Document Detail


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
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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.
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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


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