Incidence of catheter-related infections within 30 days from insertion of Hickman-Broviac catheters.

Abstract

AIM:

To evaluate the incidence of surgical site infections and bacteremias occurring within 30 days from insertion of partially implanted central venous catheters.

PATIENTS AND METHODS:

Four hundred eighteen devices positioned in children with cancer or undergoing bone marrow transplant were followed prospectively.

RESULTS:

During a follow-up of 12,394 catheter-days, a total of 13 infectious episodes were documented, with an overall incidence of 3.1% and 1.05 episodes/1,000 catheter-days. Coagulase-negative staphylococci represented the causative pathogens of all episodes. Overall, surgical wound infections occurred in 1.4% of all catheters, with a rate of 0.48/1,000 catheter-days, while isolated bacteremias were observed in 1.7% of all inserted devices, with a rate of 0.57/1,000 catheter-days.

CONCLUSIONS:

Infections are rare events within 30 days from insertion of partially implanted central venous catheters and coagulase-negative staphylococci represent the most frequently isolated cause of these complications.

• Authors: Elio Castagnola, Angelo Claudio Molinari, Mareva Giacchino, Nadia Chiapello, Cristina Moroni, Ilaria Caviglia, Giuseppe Fratino, Riccardo Haupt
• Journal: Pediatric blood & cancer (Pediatr Blood Cancer) Vol. 48 Issue 1 Pg. 35-8 (Jan 2007) ISSN: 1545-5009 [Print] United States
• PMID: 16358302 (Publication Type: Journal Article)
• Copyright: (c) 2006 Wiley-Liss, Inc.

Topics

• Bacteremia (epidemiology, etiology)
• Bone Marrow Transplantation (adverse effects)
• Catheters, Indwelling (adverse effects)
• Child
• Female
• Follow-Up Studies
• Humans
• Incidence
• Male
• Neoplasms (complications, epidemiology)
• Prospective Studies
• Staphylococcal Infections (epidemiology, etiology)
• Time Factors