Catheter Duration and Risk of CLA-BSI in Neonates With PICCs

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1、CatheterDurationandRiskofCLA-BSIinNeonatesWithPICCsArnabSengupta,ChristophLehmann,MarieDiener-West,TrishM.PerlandAaronM.MilstonePediatrics2010;125;648;originallypublishedonlineMarch15,2010;DOI:10.1542/peds.2009-2559Theonlineversionofthisarticle,alongwithupdatedinformationandservices,islocated

2、ontheWorldWideWebat:http://pediatrics.aappublications.org/content/125/4/648.full.htmlPEDIATRICSistheofficialjournaloftheAmericanAcademyofPediatrics.Amonthlypublication,ithasbeenpublishedcontinuouslysince1948.PEDIATRICSisowned,published,andtrademarkedbytheAmericanAcademyofPediatrics,141Northwe

3、stPointBoulevard,ElkGroveVillage,Illinois,60007.Copyright©2010bytheAmericanAcademyofPediatrics.Allrightsreserved.PrintISSN:0031-4005.OnlineISSN:1098-4275.Downloadedfrompediatrics.aappublications.orgatSichuanUniversityonSeptember12,2011CatheterDurationandRiskofCLA-BSIinNeonatesWithPICCsWHAT’SK

4、NOWNONTHISSUBJECT:PICCinsertionremainsanAUTHORS:ArnabSengupta,MBBS,MPH,aChristophessentialcomponentofNICUcare,andCLA-BSIisaseriousLehmann,MD,bMarieDiener-West,PhD,cTrishM.Perl,complication.ResultsofrecentstudiesdemonstratedcatheterMD,MSc,d,eandAaronM.Milstone,MD,MHSa,ddurationasariskfactorfor

5、CLA-BSI,butcatheterreplacementisaDivisionofPediatricInfectiousDiseases,DepartmentofnotrecommendedasaCLA-BSIpreventionstrategy.Pediatrics,bDivisionofNeonatology,DepartmentofPediatrics,andeDivisionofInfectiousDiseases,DepartmentofMedicine,JohnsHopkinsUniversitySchoolofMedicine,Baltimore,WHATTHI

6、SSTUDYADDS:PICCsareoftenusedforextendedMaryland;cDepartmentofStatistics,JohnsHopkinsBloombergperiods.ProlongedcatheterdurationwasariskfactorforSchoolofPublicHealth,Baltimore,Maryland;anddDepartmentPICC-associatedCLA-BSI.AsignificantdailyincreaseintheriskofofHospitalEpidemiologyandInfectionCont

7、rol,JohnsHopkinsCLA-BSIafter35daysmaywarrantPICCreplacementifaccessisHospital,Baltimore,Marylandnecessarybeyondthatperiod.KEYWORDScatheter-relatedinfection,infection,NICU,peripheralcatheterization,peripherallyinsertedcentralvenouscathetersABB