| Complication rates with central venous catheters inserted at femoral and non-femoral sites in very low birth weight infants. | |
| | |
MedLine Citation:
|
PMID: 19738507 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: To compare the complication rates of femoral versus nonfemoral sites of percutaneously inserted central venous catheters (PICCs) in very low birth weight infants. METHODS: Between 2004 and 2006, 518 PICCs inserted in 334 neonates with a birth body weight>or=1500 g were studied. 278 catheters were inserted at nonfemoral sites, and 240 catheters at a femoral site. All catheter-related complications were recorded and analyzed. RESULTS: The infants with femoral PICCs had a significantly higher rate of catheter-related sepsis (CRS) than those with nonfemoral PICCs (22.5% vs. 12.2%, P=0.002) and the incidence rate was also significantly higher (10.9 vs. 6.8 episodes per 1000 catheter days, P=0.012). The infants with nonfemoral PICCs had significantly higher rates of phlebitis, catheter site inflammation, and need for early removal than those with femoral PICCs. Multiple logistic regression analysis showed that the significant contributors to CRS were duration of the PICC placement (P<0.001) and insertion of the PICC at a femoral site (P=0.010). CONCLUSIONS: Because of a higher rate of CRS, the femoral site should not be considered for the placement of PICCs in VLBW infants, when possible. |
| | |
Authors:
|
Ming-Horng Tsai; Reyin Lien; Jiunn-Wei Wang; Hsuan-Rong Huang; Chiao-Ching Chiang; Shih-Ming Chu; Jen-Fu Hsu; Yhu-Chering Huang |
Related Documents
:
|
15300557 - Further evidence for an ischemic origin of perforation of the appendix in the neonatal ... 2142597 - Nonsurgical intervention in the resolution of acquired neonatal bronchial stenosis. 6768867 - Home parenteral nutrition in infants. 15455297 - Hydropericardium causing sudden infant death in glycogenosis type i: osmotic injury due... 6763147 - Infant botulism--the first five years. 21639927 - Pilot randomized trial of therapeutic hypothermia with serial cranial ultrasound and 18... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: The Pediatric infectious disease journal Volume: 28 ISSN: 1532-0987 ISO Abbreviation: Pediatr. Infect. Dis. J. Publication Date: 2009 Nov |
Date Detail:
|
Created Date: 2009-10-28 Completed Date: 2010-02-26 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8701858 Medline TA: Pediatr Infect Dis J Country: United States |
Other Details:
|
Languages: eng Pagination: 966-70 Citation Subset: IM |
Affiliation:
|
Division of Pediatric Neonatology, Department of Pediatrics, Chang Gung Children's Hospital, and College of Medicine, Chang Gung University, Taoyuan, Taiwan. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Catheter-Related Infections
/
epidemiology* Catheterization, Central Venous / adverse effects* Female Femoral Vein* Humans Incidence Infant, Newborn Infant, Very Low Birth Weight* Male Phlebitis / epidemiology Sepsis / epidemiology* Time Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: CULTURE NEGATIVE ENDOCARDITIS CAUSED BY BARTONELLA HENSELAE IN A CHILD WITH CONGENITAL HEART DISEASE...
Next Document: Parental Staphylococcus aureus Carriage is Associated With Staphylococcal Carriage in Young Children...