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Selected Publication:
SHR Neuro Cancer Cardio Lipid Metab Microb
Breschan, C; Platzer, M; Jost, R; Schaumberger, F; Stettner, H; Likar, R.
Comparison of catheter-related infection and tip colonization between internal jugular and subclavian central venous catheters in surgical neonates.
Anesthesiology. 2007; 107(6): 946-53.
Doi: 10.1097/01.anes.0000291443.78166.98
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- Leading authors Med Uni Graz
- Breschan Christian
- Co-authors Med Uni Graz
- Likar Rudolf
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- Abstract:
- BACKGROUND: The primary aim of this study was to compare catheter-associated infections and tip contaminations between percutaneously placed central venous catheters in the internal jugular and subclavian veins in surgical neonates undergoing major noncardiac surgery. METHODS: The prospectively computerized protocols of 295 procedures were analyzed retrospectively. RESULTS: One hundred twenty-nine internal jugular venous (group I) and 107 subclavian venous catheters (group S) were included. The median postconceptual age was 37 weeks in group I and 38 in group S. The weight ranged from 580 g to 4.5 kg in group I and from 820 g to 4.5 kg in group S at the time of insertion. Significantly more catheter-associated infections were observed in group I (15.5 vs. 4.7%; chi-square analysis: P < 0.01). The internal jugular venous catheters were also associated with a significantly increased probability of an earlier onset of a catheter-associated infection compared with the subclavian venous catheters (log rank test: P < 0.01; Cox model: P < 0.01). This probability was only slightly increased by a lower weight (Cox model: P = 0.075), and it was not increased by a lower age (Cox model: P = 0.93). Significantly more catheter tips were contaminated by pathogens in group I (55.8 vs. 33.6%; chi-square analysis: P < 0.01). CONCLUSION: The internal jugular venous catheters were associated with a higher infection rate as well as earlier onset of catheter-associated infection compared with the subclavian venous catheters.
- Find related publications in this database (using NLM MeSH Indexing)
- Catheterization, Central Venous - adverse effects, methods
- Equipment Contamination - administration & dosage
- Humans - administration & dosage
- Infant, Newborn - administration & dosage
- Jugular Veins - microbiology
- Prospective Studies - administration & dosage
- Retrospective Studies - administration & dosage
- Subclavian Vein - microbiology
- Thoracic Surgical Procedures - instrumentation