The impact of antibiotic impregnated PICC lines on the incidence of bacteremia in a regional burn center

Abstract Introduction Peripherally inserted central catheters (PICCs) have been used increasingly in burn patients who often have decreased intravascular volumes and obtaining intravascular access for resuscitative efforts can be difficult. A potentially serious complication is bloodstream infection...

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Bibliographic Details
Published in:Burns 2013-06, Vol.39 (4), p.632-635
Main Authors: Armstrong, Shannon D, Thomas, Wendy, Neaman, Keith C, Ford, Ronald D, Paulson, Jayne
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Anti-Bacterial Agents - administration & dosage
Antibiotic-impregnated
Bacteremia
Bacteremia - epidemiology
Bacteremia - etiology
Bacteremia - prevention & control
Bacteria - isolation & purification
Burn Units - statistics & numerical data
Burns - complications
Burns - microbiology
Catheter-Related Infections - epidemiology
Catheter-Related Infections - prevention & control
Catheterization, Central Venous - methods
Child
Critical Care
Female
Humans
Incidence
Male
Middle Aged
Minocycline
Peripherally inserted central catheters
Retrospective Studies
Rifampin
Sepsis
Spectrum Turboject Catheter
Young Adult
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Summary:Abstract Introduction Peripherally inserted central catheters (PICCs) have been used increasingly in burn patients who often have decreased intravascular volumes and obtaining intravascular access for resuscitative efforts can be difficult. A potentially serious complication is bloodstream infection. The purpose of our study is to examine the impact of antibiotic impregnated PICC lines on the bacteremia rate in a regional burn center. Methods Consecutive patients admitted to the burn unit and receiving an antibiotic impregnated PICC line were included in the study. Baseline demographics and bacteremia rate was recorded. A retrospective chart review was then undertaken of the 30 consecutive patients admitted to the burn unit and receiving a PICC line prior to the study period. Results Nineteen patients were enrolled over the two-year period. The bacteremia rate for the study group was 0% compared to the 50% bacteremia rate of the retrospective control group ( p =
ISSN:0305-4179
1879-1409
DOI:10.1016/j.burns.2012.08.017