Incidence of Catheter-related Infections Within 30 Days from Insertion of Hickman-Broviac Catheters

Overview

Journal Pediatr Blood Cancer

Specialties Hematology
Oncology
Pediatrics

Date 2005 Dec 17

PMID 16358302

Citations 6

Authors

Elio Castagnola

Angelo Claudio Molinari

Mareva Giacchino

Nadia Chiapello

Cristina Moroni

Ilaria Caviglia

Giuseppe Fratino

Riccardo Haupt

Affiliations

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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.

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