Vol. 38 No. 5 (2021): Octubre
Documents

Extracorporeal membrane oxygenation (ECMO): an infection control perspective

LUIS ENRIQUE DELPIANO MENDEZ
Hospital Clínico San Borja Arriarán
Bio
Betrice Herve Espejo
Clinica Las Condes
Bio
Maria Irene Jemenao Pacheco
Hospital Clínico Universidad de Chile
Bio
Leonor Ruth Jofre Morales
Hospital Dra. Eloísa Díaz, La Florida
Bio
Myriam Luz Medel Fuentes
Hospital Clínico UC CHRISTUS
Bio
Javier Frank Tinoco Cahuana
Clínica Universidad de los Andes
Bio
Rodrigo Alejandro Diaz Gómez
Clinica Las Condes
Bio

Published 2021-11-18

How to Cite

1.
DELPIANO MENDEZ LE, Herve Espejo B, Jemenao Pacheco MI, Jofre Morales LR, Medel Fuentes ML, Tinoco Cahuana JF, Diaz Gómez RA. Extracorporeal membrane oxygenation (ECMO): an infection control perspective. Rev. Chilena. Infectol. [Internet]. 2021 Nov. 18 [cited 2026 Mar. 13];38(5). Available from: https://revinf.cl/index.php/revinf/article/view/1209

Abstract

The advent of SARS-CoV-2 disease in 2020 confronts us with a growing and exponential increase in patients at life risk due to catastrophic and multisystemic respiratory failure in need of extracorporeal membrane oxygenation (ECMO) to survive. This has generated in our country the establishment of ECMO treatment Units in hospitals where it was not carried out before or was carried out as part the interventions in Intensive Care Units (ICU), becoming a new challenge to the infection control and prevention programs. Given that at the time of writing this document there are no specific national regulations that refer to this issue, an approach is proposed for the prevention control and surveillance of nosocomial acquired infections in ECMO patients. A review of the specific risks to which these patients are exposed is presented, defining what prevention measures are required, proposing a specific bundle for installation and maintenance, as well as guidance regarding antibioprophylaxis and suggesting which infectious events to monitor.