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Hickman Catheter Complications in Marrow Transplant Recipients
Author(s) -
Petersen Finn Bo,
Clift Reginald A.,
Hickman Robert O.,
Sanders Jean E.,
Meyers Joel D.,
Kelleher Joleen,
Buckner C. Dean
Publication year - 1986
Publication title -
journal of parenteral and enteral nutrition
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.935
H-Index - 98
eISSN - 1941-2444
pISSN - 0148-6071
DOI - 10.1177/014860718601000158
Subject(s) - medicine , parenteral nutrition , catheter , surgery , lumen (anatomy) , enteral administration , accidental , physics , acoustics
The complications associated with the insertion and use of 95 single lumen and 312 double lumen Hickman right atrial catheters in 357 marrow transplant recipients were retrospectively analyzed. Three‐hundred (84%) first inserted catheters were in place for a median of 93 days (range, 16–209) without complications and were removed electively. Thirty‐nine (9.6%) of all catheters were removed for infections and 24 (5.9%) for mechanical complications. Ninety‐five patients (26.6%) had 111 episodes of septicemia involving 128 separate organisms and 25 patients had 25 episodes of localized catheter infection with 26 separate organisms. The most frequently isolated organism was coagulase‐negative staphylococcus. Twelve of 24 removals due to mechanical complications were caused by accidental pulling of the catheter by the patient. ( Journal of Parenteral and Enteral Nutrition 10: 58–62, 1986)