Incidence of Catheter-Associated Bloodstream Infections in Stem Cell Recipients—Should We Be "PICCy"?

Autor:	Milczarek, Sławomir, Kulig, Piotr, Piotrowska, Oliwia, Zuchmańska, Alina, Wilk-Milczarek, Ewa, Machaliński, Bogusław
Předmět:	HEMATOPOIETIC stem cell transplantation RISK assessment FEBRILE neutropenia PATIENTS TRANSPLANTATION of organs tissues etc. BLOODBORNE infections CATHETER-related infections BLOOD vessels DECISION making in clinical medicine RETROSPECTIVE studies DESCRIPTIVE statistics CENTRAL venous catheters PERIPHERALLY inserted central catheters MEDICAL equipment DISEASE incidence DISEASE risk factors
Zdroj:	Cancers; Mar2024, Vol. 16 Issue 6, p1239, 11p
Abstrakt:	Simple Summary: Proper vascular access is essential for stem cell transplantation (SCT). In the vast majority of transplantation centers, conventionally inserted central catchers (CICC) are the devices of choice. Although CICCs enable effective transplantation, their insertion is associated with life-threatening complications. Peripheral catheters (PCs) such as peripherally inserted central catheters (PICCs) and MidLine catheters (MLCs) appear to be suitable intravenous devices, yet are rarely used in this indication. We retrospectively appraised the infectious complications such as blood stream infection (BSI), febrile neutropenia (FN) and central line-associated bloodstream infection (CLBSI) in patients undergoing stem cell infusion through PC and conventionally inserted central catchers (CICCs), and evaluated their impact on transplantation outcomes. Our study showed that infection complications are independent of intravenous device and antibiotic prophylaxis. Considering that PCs are not associated with life-threatening complications, they should be considered for use more frequently in the stem cell transplantation setting. The management of patients undergoing HSCT requires a multipurpose central venous catheter. Peripheral catheters (PCs), such as peripherally inserted central catheters (PICCs) and MidLine catheters (MLCs), appear to be adequate vascular catheters to be used for stem cell infusion, although their utilization in this indication is not yet common. We analyzed the infectious complications such as blood stream infection (BSI), febrile neutropenia (FN) and central line-associated bloodstream infection (CLBSI) in patients undergoing stem cell infusion through PC and conventionally inserted central catchers (CICCs), and evaluated their impacts on transplantation outcomes. Our results reveal no statistically significant differences between different types of catheter in terms of FN, BSI and CLABSI. Moreover, transplantation outcomes were comparable between the groups. Interestingly, according to our data, there were no differences in terms of abovementioned infectious complications between individuals who received antibiotic prophylaxis and those who did not. Our study has shown that infection complications are independent of the intravenous device and antibiotic prophylaxis. Considering that PCs are not associated with life-threatening complications, they should be considered more frequently in the stem cell transplantation setting. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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