Evaluation of PICC Complications in Orthopedic Inpatients with Bone Infection for Long-Term Intravenous Antibiotics Therapy
| Autor: | Julien Potet, Yann Kervella, Aurore Bousquet, Christophe A'Teriitehau, Laura Valbousquet Schneider, Caroline Bouzad, J. Baccialone, Sandrine Duron, François-Xavier Arnaud |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
Catheter Obstruction Male Catheterization Central Venous medicine.medical_specialty Time Factors Treatment outcome Drug Administration Schedule Bone Infection Young Adult Catheters Indwelling Risk Factors Catheterization Peripheral Odds Ratio medicine Central Venous Catheters Humans Aged Retrospective Studies Aged 80 and over Inpatients Chi-Square Distribution business.industry Age Factors Retrospective cohort study Equipment Design Middle Aged Bone Diseases Infectious Anti-Bacterial Agents Surgery Logistic Models Treatment Outcome Nephrology Catheter-Related Infections Intravenous antibiotics Multivariate Analysis Orthopedic surgery Administration Intravenous Female Complication business |
| Zdroj: | The Journal of Vascular Access. 16:299-308 |
| ISSN: | 1724-6032 1129-7298 |
| DOI: | 10.5301/jva.5000389 |
| Popis: | Purpose The purpose of this study is to evaluate the complications of peripherally inserted central catheters (PICCs) in orthopedic patients with chronic bone orthopedic infection. Materials and methods The institutional review board approved this retrospective study and informed consent was waived. Records of 180 consecutives PICCs placed in patients hospitalized in the orthopedic surgery department were reviewed. All patients had bones infections necessitating a long-term intravenous antibiotics therapy. All PICC complications were recorded during the patient hospitalization: infection [catheter-related bloodstream infection (CRBSI), central line associated bloodstream infection (CLABSI), exit-site infection, septic phlebitis], thrombosis, occlusion, mechanical complication (accidental withdrawal, malposition, median nerve irritation). Results One hundred and eighty PICCs were placed in 136 patients. Mean duration of catheterization was 21 days (total 3911 PICC-days). Thirty-six PICCs (20%) were removed due to complications (9.2 complications per 1000 PICC-days): 14 (8%) infections (one CRBSI ( Pseudomonas aeruginosa), one septic phlebitis ( P. aeruginosa), two exit-site infections and 10 CLABSIs), 11 (6%) occlusions, and 12 (7%) mechanical complications (10 accidental withdrawals, one malposition, one median nerve irritation). One patient had two complications simultaneously. After multivariate analysis, two risk factors were significantly associated with the overall occurrence of complications: age more than 70 years [OR = 2.89 (1.06-7.89], p = 0.04] and number of lumen at least two [OR = 2.64 (1.03-6.75), p = 0.04]. Conclusions Even in orthopedic patients with chronic orthopedic bone infection, PICCs have a low rate of complication. The increasing lumen number of the PICC is a potential risk factor in our series. |
| Databáze: | OpenAIRE |
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