Impacto de la bacteremia asociada a catéter venoso central en el paciente crítico oncológico neutropénico y no neutropénico en la unidad de cuidados intensivos adultos del Hospital Oncológico Dr. Julio Villacreses Colmont SOLCA Manabí
DOI:
https://doi.org/10.71112/2xxmwr04Palavras-chave:
bacteriemia asociada a catéter, neutropenia, pacientes oncológicos críticos, unidad de cuidados intensivos.Resumo
La bacteriemia asociada a catéter venoso central (BACVC) constituye una de las infecciones relacionadas con la atención sanitaria de mayor impacto en pacientes oncológicos críticos. El objetivo del estudio fue analizar el impacto clínico de la BACVC en pacientes oncológicos neutropénicos y no neutropénicos ingresados en la Unidad de Cuidados Intensivos del Hospital Oncológico Dr. Julio Villacreses Colmont – SOLCA Manabí. Se realizó un estudio cuantitativo, observacional y analítico con diseño de cohorte retrospectiva durante el periodo enero de 2024 a junio de 2025. La muestra incluyó 120 pacientes con diagnóstico confirmado de BACVC. Los resultados evidenciaron altas tasas de choque séptico, falla orgánica múltiple y mortalidad hospitalaria. Los pacientes con neutropenia presentaron mayor mortalidad y estancias más prolongadas en UCI. El análisis multivariable identificó como predictores independientes de mortalidad la neutropenia, el uso de ventilación mecánica y la administración de vasopresores. Los hallazgos destacan la necesidad de fortalecer las estrategias de prevención, vigilancia epidemiológica y manejo oportuno de infecciones asociadas a catéter en pacientes oncológicos críticos.
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Copyright (c) 2026 Jimmy Manuel Quijije Gaibor, Edwin Antonio Bravo Loor, Luiggy Marcelo Zambrano Pionce, Genesis Shirley Guzman Espinoza, Lady Katherine Tortorelli García (Autor/a)
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