Role of Peripherally Inserted Central Catheters in Home Parenteral Nutrition

Botella-Carretero, José I.; Carrero, Chrystian; Guerra, Eva; Valbuena, Beatriz; Arrieta, Francisco; Calañas, Alfonso; Zamarrón, Isabel; Balsa, José Antonio; Vázquez, Clotilde

doi:10.1177/0148607112457422

Cited by 33 publications

(48 citation statements)

References 20 publications

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“…We typically do not recommend a single‐ or double‐lumen PICC line for HPN duration longer than 6 weeks. A recent prospective study of 72 patients receiving HPN reported 0 infections per 1000 catheter days for PICC lines, compared with 20 in Hickman catheters ( P = .07) 22 . In contrast to our study, however, that study had a disproportionate number of patients with a PICC line (67%) compared with Hickman catheters (14%).…”

Section: Discussioncontrasting

confidence: 97%

“…In contrast to our study, however, that study had a disproportionate number of patients with a PICC line (67%) compared with Hickman catheters (14%). Furthermore, the underlying reason for HPN was cancer in >80% of patients in that cohort, compared with only 22.7% in our cohort 22 . That study's results 22 are in contrast to our data and those of a previous study that showed a significant increase in CRBSI for patients using PICCs for HPN compared with other central venous catheters 21 …”

Section: Discussioncontrasting

confidence: 90%

See 1 more Smart Citation

Catheter Salvage After Catheter‐Related Bloodstream Infection During Home Parenteral Nutrition

Varayil

Whitaker

Okano

et al. 2015

J Parenter Enteral Nutr

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Section: Discussioncontrasting

confidence: 97%

Section: Discussioncontrasting

confidence: 90%

Catheter Salvage After Catheter‐Related Bloodstream Infection During Home Parenteral Nutrition

Varayil

Whitaker

Okano

et al. 2015

J Parenter Enteral Nutr

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“…Another prospective study by the same research group, found a CRBSI rate of 0.35 per 1000 catheter days and 0.60 per 1000 HPN days [23]. Other studies have reported CRBSI rates ranging from 0.41 to 1.7 per 1000 catheter days [21, 22, 24, 25, 30]. We did not find any significant difference in the incidence of CRBSI across the three types of VAD, though it is to be noted that of a total of 408 VADs in this study, only 11 (2.7%) were TCCs.…”

Section: Discussionmentioning

confidence: 99%

Incidence of and factors associated with catheter-related bloodstream infection in patients with advanced solid tumors on home parenteral nutrition managed using a standardized catheter care protocol

et al. 2017

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BackgroundCatheter-related bloodstream infections (CRBSIs) are associated with high morbidity and mortality as well as increased medical costs. Cancer patients, who are often immunocompromised, are susceptible to CRBSI while receiving home parenteral nutrition (HPN). We evaluated the incidence of and factors associated with CRBSIs in cancer patients undergoing HPN managed using a standardized catheter care protocol.MethodsThis is a retrospective cohort study of 335 cancer patients receiving HPN between January 2012 and July 2015. The primary outcome of interest was the incidence of CRBSI expressed as events per 1000 HPN days. HPN days were calculated from the start date with the home infusion provider until the discontinuation of HPN, or the removal of the venous access device (VAD), or the death of the patient. The VADs used were either peripherally inserted central catheters (PICCs) or a subcutaneous implanted port or tunneled central catheters (TCCs). Univariate Poisson regression analyses were used to determine the variables associated with CRBSIs.ResultsOf 335 patients, 193 were females and 142 were males. The most common cancer types were colorectal, pancreatic, ovarian and stomach. A total of 408 VADs in 335 patients were studied, covering a total of 29,403 HPN days. Of 408 VADs, 206 (50.5%) were ports, 191 (46.8%) were PICCs, and 7 (2.7%) were TCCs. The median duration of HPN was 54 days. A total of 16 CRBSI episodes were recorded (8 in ports, 7 in PICCs and 1 in TCCs). The median duration from the start of HPN to the development of CRBSI episodes was 43.5 days. The overall incidence of CRBSI per 1000 HPN days was 0.54 (95% confidence interval: 0.32–0.86). Upon univariate analysis, no variables were found to be statistically significantly associated with CRBSI incidence.ConclusionsWe found a low rate of CRBSI following a standardized catheter maintenance protocol in a high-risk oncology population undergoing HPN.

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“…Peripherally inserted central catheters are appropriate for HPN 62 but would likely not be the best choice for an athlete due to the location, the lack of a Dacron cuff in a patient prone to increased sweating, and soiling of the dressing.…”

Section: Assessment and Energy Requirements For The Athlete Receiving Pnmentioning

confidence: 99%

Considerations for Fueling an Endurance Athlete With Home Parenteral Nutrition

Tillman

Opilla²

2017

Nut in Clin Prac

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The goal of clinicians managing nutrition support for patients with home parenteral nutrition (HPN) is to adapt nutrition needs to best serve the consumers, so they may have the best quality of life despite specialized nutrition needs. Some HPN consumers may desire to participate in endurance athletics, which will require special considerations. This review is intended to outline key nutrition differences in endurance athletes that a nutrition support team should consider when providing HPN.

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Role of Peripherally Inserted Central Catheters in Home Parenteral Nutrition

Abstract: PICCs are similar in terms of catheter-related complications to other CVCs for the administration of HPN, especially for oncology patients with HPN lasting <6 months.

Cited by 33 publications

References 20 publications

Catheter Salvage After Catheter‐Related Bloodstream Infection During Home Parenteral Nutrition

Catheter Salvage After Catheter‐Related Bloodstream Infection During Home Parenteral Nutrition

Incidence of and factors associated with catheter-related bloodstream infection in patients with advanced solid tumors on home parenteral nutrition managed using a standardized catheter care protocol

Considerations for Fueling an Endurance Athlete With Home Parenteral Nutrition

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