Infections related to vascular catheters in a pediatric intensive care unit.
We determined the rate and risk factors for colonization of 103 peripheral intravenous catheter and 32 central venous catheters. 52.5% peripheral catheters had colonization. Common organisms isolated were Pseudomonas (33.3%) and coagulase negative Staphylococci (29.6%). Colonization was higher in catheters inserted in the lower limb. Overall 62.5% of the central catheters were colonized, chiefly by coagulase negative Staphylococci, Pseudomonas and Candida. All central catheters in place for more than 11 days were colonized. Subclavian vein catheters had a higher rate (68.2%) of colonization in comparison to femoral vein insertions (40%). We conclude that upper limb placements are preferable to lower limbs when using peripheral lines. Changing peripheral intravenous catheters every 48 hours and central venous catheters every 10 days may decrease the rate of colonization.
Subha Rao
S D
SD
Department of Pediatrics, St. Johns Medical College Hospital, Bangalore 560 034, India. nikan@vsnl.com
Joseph
Mary Preetha
MP
Lavi
Radhika
R
Macaden
Ragini
R
D000293:Adolescent; D002177:Candidiasis / Q000209:etiology*; D002406:Catheterization, Peripheral / Q000009:adverse effects* / Q000295:instrumentation*; D002648:Child; D002675:Child, Preschool; D016905:Gram-Negative Bacterial Infections / Q000209:etiology*; D016908:Gram-Positive Bacterial Infections / Q000209:etiology*; D006801:Humans; D007194:India; D007223:Infant; D015278:Intensive Care Units, Pediatric