Nontunneled central venous catheter bloodstream infections in pediatric surgery

Central-line–associated bloodstream infections (CLABSIs) are one of the most dangerous complications of central venous catheter (CVC) placement; they contribute significantly to morbidity and mortality, and they are risk factors for increased hospital costs and length of stay.1 Even so, only a few s...

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Bibliographic Details
Published in:Infection control and hospital epidemiology 2019-07, Vol.40 (7), p.836-837
Main Authors: Denina, Marco, Curetti, Roberta, Garazzino, Silvia, Silvestro, Erika, Scolfaro, Carlo
Format: Article
Language:English
Subjects:
Adolescent
Antibiotics
Bacteremia - epidemiology
Bacteremia - etiology
Catheter-Related Infections - epidemiology
Catheter-Related Infections - etiology
Catheterization, Central Venous - adverse effects
Catheters
Child
Child, Preschool
Female
Fever
Health risks
Hospital costs
Hospitals, Pediatric
Humans
Infant
Infant, Newborn
Italy
Male
Medical instruments
Nosocomial infections
Nursing
Oncology
Pediatrics
Prospective Studies
Risk Factors
Sepsis
Surgery
Surgical Procedures, Operative - statistics & numerical data
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Summary:Central-line–associated bloodstream infections (CLABSIs) are one of the most dangerous complications of central venous catheter (CVC) placement; they contribute significantly to morbidity and mortality, and they are risk factors for increased hospital costs and length of stay.1 Even so, only a few studies in the literature have addressed the incidence and risk factors for CLABSIs in pediatric surgical patients. The overall CLABSI rate was 0.02% (6 of 290), or 1.68 CLABSIs per 1,000 catheter days. [...]2 infections were PICC related, with an incidence of 1.70 per 1,000 catheter days, and 4 infections were diagnosed in the presence of nontunneled central lines, with an incidence of 1.66 infections per 1,000 catheter days. Correlation with preschool age may be related to the difficulties in maintaining hygiene in this age group of patients when frequent manipulation and medications by nursing staff are required that could increase central-line infection risk.6 Fever at the moment of insertion is probably due to a transient bacteremia during CVC placement that can lead to catheter colonization by the pathogen.
ISSN:0899-823X
1559-6834
DOI:10.1017/ice.2019.107