Evaluation of Central Venous Catheterization Complications and Related Risk Factors in a Pediatric Intensive Care Unit

Ergül, Ayşe Betül; Özcan, Alper; Aslaner, Hümeyra; Aslaner, Hacı Ahmet; Kose, Secil; Coşkun, Ramazan; Torun, Yasemin Altuner

doi:10.5152/dcbybd.2016.818

Cited by 4 publications

(4 citation statements)

References 13 publications

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“…A prospective study performed in 29 NICU in the United States and found that the risk of CLABSI is very low during the first week of catheterization and especially with lines inserted in the jugular vein (12,16) . In the study conducted by Ergul et al (17) , it was determined that CLABSI incidence increased with the catheter duration. Similarly in our study, there was a relation between CLABSI and catheter duration days, femoral catheters, and three-lumen catheters.…”

Section: Discussionmentioning

confidence: 98%

Central Venous Catheter Types and Association with Bloodstream Infection in the Pediatric Intensive Care Unit: Experience of two Years

Topal¹,

Sandal²,

Ceylan³

et al. 2021

BUCH

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Objective: Central venous catheters (CVC) provides great convenience in pediatric intensive care units (PICUs). In this study, we aimed to prospectively examine patients who underwent CVC in the PICU in terms of catheter types and infections Methods: We conducted our monocentric, prospective, and cohort study by including patients between January 2019 and December 2020, involving all central catheters temporarily inserted, except port-line catheters, PICCs, indwelling catheters (cuffed and uncuffed tunnel catheters), and arterial catheters. The main issue we focus on is the rate of catheter-associated bloodstream infection (CLABSI). We analyzed the relationship between infection and risk factors using binary logistic regression analysis. Results: We included 26 CLABSIs with 196 CVCs. The incidence rate was 6.2/1000 catheter days. We found that the incidence of CLABSI increased in femoral catheters (OR: 0.04 p: 0.035, 95% CI: 0.49-3.49). Moreover, the incidence was increased in catheters with 3 lumens (OR: 0.06, p: 0.031, 95% CI: 0.34-1.69). The prolongation of the catheter also increases the risk of infection (OR: 0.06, p: 0.028, 95% CI: 0.56-2.36). Also, we found that the frequency of CLABSI increased in patients with underlying immunodeficiency (OR: 0.19, p: 0.007, 95% CI: 0.85-1.39) and in patients who were given total parenteral nutrition (OR: 0.02, p: 0.041, 95% CI: 0.063-2.38). Conclusion: The number of studies that directly compare catheter types in pediatric patients and their relationship with CLABSI is limited. Moreover, the comparison of unrelated studies is difficult because of heterogeneity in study populations. Multicenter pediatric prospective studies focused on identifying catheter-associated infections are needed.

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Section: Discussionmentioning

confidence: 98%

Central Venous Catheter Types and Association with Bloodstream Infection in the Pediatric Intensive Care Unit: Experience of two Years

Topal¹,

Sandal²,

Ceylan³

et al. 2021

BUCH

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“…Infection is also a common cause of catheter removal. 1 In our study, a CRBSI was the second most common cause of removal (after elimination of the need for a catheter). No significant difference in terms of the causes of catheter removal was evident between the groups.…”

Section: Discussionmentioning

confidence: 61%

“…Catheter-Related Bloodstream Infections (CRBSIs) are frequent complications of catheterization. 1 In the USA, approximately 80,000 CRBSIs develop annually in ICUs, with mortality rates of up to 35%. 2 Several strategies are employed to reduce CRBSIs; these include skin antisepsis, prescription of prophylactic antibiotics, the use of antimicrobial catheters, implementation of catheter care bundles, chlorhexidine baths, and addition of antimicrobials (in the form of antimicrobial locks or dressings) to catheters.…”

Section: Introductionmentioning

confidence: 99%

Use of a chlorhexidine-impregnated dressing reduced catheter-related bloodstream infections caused by Gram-positive microorganisms

et al. 2018

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Objective:We compared the protective effects of secure Chlorhexidine Gluconate (CHG)-containing dressings with those of non-antimicrobial transparent dressings.Methods:This prospective, comparative, single-center clinical study was conducted in a tertiary pediatric intensive care unit from October 2014 to March 2017. The inclusion criterion was catheterization of the jugular vein for ≥48 hour. The study was conducted in two phases. Non-antimicrobial standard dressings were applied both before and after the CHG- dressing phase to negate any coincidental temporal effect. During the standard-dressing phases, the dressings did not include any antimicrobial; transparent CHG-impregnated dressings were applied during the test phase. All patients were divided into two groups by the type of dressing applied (standard and CHG-containing dressings).Results:The standard- and CHG-dressing groups contained 68 and 63 patients, respectively. The median durations of catheterization were 13 (8–22) and 14 (2–28) days, respectively (p>0.05). The Catheter-Related Bloodstream Infection (CRBSI) rate was somewhat lower in the CHG-dressing group (20.6 vs. 26.5%), but the difference was not statistically significant (p>0.05). In the CHG-dressing group, CRBSIs caused by Gram-positive microorganisms totaled 0%, but the figure was 8.8% in the control group (p=0.028).Conclusions:CHG dressings reduced CRBSIs caused by Gram-positive microorganisms.

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“…Central venous catheters (CVC) is a procedure in which a catheter with various specifications is inserted into a central vein leading directly to the heart (Bell, & O'Grady, 2017;Ergül et al, 2016). CVC can be used for different purposes in each patient.…”

Section: Introductionmentioning

confidence: 99%

The Effect of a Guide Based Application Bundle on the Catheter-Related Infection

Süha

Karagözoğlu

2019

FNJN

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Aim: Central venous catheters are used extensively in intensive care units but can sometimes lead to catheter related blood stream infections. This study was carried out to determine the effect of guidelinebased care bundle on possible catheter-related bloodstream infection in the application and care of central venous catheter in patients receiving follow-up and treatment in anesthesia intensive care unit. Method: The study is a retrospective and experimental one. The study population consisted of patients who were treated in an anesthesia intensive care unit of a university hospital between June 2015 and June 2016, to whom the central line was inserted in this unit by the team working in the unit and who required central line insertion for at least 48 hours. The patients in the study population also comprised the study sample. The guideline-based application and care bundle was administered under the supervision of the researcher in the intensive care unit and the patients were evaluated on a daily basis for bloodstream infection. Results: When comparing data obtained from the study with data from the previous period, it was found that the guideline-based application and care bundle decreased the catheter-related bloodstream infection rate from 10.59/1000 to 2.88/1000 and this reduction was considered statistically significant (p<0.05). Conclusion:According to this study's data, the guideline-based care bundle is an effective and useful way to reduce infection.

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Evaluation of Central Venous Catheterization Complications and Related Risk Factors in a Pediatric Intensive Care Unit

Cited by 4 publications

References 13 publications

Central Venous Catheter Types and Association with Bloodstream Infection in the Pediatric Intensive Care Unit: Experience of two Years

Central Venous Catheter Types and Association with Bloodstream Infection in the Pediatric Intensive Care Unit: Experience of two Years

Use of a chlorhexidine-impregnated dressing reduced catheter-related bloodstream infections caused by Gram-positive microorganisms

The Effect of a Guide Based Application Bundle on the Catheter-Related Infection

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