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Incidence of complications associated with central catheters in patients hospitalized in the NICU of a tertiary-care hospital in central Mexico from 2020 to 2022
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Abstract
Central line catheterization is the most frequent invasive procedure in neonatal intensive care units. The need for routine use of central lines requires the study of existing complications to address and optimize their use. A longitudinal and retrospective study was conducted on neonates hospitalized who required central lines in the Neonatal Intensive Care Unit of the Hospital Español de México. A total of 297 newborns were included, with a total of 636 catheters placed. Two-thirds were through umbilical catheterization (a total of 443; 180 arterial and 258 venous). These catheters were placed primarily for the administration of solutions and medications. Complications occurred in 10.6% (n = 68) of the central lines. Infectious and mechanical complications were the most frequent. The incidence of Central Line Associated BloodStream Infection (CLABSI) was 4.4%, or 4.8 per 1000 catheter-days. Our hospital protocol adheres to international recommendations, which has led to a documented incidence of infectious complications similar to the lower rate reported in the literature.This study sheds light on areas of opportunity regarding the management and care of central lines in a vulnerable population and allows for the establishment of new lines of work to improve guidelines for the use of central lines in our hospital.
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