Infectious complications of percutaneous central venous catheterization in pediatric patients

Teresa, María; Casado‐Flores, Juan; Domínguez, M. Ángel Delgado; Roqueta-Mas, Jorge; Cambra-Lasaosa, Francisco José; Concha-Torre, Andrés; Fernández-Pérez, Cristina

doi:10.1007/s00134-006-0508-8

Cited by 58 publications

(26 citation statements)

References 49 publications

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“…Studies have shown that rates of success and complications for catheterization are related to the age and weight of the patient, urgency and appropriateness of the procedure and the experience of the operator (6,7). Some studies noted that complications during catheterization were not related to the age and weight (8)(9)(10). In our study, no relation was found between complications which occurred during catheterization and age and presence of malnutrition.…”

Section: Discussioncontrasting

confidence: 48%

Çocuk yoğun bakım biriminde santral venöz kateterizasyon komplikasyonlarının değerlendirilmesi

Anıl¹,

Anıl²,

Kanar³

et al. 2011

tpa

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Section: Discussioncontrasting

confidence: 48%

Çocuk yoğun bakım biriminde santral venöz kateterizasyon komplikasyonlarının değerlendirilmesi

Anıl¹,

Anıl²,

Kanar³

et al. 2011

tpa

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“…Duration of catheterization [9,[14][15][16][17][18], exchange of CVC over a guide wire [19], insertion site [20] and parenteral nutrition (PN) [11,14,16,18] were described as contributors to CR-BSI in critically ill patients. PICUs differ from adult intensive care units (ICUs) in a number of ways, apart from the age of their patients.…”

Section: Introductionmentioning

confidence: 99%

Intervention to reduce catheter-related bloodstream infections in a pediatric intensive care unit

et al. 2011

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“…Desde la década de 1960, la tasa de endocarditis infecciosa se ha incrementado debido al aumento de la supervivencia de los niños con cardiopatías congénitas, y un mayor uso de CVC [9][10][11] . Una amplia variedad de microrganismos pueden ocasionar endocarditis infecciosa, un estudio de cohorte prospectivo en 2.781 pacientes, identificó Staphylococcus aureus en un 31% de los casos y el Streptococcus sp con un 17% y diferentes variedades de Enterococcus en un 11% 12,13 .…”

Section: Discussionunclassified

Trombosis de vena cava inferior y endocarditis en un paciente prematuro: Caso clínico

Buitrago

Zuluaga

Murillo

2014

Rev. chil. pediatr.

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inferior vena cava thrombosis and endocarditis in a premature patient -Case reportThrombosis of the inferior vena cava represents a significant percentage of all venous thrombosis that take place during the neonatal period, generally associated with risk factors such as the use of central venous catheter. The incidence of bacterial endocarditis in preterm infants is low. objectives: To characterize the case of a preterm neonate with both conditions and to detail the disease changing spectrum in the neonatal population and its therapeutic possibilities. Case report: Premature newborn, 31 + 5 weeks of gestation who presented Enterococcus faecalis bacteremia, developed progressive thrombosis of the inferior vena cava and right atrium secondary to the use of umbilical venous catheter, with subsequent diagnosis of endocarditis. He was treated with anticoagulation with subcutaneous low molecular weight heparin. Given a favorable evolution, it was decided to continue the anticoagulation therapy for 4-6 weeks, and at the time of discharge, aspirin treatment was given. Conclusions: The preterm infant with infective endocarditis and intracardiac thrombus presents an interesting management dilemma. Treatment should be individualized according to the clinical evolution and safety profile of thrombolytic and/or anticoagulant agents. Availability and advantages of low molecular weight heparin have led to its use as an alternative treatment in neonates and infants with deep venous thrombosis. (Key words: Neonatal bacteremia, central venous catheter, endocarditis, thrombosis). Rev Chil Pediatr 2014; 85 (6): 708-713 resumen La trombosis de la vena cava inferior corresponde a un porcentaje importante de las trombosis venosas en la etapa neonatal, generalmente asociado a factores de riesgo como el uso de catéter venoso central. La incidencia de endocarditis bacteriana en recién nacidos prematuros es baja. objetivos: Caracterizar el caso de un neonato pretérmino en que se asociaron ambas patologías y detallar el espectro cambiante de esta enfermedad en la población neonatal y sus posibilidades terapéuticas. Caso clínico: Recién nacido prematuro de 31 + 5 semanas de gestación, que presentó bacteriemia por Enterococo faecalis, evolucionó con trombosis progresiva de la vena cava inferior y aurícula derecha secundaria al uso de catéter venoso umbilical, con posterior diagnóstico de endocarditis. Se manejó con anticoagulación con heparina de bajo peso molecular en forma subcutánea, CASO CLíNICO Rev Chil Pediatr 2014; 85 (6): 708-713

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Infectious complications of percutaneous central venous catheterization in pediatric patients

Abstract: Catheter-related sepsis is associated with lower patient weight and more than 12 days' indwelling time, but not with the insertion site. Cleaning hubs with povidone-iodine protects from infection.

Cited by 58 publications

References 49 publications

Çocuk yoğun bakım biriminde santral venöz kateterizasyon komplikasyonlarının değerlendirilmesi

Çocuk yoğun bakım biriminde santral venöz kateterizasyon komplikasyonlarının değerlendirilmesi

Intervention to reduce catheter-related bloodstream infections in a pediatric intensive care unit

Trombosis de vena cava inferior y endocarditis en un paciente prematuro: Caso clínico

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