Infection rates of Broviac-Hickman catheters and implantable venous devices.
We retrospectively identified and prospectively followed up 62 patients with 78 venous-access catheters over a 30-month period (15773 catheter-days) to compare infectious complications of Broviac-Hickman catheters (n = 33) and totally implantable. venous devices (n = 45) in pediatric oncology patients. Demographic data and characteristics of catheter use were comparable for both groups. Significantly associated with the risk of a catheter-associated infection were (1) the percentage of time the patient was neutropenic and (2) a patient age of younger than 2 years. In the Broviac-Hickman catheter group, 14 catheter-associated infections occurred in 27% of patients using catheters for an infection rate of 0.21/100 catheter-days. In the implantable venous device group, 13 infections occurred in 24% of patients using catheters for an infection rate of 0.14/100 catheter-days. The relative risk of infection from Broviac-Hickman catheters compared with implantable venous devices was 1.5, which was not significant (95% confidence interval, 0.7 to 3.2). Thus, the incidence of infectious complications was comparable for both catheter types.
Wurzel
C L
CL
Department of Pediatrics, Schneider Children's Hospital of Long Island Jewish Medical Center, New Hyde Park, NY 11042.
Halom
K
K
Feldman
J G
JG
Rubin
L G
LG
D006328:Cardiac Catheterization / Q000009:adverse effects; D002404:Catheterization / Q000009:adverse effects*; D002406:Catheterization, Peripheral / Q000009:adverse effects; D002408:Catheters, Indwelling / Q000009:adverse effects*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D007239:Infections / Q000209:etiology*; D008297:Male; D009369:Neoplasms / Q000628:therapy; D011446:Prospective Studies; D012189:Retrospective Studies; D018805:Sepsis / Q000453:epidemiology / Q000209:etiology