Catheter-associated Bloodstream Infection in Children with Tunneled Central Venous Catheters: A Single-center Experience
| Autor: | Avilash Sahu, M. M. Zameer, C. Vinay, Sanjay Rao, Ashley D’Cruz |
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| Jazyk: | angličtina |
| Rok vydání: | 2024 |
| Předmět: | |
| Zdroj: | Journal of Indian Association of Pediatric Surgeons, Vol 29, Iss 4, Pp 329-333 (2024) |
| Druh dokumentu: | article |
| ISSN: | 0971-9261 1998-3891 |
| DOI: | 10.4103/jiaps.jiaps_248_23 |
| Popis: | Background: Tunnelled catheters improve venous access in haematological diseases and malignancies, but are associated with complications. We prospectively analysed the episodes of CABSI and its associated risk factors. Aims: To study the incidence and risk factors for CABSI in children with tunnelled central venous catheters (both Hickmans and Chemoports). Materials and Methods: This is a prospective observational study done at our institute. Children under the age of 18 who underwent insertion of a Hickman or Chemoport from March 2018 to Dec 2022 were enrolled. Episodes of CABSI were noted and its risk factors were analysed. Results: In total, 258 catheters were inserted in 250 children. Age ranged from 1 month to 18 years (median 67 months) with 60% being boys. A total of 152 Hickmans, 106 chemoports were inserted. Indications for insertions were for requirement of BMT and chemotherapy in majority of cases. CABSI were seen in 28.6% of catheters. Younger children (< 4years), Neutropenia (counts < 1000) and use of TPN were significantly associated with CABSI(p value0.05). Almost 30% of catheters with CABSI required removal because of florid sepsis. Others could be salvaged with aggressive antibiotics. Conclusions: CABSI is a serious complications related to tunnelled catheter. Smaller children ( |
| Databáze: | Directory of Open Access Journals |
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