Higareda-Almaraz MA, Gutiérrez-Monraz PA, Castillo-Sánchez RA, Barrera-de León JC, Zavalza-Gómez AB, Higareda-Almaraz E

Language: Spanish
References: 25
Page: 47-53
PDF size: 201.49 Kb.

ABSTRACT

Objective: Identify percutaneous catheter-related complications in preterm and term newborns. Methods: Comparative cross-section. Were included newborns whit percutaneous catheter insertion, blood culture results and distal catheter segment. Were formed two groups: Preterm and term. Results: Were analyzed the data of preterm (n = 50) and term (n = 50) newborn, the gestational age was 30 ± 3 and 40 ± 2 (p = 0.01). The frecuency in preterm and term newborn was respectively, sepsis catheter 36 and 18% (p = 0.02; OR: 2.56; 95% CI: 1.02-7.17), infected catheter 50 and 22% (p = 0.01; OR: 5.92; 95% CI: 1.66-23.12), colonized catheter of 24 and 14% (p = 0.01; OR: 3.58; 95% CI: 1.32-9.90), local infection 14 and 8% (p = 0.03; OR: 1.87; 95% CI: 1.45-8.29), infiltration 18 and 4% (p = 0.02; OR: 5.27; 95% CI: 1.17-59), accidental removal 6 and 22% (p = 0.02; OR: 0.23; 95% CI: 0.05-0.87) and catheter rupture 10 and 28% (p = 0.02; OR: 0.29; 95% CI: 0.08-0.98). Conclusions: We found a higher association of infections and infiltrations by percutaneous catheter in preterm and term prevailed in accidental removal and catheter rupture.

REFERENCES

1. Menon G. Neonatal long lines. Arch Dis Child Fetal Neonatal. 2003;88:260-2.

2. Shaw JC. Parenteral nutrition in the management of sick low birth weigth infants. Pediatr Clin North Am. 1973;20:333-58.

3. Neubauer AP. Percutaneous central iv in the neonate: experience with 535 silastic catheters. Acta Paediatr. 1995;84:756-60.

4. Mahieu LM, De Muynck AO, Ieven MM, et al. Risk factors for central vascular catheter-associated bloodstream infections among patients in a neonatal intensive care unit. J Hosp Infect. 2001;48:108-6.

5. López Sastre JL, Fernández Colomer B, Coto Cotallo GD, et al. Prospective evaluation of percutaneous central venous catheters in newborn infants. An Esp Pediatr. 2000;53:138-47.

6. Franceschi AT, da Cunha ML. Adverse events related to the use of central venous catheters in hospitalized newborns. Rev Lat Am Enfermagem. 2010;18:196-202.

7. Darling JC, Newell SJ, Mohamdee O, et al. Central venous catheter tip in the right atrium: a risk factor for neonatal cardiac tamponade. J Perinatol 2001;21:461-4.

8. Leipälä JA, Petäjä J, Fellman V. Perforation complications of percutaneous central venous catheters in very low irthweight infants. J Paediatr Child Health. 2001;37:168-71.

9. Smirk C, Soosay Raj T, Smith AL, et al. Neonatal percutaneous central venous lines: fit to burst. Arch Dis Child Fetal Neonatal. 2009;94:298-300.

10. Phillips LD. Catéteres de acesso venoso central. En: Phillips LD. Manual de terapia intravenosa. Porto Alegre (RS): Artmed; 2001. p. 334-72.

11. Ballard JL, Khoury JC, Wedig K, et al. New Ballard Score, expanded to include extremely premature infants. J Pediatrics. 1991;119:417-23.

12. Goldstein B, Giroir B, Randolph A. International pediatric sepsis consensus conference: definitions for sepsis and organ dysfunction in pediatrics. Pediatr Crit Care Med. 2005;6:2-8.

13. World Medical Association. World Medical Association Declaration of Helsinki. Ethical principles for medical research involving human subjects. Nurs Ethics. 2002;9:105-9.

14. Eggimann P, Sax H, Pittet D. Catheter-related infections. Microbes Infect. 2004;6:1033-42.

15. Yeung CY, Lee HC, Huang FY, et al. Sepsis during total parenteral nutrition: exploration of risk factors and determination of the effectiveness of peripherally inserted central venous catheters. Pediatr Infect Dis J. 1998;17:135-42.

16. Hernández R, Águila E. Estudio prospectivo de las complicaciones infecciosas en RN con catéteres de silicona utilizados para infusión de nutrición parenteral. Anal Esp Pediatr. 1996;45:626-30.

17. Sitges-Serra, Linares J. Catheter sepsis: the clue is the hub. Surgery. 1985;97:355-7.

18. Sitges-Serra A, Puig P, Jaurrieta E, et al. Catheter sepsis due to Staphylococcus epidermidis during parenteral nutrition. Surg Gynecol Obstet. 1980;151:481-3.

19. Ponnusamy V, Venkatesh V, Curley A, et al. Segmental percutaneous central venous line cultures for diagnosis of catheter-related sepsis. Arch Dis Child Fetal Neonatal. 2012;97:273-8.

20. Nadroo AM, Glass RB, Lin J, et al. Changes in upper extremity position cause migration of peripherally inserted central catheters in neonates. Pediatrics. 2002;110:131-6.

21. Coit AK, Kamitsuka MD. Peripherally inserted central catheter using the saphenous vein: importance of two-view radiographs to determine the tip location. J Perinatol. 2005;25:674-6.

22. Colacchio K, Deng Y, Northrup V, et al. Complications associated with central and non-central venous catheters in a neonatal intensive care unit. J Perinatol. 2012;32:941-6.

23. Jain A, Deshpande P, Shah P. Peripherally inserted central catheter tip position and risk of associated complications in neonates. J Perinatol. 2013;33:307-12.

24. Srinivasan HB, Tjin-A-Tam A, Galang R, et al. Migration patterns of peripherally inserted central venous catheters at 24 hours postinsertion in neonates. Am J Perinatol. 2013;10:871-4.

25. Chatel-Meijer MP, Roques-Gineste M, Fries F, et al. Cardiac tamponade secondary to umbilical venous catheterization accident in apremature infant Arch Fr Pediatr. 1992;49:373-6.