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2007, Number 2

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Rev Mex Pediatr 2007; 74 (2)

Associated complications due to umbilical catheters in neonates

Cáceres-Papadakis GU, Pérez-Villalobos HM, Ugalde-Fernández JH, Gamboa-Cázares IA

Language: Spanish
References: 15
Page: 70-73
PDF size: 47.22 Kb.


ABSTRACT

Objective. To assess the incidence and kind of complications related with the utilization of umbilical catheters in newborn infants.
Material and methods. Observational and prospective trial in 142 newborns, to whom 242 umbilical catheters where placed, we registered the body weight, age, and catheter related variables.
Results. The tips of 94 catheters were cultured and 20 of them were positive. The catheter related sepsis was presented in 3% of patients with arterial catheter and 5% in the venous catheter. Staphylococcus epidermidis was the most commonly isolated organism and the permanency time in venous catheter was associated with infectious complications.
Conclusion. The associated-catheter complications have a low incidence and the more frequent were infectious complications.


REFERENCES

  1. Tiffany K, Burke B, Collins-Odoms C, Oelberg D. Current practice regarding the enteral feeding of high-risk newborns with umbilical catheters in situ. Pediatrics 2003; 112: 20-3.

  2. Hermansen MC, Hermansen MG. Intravascular catheter complications in the neonatal intensive Care Unit. Clin Perinatol 2005; 32: 141-56.

  3. Hogan M. Neonatal vascular catheters and their complications. Radiol Clin North Am 1999; 37: 165-72.

  4. Brodie S, Sands K, Gray J, Parker R, Goldman D, Donald A et al. Ocurrence of nosocomial bloodstream infections in six neonatal intensive care units. Pediatr Infect Dis J 2000; 19: 56-65.

  5. Clark R, Powers R, With R, Bloom B, Sanchez P, Benjamin D. Prevention and treatment of nosocomial sepsis in the NICU. J Perinatol 2004; 24: 446-53.

  6. Grupo de Hospitales Castrillo. Estudio prospectivo sobre el empleo de catéteres umbilicales en el recién nacido. An Esp Pediatr 2000; 53: 470-8.

  7. Krauss A, Albert R, Kannan M. Contamination of umbilical catheters in the newborn infant. J Ped 1970; 77: 965-9.

  8. Benjamin D, Miller W, Garges H, Benjamin DK Jr., McKinney R, Cotton M et al. Bacteremia, central catheters, and neonates when to pull the lime. Pediatrics 2001; 107: 1272-6.

  9. Grady N, Alexander M, Dellinger P, Gerberding J, Heard S, Maki D et al. Guidelines for the prevention of intravascular catheter/related infections. Pediatrics 2002; 110: e51-75.

  10. Landers S, Moise A, Fraley J, Smith E, Baker C. Factors associated with umbilical catheter-related sepsis in neonates. Am J Dis Child 1991; 145: 675-80.

  11. Balagtas R, Bell C, Edwards L, Levin S. Risk of local and systemic infections associated with umbilical vein catheterization: a prospective study in 86 newborn patients. Pediatrics 1971; 48: 359-67.

  12. Centers for disease control and prevention. Campaign to prevent antimicrobial resistance in healthcare settings. Available from: URL: http://www.cdc.gov/drugresistance/healthcare/children/12steps_children.htm

  13. Isaacs D. Rationing antibiotic use in neonatal units. Arch Dis Child Fetal Neonatal Ed 2000; 82: 1-2.

  14. Coleman M, Spear M, Finkelstein M, Leef K, Pearlman S, Chien C. Short-term use of umbilical artery catheters may not be associated with increased risk for thrombosis. Pediatrics 2004; 113: 770-4.

  15. Menon G. Neonatal long lines. Arch Dis Child Fetal Neonatal Ed 2003; 88: F260-2.




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