<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2184-0628</journal-id>
<journal-title><![CDATA[Gazeta Médica]]></journal-title>
<abbrev-journal-title><![CDATA[Gaz Med]]></abbrev-journal-title>
<issn>2184-0628</issn>
<publisher>
<publisher-name><![CDATA[Círculo Médico]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2184-06282021000100011</article-id>
<article-id pub-id-type="doi">10.29315/gm.v8i1.389</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Catheter-Related Bloodstream Infection in Neonatal Intensive Care Unit: Prospective Surveillance Study]]></article-title>
<article-title xml:lang="pt"><![CDATA[Infeção Nosocomial Relacionada com Cateteres Centrais em Unidade de Cuidados Intensivos Neonatais: Estudo Prospetivo]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Maximiano]]></surname>
<given-names><![CDATA[Cristiana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cunha]]></surname>
<given-names><![CDATA[Carla]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Silva]]></surname>
<given-names><![CDATA[Albina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pereira]]></surname>
<given-names><![CDATA[Almerinda]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital de Braga Unidade de Cuidados Especiais Neonatais ]]></institution>
<addr-line><![CDATA[Braga ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>03</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>03</month>
<year>2021</year>
</pub-date>
<volume>8</volume>
<numero>1</numero>
<fpage>11</fpage>
<lpage>16</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2184-06282021000100011&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2184-06282021000100011&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2184-06282021000100011&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  Intravascular catheters are substantial in neonatal intensive care units (NICU). Monitoring infection rates is increasingly regarded as an important contributor to safe and high-quality health care. Our study aimed to determine the current incidence of catheter-related bloodstream infection (CRBSI) in a level III NICU, comparing with other reports and with a previous similar study performed in our NICU in 2011.  Methods:  From January 2017 to December 2019 a prospective surveillance was undertaken in the NICU of Hospital de Braga. All newborns (NB) with a central catheter (CC) inserted in our NICU were considered. The microbiological diagnosis was performed by peripheral blood culture (BC) and the culture of the CC tip after removal.  Results:  There were inserted a total of 404 CC, 138 umbilical catheters (UC), and 266 peripherally inserted central catheters (PICC). The average gestational age was 30.4 weeks (SD±3.89 w), mean birth weight of 1380.03 g (SD±742.68 g), with 76.03% of very low birth weight (VLBW). The mean length of CC use was 11.51 days (SD ±11.08 d). There were 95 positive CC tip cultures, 25 (26.32%) UC, and 70 (73.68%) PICC. From 41 BC collected, there were 9 positive (21.95%), 2 from NB with UC, and 7 from NB with PICC. In both cultures, coagulase-negative Staphylococci were the most common organism identified. CRBSI rate is 0.5%. The incidence density of catheter contamination was 20.43 per 1000 catheter-days.  Discussion:  Comparing with the previous study from 2011, there is a significant improvement in the CRBSI rate, reflecting the efforts done to prevent infections. Our CRBSI rate and the infection microbiology were similar to other NICUs.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução: Os acessos intravasculares são indispensáveis nas unidades de cuidados intensivos neonatais (UCIN) nível III. A monitorização das taxas de infeção é considerada um importante indicador dos cuidados de saúde. O objetivo deste estudo é determinar a incidência atual de infeção associada ao uso de cateter central (CC), comparar os resultados com outras publicações e com um estudo prévio realizado na nossa unidade em 2011.  Métodos: Estudo prospetivo realizado de janeiro de 2017 a dezembro de 2019 na UCIN do Hospital de Braga. Incluídos todos os recém-nascidos (RN) com CC colocado na nossa unidade. O diagnóstico microbiológico foi efetuado através de colheita de hemocultura e cultura da ponta do CC.  Resultados: Foram colocados 404 CC no total, 138 cateteres umbilicais (CU) e 266 cateteres de inserção percutânea (CIP). A idade gestacional média dos RN foi 30,4 semanas (DP±3,89s), o peso ao nascer médio 1380,03 g (DP±742,68 g), com 76,03% de RN com muito baixo peso. O tempo de permanência médio dos CC foi 11,51 dias (DP±11,08 d). Obtivemos 95 culturas positivas da ponta do CC, 25 (26,32%) de CU e 70 (73,68%) de CIP. De 41 hemoculturas colhidas, 9 foram positivas (21,95%), 2 de RN com CU e 7 de RN com CIP. Os Staphylococcus coagulase-negativos foram os micro-organismos mais frequentemente identificados. A taxa de infeção associada ao uso de CC foi 0,5%. A densidade de incidência de contaminação de CC foi 20,43/1000 dias de CC.  Discussão: Comparativamente ao estudo de 2011, verifica-se uma melhoria significativa na taxa de infeção associada ao uso de CC. A taxa de infeção e os agentes patogénicos identificados são semelhantes aos de outros estudos publicados.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Catheter-Related Infections]]></kwd>
<kwd lng="en"><![CDATA[Infant, Newborn]]></kwd>
<kwd lng="en"><![CDATA[Infant, Newborn, Diseases]]></kwd>
<kwd lng="en"><![CDATA[Intensive Care Units, Neonatal]]></kwd>
<kwd lng="pt"><![CDATA[Doenças dos Recém-Nascidos]]></kwd>
<kwd lng="pt"><![CDATA[Infeções Relacionadas a Cateter]]></kwd>
<kwd lng="pt"><![CDATA[Recém-Nascido]]></kwd>
<kwd lng="pt"><![CDATA[Unidades de Cuidados Intensivos Neonatais]]></kwd>
</kwd-group>
</article-meta>
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