Central line associated bacteremia in the pediatric patient.
OBJECTIVE
To define the per-day risk of central line associated bacteremia in an infant-toddler population and to describe risk factors associated with the development of central line bacteremia.


METHODS
The Central Line Data Tool collected information on 102 central venous catheters from 73 patients ranging in age from 1 day to 29 months. Each line was in place for 3 days or longer.


RESULTS
There were 17 documented catheter-related infections during the 1-year study period (7.7 infections per 1,000 catheter days). Factors significantly associated with central line bactermia included: PAS infusion, catheter type and site, medication administration, blood withdrawal, and accidental line disruption.


CONCLUSIONS
Use of central lines for multiple purposes should be minimized.
Long
C A
CA
Stashinko
E E
EE
Byrnes
K
K
Molchan
E
E
LeClair
J
J
D016470:Bacteremia / Q000209:etiology* / Q000517:prevention & control; D002405:Catheterization, Central Venous / Q000009:adverse effects* / Q000295:instrumentation / Q000451:nursing; D002675:Child, Preschool; D005260:Female; D006801:Humans; D015994:Incidence; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D011446:Prospective Studies; D012307:Risk Factors; D013997:Time Factors