Premium
Incidence of catheter‐related infections within 30 days from insertion of Hickman–Broviac catheters
Author(s) -
Castagnola Elio,
Molinari Angelo Claudio,
Giacchino Mareva,
Chiapello Nadia,
Moroni Cristina,
Caviglia Ilaria,
Fratino Giuseppe,
Haupt Riccardo
Publication year - 2007
Publication title -
pediatric blood and cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.116
H-Index - 105
eISSN - 1545-5017
pISSN - 1545-5009
DOI - 10.1002/pbc.20724
Subject(s) - medicine , catheter , incidence (geometry) , surgery , bloodstream infection , central venous catheter , physics , optics
Aim To evaluate the incidence of surgical site infections and bacteremias occurring within 30 days from insertion of partially implanted central venous catheters. Patients and Methods Four hundred eighteen devices positioned in children with cancer or undergoing bone marrow transplant were followed prospectively. Results During a follow‐up of 12,394 catheter‐days, a total of 13 infectious episodes were documented, with an overall incidence of 3.1% and 1.05 episodes/1,000 catheter‐days. Coagulase‐negative staphylococci represented the causative pathogens of all episodes. Overall, surgical wound infections occurred in 1.4% of all catheters, with a rate of 0.48/1,000 catheter‐days, while isolated bacteremias were observed in 1.7% of all inserted devices, with a rate of 0.57/1,000 catheter‐days. Conclusions Infections are rare events within 30 days from insertion of partially implanted central venous catheters and coagulase‐negative staphylococci represent the most frequently isolated cause of these complications. Pediatr Blood Cancer 2007;48:35–38. © 2005 Wiley‐Liss, Inc.