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COMPLICACIONES INFECCIOSAS DE LA NUTRICIÓN PARENTERAL DOMICILIARIA
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COMPLICACIONES INFECCIOSAS DE LA NUTRICIÓN PARENTERAL DOMICILIARIA
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Trade Publication Article
COMPLICACIONES INFECCIOSAS DE LA NUTRICIÓN PARENTERAL DOMICILIARIA
2006
Overview
Catheter-related infection is the most common complication in patients receiving home parenteral nutrition (HPN). The centers with the greatest experience report rates ranging from 0.5 to 2 infections per 1000 days. According to the latest data from the Spanish Home and Ambulatory Artificial Nutrition Group (NADYA), the rate of infection was 1.2 per 1000 days. Among the most common origins of catheter-related infection is extraluminal spread of microorganisms from the skin to the catheter tip, especially in short-term catheters, and intraluminal spread of microorganisms to contamination of the catheter hub, which is the most frequent cause in tunneled catheters. The microorganisms mostly commonly involved are coagulase-negative Staphylococcus, Staphylococcus aureus, Staphylococcus spp. Given the fact that the patients that receive HPN will frequently require long-term treatment, it is important to attempt to maintain the catheter in place during the infectious episodes. This conservative treatment requires not only the treatment of the sepsis, but sterilization of the catheter to prevent recurrence of the infection. We recommend that patients in whom catheter sepsis is suspected be admitted to the hospital to enable the performance of microbiological diagnosis and initiate antibiotic therapy. In many cases, if the response is good, the antibiotic therapy can be completed in the patient's home. [PUBLICATION ABSTRACT]
Publisher
Ediciones Mayo
Subject
