Catheter related bloodstream infection following PICC removal in preterm infants

被引:18
作者
Brooker, R. W. [1 ]
Keenan, W. J. [1 ]
机构
[1] St Louis Univ, Sch Med, Cardinal Glennon Childrens Hosp, Dept Pediat,Div Neonatol, St Louis, MO 63104 USA
关键词
peripherally inserted central venous catheter; catheter-related bloodstream infection; prematurity;
D O I
10.1038/sj.jp.7211655
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Objective: Describe the incidence of catheter-related blood stream infection (CRBSI), following removal of peripherally inserted central venous catheters (PICC) in preterm infants. Study Design: A retrospective cohort study of infants < 29 weeks gestational age with a PICC revealed 101 PICCs placed ( 2159 PICC days). Patients were hospitalized in a level III Neonatal Intensive Care Unit (NICU) between January 2002 and December 2003. chi(2) analysis was performed. Results: One infection was detected after the removal of a PICC ( 1 per 202 days). Ten infants had a CRBSI attributed to a PICC ( 1 per 216 PICC days). CRBSI during indwelling PICC was associated with increased risk for sepsis evaluation after PICC removal ( P< 0.05). Conclusions: The incidence of CRBSI in the 48 h following PICC removal was not different than the incidence of CRBSI while a PICC was in-dwelling. There was no evidence from this study to support antibacterial prophylaxis before PICC removal.
引用
收藏
页码:171 / 174
页数:4
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