Article ; Online: Catheter-related bloodstream infections in children receiving parenteral nutrition: Experience of a single center with 178 patients
2023
Abstract: Catheter-related bloodstream infections are common in children who require parenteral nutrition and can have serious consequences, including mortality. This study aims to evaluate the frequency and nature of catheter-related bloodstream infections in ... ...
Abstract | Catheter-related bloodstream infections are common in children who require parenteral nutrition and can have serious consequences, including mortality. This study aims to evaluate the frequency and nature of catheter-related bloodstream infections in children receiving parenteral nutrition. Patients between one month and 18 years of age who received parenteral nutrition within two years were evaluated for indications and complications by focusing on catheter-related bloodstream infections. Twenty-nine different catheter-related bloodstream infections were detected in 24 of 147 episodes in which parenteral nutrition was delivered via a catheter. The frequency of catheter-related bloodstream infections was 7.7 infections per 1000 catheter days. Coagulase-negative staphylococci, Gram-negative enteric bacilli, enterococci, and Candida species were the most common causative microorganisms. Five patients died. Infection frequency increased with increasing PN duration and receiving PN via a non-tunneled internal jugular catheter. Gender, age, and the number of catheter lumens were not associated with infection frequency. Catheter-related bloodstream infection is a common complication in children receiving parenteral nutrition. Appropriate management is essential. Because parenteral nutrition duration is a risk for catheter-related bloodstream infections, the transition to enteral feeding should be considered as soon as possible. |
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Keywords | Candida ; Enterococcus ; blood flow ; catheters ; enteral feeding ; gender ; mortality ; parenteral feeding ; risk ; Catheter related infection ; Central venous catheter ; Children ; Parenteral nutrition ; Bactériémie liée au cathéter ; Cathéter veineux central ; Enfants ; Nutrition parentérale ; CI ; CVC ; CRBSI ; IQR ; OR ; PN |
Language | English |
Dates of publication | 2023-02 |
Size | p. 39-44. |
Publishing place | Elsevier Masson SAS |
Document type | Article ; Online |
ZDB-ID | 1131758-9 |
ISSN | 0985-0562 |
ISSN | 0985-0562 |
DOI | 10.1016/j.nupar.2022.10.005 |
Database | NAL-Catalogue (AGRICOLA) |
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