“Proactive” management of percutaneously inserted central catheters results in decreased incidence of infection in the ELBW population

被引：50

作者：

Golombek S.G. ^{[1
]}

Rohan A.J. ^{[2
]}

Parvez B. ^{[2
,3
]}

Salice A.L. ^{[2
]}

LaGamma E.F. ^{[1
]}

机构：

[1] The Regional Neonatal Center, New York Medical College, Westchester Medical Center, Valhalla, NY

[2] Department of Pediatrics, University Hospital at Stony Brook, Stony Brook, NY

[3] The Hospital for Sick Children, Toronto, ON, M5G1X8

来源：

Journal of Perinatology | 2002年 / 22卷 / 3期

关键词：

D O I：

10.1038/sj.jp.7210660

中图分类号：

学科分类号：

摘要：

Objective: Extremely low birth weight (ELBW) infants often acquire catheter-related infections (CRIs) when a percutaneously inserted central catheter (PICC) is used for parenteral nutrition or drug administration. Our objective was to compare the incidence of CRIs after we established a "PICC Maintenance Team" for the proactive management - compared to expectant management - of these lines. Study Design: We did a prospective collection and analysis of catheter-related sepsis data over a 15-month period from February 1, 1998 through May 1, 1999. Eligible patients included all neonates weighing < 1000 g at birth. Results: There was a significantly decreased incidence of CRIs, to a rate of 7.1%, or 5.1/1000 catheter days (p < 0.05). Conclusion: "Proactive" management of PICC, significantly reduced the incidence of CRIs. The reduction in infection rate is estimated to save 180 hospitalized patient days/100 very low birth weight neonates, with a concomitant savings in morbidity and medical expense.

引用

页码：209 / 213

页数：4

共 22 条

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