Long-term complications of central venous catheters in children

Sol, JJ; Woensel, Jbm van; Ommen, CH van; Bos, AP

doi:10.1016/j.paed.2007.01.010

Cited by 5 publications

(6 citation statements)

References 39 publications

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“…The risk of CLABSI depends on many factors: choice of the device, technique of insertion, the technique of management, and prompt removal (1,2,8) . In the previous studies; risk factors such as neutropenia, prolonged mechanical ventilation, total parenteral nutrition have been identified for the development of CLABSI (8,9) .…”

Section: Introductionmentioning

confidence: 99%

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: Introductionmentioning

confidence: 99%

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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“…Cette forte incidence, en lien avec une particulière susceptibilité de ces patients aux infections, est à moduler en fonction du très faible effectif recruté dans cette unité (4 CVC dont pour 1000 jours-CVC en réanimation néonatale (20). Ces incidences sont plus faibles que celles que nous avons retrouvées (2,4/1000 jours-CVC, IC95% [0,9-5,1] en réanimation pédiatrique et 13,7/1000 jours-CVC, IC95% [9,[6][7][8][9][10][11][12][13][14][15][16][17][18]9] en réanimation néonatale). Les services de réanimations pédiatriques et néonatales au Brésil rapportent une DI comparable à 13,55 pour 1000 jours CVC (7).…”

Section: Discussionunclassified

“…infections) et un intervalle de confiance très large (IC95%[3;88]. L'incidence des infections liées aux CVC est la plus forte dans le service de réanimation néonatale (13,7/1000 jours-CVC, IC95%[9,[6][7][8][9][10][11][12][13][14][15][16][17][18]9]), notamment en ce qui concerne les CVO (12,3/1000 jours-CVO) (IC95%[5,3-24,2]. Cette densité d'incidence est plus importante que celle retrouvée par le réseau Néocat en 2014 (14) : DI de 4,6/1000 CVO et de 10,4/1000 pour les autres CVC, mais comparable à des données américaines publiées en 2009 une DI de 10 ILCt pour 1000 jours-CVC pour les CVO et les CECC (21).…”

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One year of catheter-related infection in a pediatric university hospital: a prospective study

Marion¹

2016

Preprint

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“…The long-term complications of central venous catheters in children are thrombotic and infectious complications 20) . This study involved one case of each developed catheter-related skin infection and catheter occlusion.…”

Section: Discussionmentioning

confidence: 99%

Ultrasound-guided internal jugular vein catheterization in critically ill pediatric patients

Yang

Kong

et al. 2015

Korean J Pediatr

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PurposeContinuous intravenous access is imperative in emergency situations. Ultrasound-guided internal jugular vein (IJV) catheterization was investigated in critically ill pediatric patients to assess the feasibility of the procedure.MethodsPatients admitted to the pediatric intensive care unit between February 2011 and September 2012 were enrolled in this study. All patients received a central venous catheter from attending house staff under ultrasound guidance. Outcome measures included successful insertion of the catheter, cannulation time, number of cannulation attempts, and number and type of resulting complications.ResultsForty-one central venous catheters (93.2%) were successfully inserted into 44 patients (21 males and 23 females; mean age, 6.54±1.06 years). Thirty-three patients (75.0%) had neurological disorders. The right IJV was used for catheter insertion in 34 cases (82.9%). The mean number of cannulation attempts and the mean cannulation time was 1.57±0.34 and 14.07±1.91 minutes, respectively, the mean catheter dwell time was 14.73±2.5 days. Accidental catheter removal was observed in 9 patients (22.0%). Six patients (13.6%) reported complications, the most serious being catheter-related sepsis, which affected 1 patient (2.3%). Other complications included 2 reported cases of catheter malposition (4.6%), and 1 case each of arterial puncture (2.3%), pneumothorax (2.3%), and skin infection (2.3%).ConclusionThe results suggest that ultrasound-guided IJV catheterization can be performed easily and without any serious complications in pediatric patients, even when performed by visiting house staff. Therefore, ultrasound-guided IJV catheterization is strongly recommended for critically ill pediatric patients.

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Long-term complications of central venous catheters in children

Cited by 5 publications

References 39 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

One year of catheter-related infection in a pediatric university hospital: a prospective study

Ultrasound-guided internal jugular vein catheterization in critically ill pediatric patients

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