Peripherally Inserted Central Catheter Complications in Neonates With Upper Versus Lower Extremity Insertion Sites

Wrightson, Della Daugherty

doi:10.1097/anc.0b013e31827e1d01

Cited by 80 publications

(65 citation statements)

References 26 publications

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“…13,14 In the neonatal population, a few studies have reported the complication rates based on the site of insertion with conflicting results. 15,16 A retrospective study by Hoang and colleagues reported that the lower extremity PICCs were associated with lower rates of infection and cholestasis despite prolonged parenteral nutrition. 15 However, Wrightson 16 reported no significant difference in the overall complication rates between upper and lower extremity PICCs.…”

mentioning

confidence: 99%

Association between Peripherally Inserted Central Venous Catheter Insertion Site and Complication Rates in Preterm Infants

Bashir¹,

Swarnam²,

Vayalthrikkovil³

et al. 2016

Amer J Perinatol

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Objective To examine whether there is an association between peripherally inserted central venous catheter (PICC) insertion site and complication rates among preterm infants. Design We performed a retrospective analysis of the first PICCs placed in preterm infants in a tertiary neonatal intensive care unit between January 2006 and December 2010. The PICC-related complications resulting in catheter removal were compared based on site of insertion. Results Of the 827 PICCs, 593 (72%) were inserted in upper extremity. Lower extremity PICC group infants had higher illness severity (SNAP-II) score and more likely to be inserted later as compared with the upper extremity group. There was no significant difference in the total PICC-related complications between upper and lower extremity PICCs (31.3 vs. 26%; p > 0.05). Logistic regression analysis after adjusting for gestational age, day of line insertion, and SNAP-II score revealed that upper extremity PICCs were associated with increased risk of line infiltration (adjusted odds ratio [aOR], 2.41; 95% confidence interval [CI], 1.36-4.29) but not the total PICC complication (aOR, 1.29; 95% CI, 0.91-1.83). Conclusion There is no difference in total PICC-related complication between upper and lower extremity PICCs; however, the PICC-related mechanical complications vary depending on the site of insertion in preterm infants.

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mentioning

confidence: 99%

Association between Peripherally Inserted Central Venous Catheter Insertion Site and Complication Rates in Preterm Infants

Bashir¹,

Swarnam²,

Vayalthrikkovil³

et al. 2016

Amer J Perinatol

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“…[5][6][7][8][9] Our urban and rural cohorts were similar in composition to each other, which makes demographic and clinical differences an unlikely explanation for our findings. In addition, the duration of PICC use (an independent risk factor for complications) 19,20 did not differ between the cohorts, nor was there a differential loss to follow-up or differential discharge rate among rural compared with urban patients.…”

Section: Discussionmentioning

confidence: 91%

Safety of Peripherally Inserted Central Catheter Use in Children From Rural Versus Urban Settings Receiving Long-term Parenteral Antimicrobial Therapy

Beachum

Dehority²

2019

Hospital Pediatrics

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A B S T R A C T OBJECTIVES:To determine the safety of peripherally inserted central catheter (PICC) use for delivery of outpatient parenteral antimicrobial therapy (PAT) in children discharged to rural or urban locales. We hypothesized that children from rural settings would experience higher complication rates. PATIENTS AND METHODS:We conducted a retrospective cohort study of children admitted to an academic medical center in the Southwestern United States over 9 years who were discharged with a PICC to complete a course of PAT with follow-up at our institution. To classify rural versus urban residence, we used rural-urban continuum codes from the US Department of Agriculture, the driving time in hours to the nearest trauma center, and the discharging center using Google Maps. RESULTS:In total, 221 children met inclusion criteria (mean age 9.8 years). Osteoarticular infections and cystic fibrosis exacerbations were the most common indications for PICC use (68.8%). The mean driving time to the discharging hospital was significantly longer for those children residing in the most rural regions of the state (3.6 vs 0.8 hours; P , .001) as well as to the nearest level 1, 2, or 3 trauma center (2.2 vs 0.4 hours; P , .001). PICC complications occurred in 47 children (21.3%). No association was found between rural-urban continuum codes, driving times to the discharging hospital, or nearest trauma center with any complication nor with complications overall. CONCLUSIONS:In our study, we demonstrate an equivalent safety profile for children in rural and urban settings with PICCs for receipt of outpatient PAT.

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“…Wäh-rend eine Studie einen Vorteil bei Anlage an der unteren Extremität zeigte (Inzidenz von CABSI 23 % vs. 4,6 %) [149], konnte eine aktuelle retrospektive Studie diese Ergebnisse nicht bestätigen [150]. Bei Mahieu et al war bei Anlage eines ZVK in Subclavia-Position (im Vergleich zu einem PICC oder einem NVK/NAK) die Eintrittsstelle im Verlauf häufiger kolonisiert [151].…”

Section: Barrieremaßnahmen Bei Anlage Von Gefäßkatheternunclassified

Prävention von Gefäßkatheter-assoziierten Infektionen bei Früh- und Neugeborenen

2018

Bundesgesundheitsbl

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Kategorie IADiese Empfehlung basiert auf gut konzipierten systematischen Reviews oder einzelnen hochwertigen randomisierten kontrollierten Studien. Kategorie IBDiese Empfehlung basiert auf klinischen oder hochwertigen epidemiologischen Studien und strengen, plausiblen und nachvollziehbaren theoretischen Ableitungen.Kategorie II Diese Empfehlung basiert auf hinweisenden Studien/Untersuchungen und strengen, plausiblen und nachvollziehbaren theoretischen Ableitungen. Kategorie IIIMaßnahmen, über deren Wirksamkeit nur unzureichende oder widersprüchliche Hinweise vorliegen, deshalb ist eine Empfehlung nicht möglich. Kategorie IVAnforderungen, Maßnahmen und Verfahrensweisen, die durch allgemein geltende Rechtsvorschriften zu beachten sind.

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Peripherally Inserted Central Catheter Complications in Neonates With Upper Versus Lower Extremity Insertion Sites

Cited by 80 publications

References 26 publications

Association between Peripherally Inserted Central Venous Catheter Insertion Site and Complication Rates in Preterm Infants

Association between Peripherally Inserted Central Venous Catheter Insertion Site and Complication Rates in Preterm Infants

Safety of Peripherally Inserted Central Catheter Use in Children From Rural Versus Urban Settings Receiving Long-term Parenteral Antimicrobial Therapy

Prävention von Gefäßkatheter-assoziierten Infektionen bei Früh- und Neugeborenen

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