| Central venous catheters in low birth weight infants: incidence of related complications. | |
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MedLine Citation:
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PMID: 8515311 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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To test the hypothesis that the incidence of central venous catheter-related complications is increased in very low (< 1000 gm) and low (1001 to 1500 gm) birth weight infants compared with larger infants, we retrospectively analyzed the charts of 51 infants with gestational ages 24 to 42 weeks, weighing 0.43 to 12.2 kg at catheter insertion, who had 69 catheters placed at 1 week to 11 months of age between January 1986 and June 1989 at our hospitals. The incidence of infectious and mechanical complications and the frequency of total and infection-related complications were significantly greater for infants weighing < 1000 gm at catheter insertion (p < 0.05). Oxacillin-resistant coagulase-negative Staphylococcus organisms accounted for 14 of the 17 episodes of catheter-related septicemia (82%). Six of these episodes were initially treated with antibiotics but without catheter removal; none resolved with catheter salvage. Central venous catheters in very low and low birth weight infants had an 85% and 64% incidence of associated complications, respectively, and should be used with caution in these patients. |
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Authors:
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D E Schiff; B S Stonestreet |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of perinatology : official journal of the California Perinatal Association Volume: 13 ISSN: 0743-8346 ISO Abbreviation: J Perinatol Publication Date: 1993 Mar-Apr |
Date Detail:
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Created Date: 1993-07-19 Completed Date: 1993-07-19 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8501884 Medline TA: J Perinatol Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 153-8 Citation Subset: IM |
Affiliation:
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Department of Pediatrics, Women and Infants' Hospital of Rhode Island, Providence 02902. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Bacteremia
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epidemiology,
etiology Bacterial Infections / epidemiology, etiology Birth Weight Catheterization, Central Venous / adverse effects*, statistics & numerical data Coronary Thrombosis / epidemiology, etiology, ultrasonography Follow-Up Studies Humans Incidence Infant Infant, Low Birth Weight* Infant, Newborn Retrospective Studies |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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