[Advantages of routine periodic replacement of the central endovenous catheter in total parenteral nutrition].
OBJECTIVE
To determine the utility of rutinary periodic replacement catheter of total parenteral nutrition (TPN) to prevent the incidence of catheter-related infection.


METHODS
Cancer patients admitted between Jan. 1, 1996 and Dec. 31, 1997, to receive TNP, were eligible for enrollment in the study. Placed a chateter of poliuretane with double lumen each patient for Nutrition Department. Replacement catheters done over a guidewire after ten days, with or without infection sings. Rates of catheter-related infection were documented for de novo, and guidewire exchanged catheters and analyzed relative risk for infection.


RESULTS
Twenty catheter-related infections developed in 140 patients. When the rate of catheter-associated infection was determined for each type of catheterization, the replacement catheter had a high observed rate of infection than either de novo type (19.5% vs 7.8%; p = 0.027). We found that the risk of developing a catheter-related infection in a de novo catheter was significantly less (p < 0.01).
González Avila
G
G
Departamento de Medicina Interna, Hospital de Oncología, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, México, D. F. México.
Fajardo Rodríguez
A
A
D002405:Catheterization, Central Venous / Q000295:instrumentation*; D002408:Catheters, Indwelling / Q000009:adverse effects*; D004868:Equipment Failure; D006801:Humans; D017053:Infection Control / Q000379:methods*; D007239:Infections / Q000209:etiology*; D009369:Neoplasms / Q000628:therapy*; D010289:Parenteral Nutrition, Total / Q000295:instrumentation*
Utilidad del recambio periódico rutinario de un catéter endovenoso central para nutrición parenteral total.