053:Infection Control; D007239:Infections / Q000453:epidemiology / Q000382:microbiology; D016331:Parenteral Nutrition, Home / Q000009:adverse effects*; D013030:Spain / Q000453:epidemiology