Percutaneous central venous catheter use in the very low birth weight neonate

1995 ◽  
Vol 154 (2) ◽  
pp. 145-147 ◽  
Author(s):  
P. A. Cairns ◽  
D. C. Wilson ◽  
B. G. McClure ◽  
H. L. Halliday ◽  
M. McReid
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Central Venous Catheter ◽  
Very Low Birth Weight ◽  
Venous Catheter ◽  
Central Venous ◽  
Birth Weight Neonate ◽  
Percutaneous Central Venous Catheter

Percutaneous central venous catheter use in the very low birth weight neonate

1995 ◽  
Vol 154 (2) ◽  
pp. 145-147
Author(s):  
P. A. Cairns ◽  
D. C. Wilson ◽  
B. G. McClure ◽  
H. L. Halliday ◽  
M. McReid
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Central Venous Catheter ◽  
Very Low Birth Weight ◽  
Venous Catheter ◽  
Central Venous ◽  
Birth Weight Neonate ◽  
Percutaneous Central Venous Catheter

scholarly journals Late onset sepsis and intestinal bacterial colonization in very low birth weight infants receiving long-term parenteral nutrition

2011 ◽  
Vol 44 (4) ◽  
pp. 447-450 ◽  
Author(s):  
Priscila Castro Cordeiro Fernandes ◽  
Elias Jose Oliveira von Dolinger ◽  
Vânia Olivetti Steffen Abdallah ◽  
Daiane Silva Resende ◽  
Paulo Pinto Gontijo Filho ◽  
...  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Central Venous Catheter ◽  
Parenteral Nutrition ◽  
Very Low Birth Weight ◽  
Late Onset ◽  
Venous Catheter ◽  
Central Venous ◽  
Low Birth Weight Infants ◽  
Late Onset Sepsis

INTRODUCTION: The purpose of this study was to establish the late onset sepsis (LOS) rate of our service, characterize the intestinal microbiota and evaluate a possible association between gut flora and sepsis in surgical infants who were receiving parenteral nutrition (PN). METHODS: Surveillance cultures of the gut were taken at the start of PN and thereafter once a week. Specimens for blood culture were collected based on clinical criteria established by the medical staff. The central venous catheter (CVC) tip was removed under aseptic conditions. Standard laboratory methods were used to identify the microorganisms that grew on cultures of gut, blood and CVC tip. RESULTS: 74 very low birth weight infants were analyzed. All the infants were receiving PN and antibiotics when the gut culture was started. In total, 21 (28.4%) infants experienced 28 episodes of LOS with no identified source. Coagulase negative staphylococci were the most common bacteria identified, both in the intestine (74.2%) and blood (67.8%). All infections occurred in patients who received PN through a central venous catheter. Six infants experienced episodes of microbial translocation. CONCLUSIONS: In this study, LOS was the most frequent episode in neonates receiving parenteral nutrition who had been submitted to surgery; 28.6% of this infection was probably a gut-derived phenomenon and requires novel strategies for prevention.

Use of Central Venous Catheter and Peripheral Venous Catheter as Risk Factors for Nosocomial Bloodstream Infection in Very-Low-Birth-Weight Infants

2010 ◽  
Vol 31 (4) ◽  
pp. 395-401 ◽  
Author(s):  
Christine Geffers ◽  
Anne Gastmeier ◽  
Frank Schwab ◽  
Katrin Groneberg ◽  
Henning Rüden ◽  
...  
Keyword(s):  
Risk Factors ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Central Venous Catheter ◽  
Bloodstream Infection ◽  
Very Low Birth Weight ◽  
Venous Catheter ◽  
Central Venous ◽  
Vlbw Infants ◽  
Peripheral Venous Catheter

Objective.To describe the relationship between the use of central and peripheral venous catheters and the risk of nosocomial, primary, laboratory-confirmed bloodstream infection (BSI) for neonates with a birth weight less than 1,500 g (very-low-birth-weight [VLBW] infants).Methods.Cox proportional hazard regression analysis with time-dependent variable was used to determine the risk factors for the occurrence of BSI in a cohort of VLBW infants. We analyzed previously collected surveillance data from the German national nosocomial surveillance system for VLBW infants. All VLBW infants in 22 participating neonatal departments who had a complete daily record of patient information were included.Results.Of 2,126 VLBW infants, 261 (12.3%) developed a BSI. The incidence density for BSI was 3.3 per 1,000 patient-days. The multivariate analysis identified the following significant independent risk factors for BSI: lower birth weight (hazard ratio [HR], 1.1–2.2), vaginal delivery (HR, 1.5), central venous catheter use (HR, 6.2) or peripheral venous catheter use (HR, 6.0) within 2 days before developing BSI, and the individual departments (HR, 0.0–4.6).Conclusions.After adjusting for other risk factors, use of peripheral venous catheter and use of central venous catheter were significantly related to occurrence of BSI in VLBW infants.

Unusual Misplacement Sites of Percutaneous Central Venous Lines in the Very Low Birth Weight Neonate

1997 ◽  
Vol 14 (02) ◽  
pp. 63-67 ◽  
Author(s):  
Richard Lussky ◽  
Nancy Trower ◽  
David Fisher ◽  
Rolf Engel ◽  
Raul Cifuentes
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Very Low Birth Weight ◽  
Central Venous ◽  
Birth Weight Neonate

scholarly journals Influence of Parenteral Nutrition Delivery Techniques on Growth and Neurodevelopment of Very Low Birth Weight Newborns: A Randomized Trial

Medicina ◽  
2019 ◽  
Vol 55 (4) ◽  
pp. 82
Author(s):  
Ilona Aldakauskienė ◽  
Rasa Tamelienė ◽  
Vitalija Marmienė ◽  
Inesa Rimdeikienė ◽  
Kastytis Šmigelskas ◽  
...  
Keyword(s):  
Birth Weight ◽  
Central Venous Catheter ◽  
Very Low Birth Weight ◽  
Venous Catheter ◽  
Long Term Outcomes ◽  
Central Venous ◽  
Short Term ◽  
Anthropometric Parameters ◽  
Short And Long Term

Background and Objectives: In very low birth weight (VLBW) newborns, parenteral nutrition (PN) is delivered via a peripheral venous catheter (PVC), a central venous catheter (CVC), or a peripherally inserted central venous catheter (PICC). Up to 45% of PICCs are accompanied by complications, the most common being sepsis. A PVC is an unstable PN delivery technique requiring frequent change. The growth and neurodevelopment of VLBW newborns may be disturbed because of catheters used for early PN delivery and complications thereof. The aim of the conducted study was to evaluate the effect of two PN delivery techniques (PICC and PVC) on anthropometric parameters and neurodevelopment of VLBW newborns. Materials and Methods: A prospective randomized clinical trial was conducted in VLBW (≥750–<1500 g) newborns that met the inclusion criteria and were randomized into two groups: PICC and PVC. We assessed short-term outcomes (i.e., anthropometric parameters from birth until corrected age (CA) 36 weeks) and long-term outcomes (i.e., anthropometric parameters from CA 3 months to 12 months as well as neurodevelopment at CA 12 months according to the Bayley II scale). Results: In total, 108 newborns (57 in the PICC group and 51 in the PVC group) were randomized. Short-term outcomes were assessed in 47 and 38 subjects, and long-term outcomes and neurodevelopment were assessed in 38 and 33 subjects of PICC and PVC groups, respectively. There were no differences observed in anthropometric parameters between the subjects of the two groups in the short- and long-term. Mental development index (MDI) < 85 was observed in 26.3% and 21.2% (p = 0.781), and psychomotor development index (PDI) < 85 was observed in 39.5% and 54.5% (p = 0.239) of PICC and PVC subjects, respectively. Conclusions: In the short- and long-term, no differences were observed in the anthropometric parameters of newborns in both groups. At CA 12 months, there was no difference in neurodevelopment in both groups.

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