title: Central venous catheter related sepsis in children on parenteral nutrition: a 21-year single-center experience.
abstract: OBJECTIVE
  The aim was to assess the rate of central venous catheter (CVC) related sepsis in patients on parenteral nutrition (PN) at our hospital center during a period of 21 years.
  
  
  METHODS
  Data on all children hospitalized at our tertiary hospital center during the 1989-2010 period, who received PN for more than 4 weeks (n = 62) were retrospectively analyzed.
  
  
  RESULTS
  The mean age at the time of introducing PN was 2.9 years (range 6 days-17.4 years), male/female ratio 26/36. Out of these 62 patients, nine (14.5%) patients continued home PN (HPN) after discharge from the hospital. Altogether 86 CVCs were used (mean 1.39 per patient) and total CVC time was 21,459 days, which makes 243.9 days per CVC. During the study period, there were 36 CVC related sepsis episodes (1.7/1000 days of PN). Total number of septic episodes was significantly lower in HPN compared to hospital PN (0.94/1000 vs. 2.75/1000 days of PN; P < 0.001). Septic episodes led to removal of 11 (12.8%) catheters. Two patients died due to CVC related septic shock (0.93 deaths/10,000 days of PN), one in HPN patient (0.79 per 10,000 days of HPN).
  
  
  CONCLUSIONS
  The rate of CVC related sepsis in our PN cohort was exceptionally low in both hospital and home setting.
authors.affiliation: Referral Center for Pediatric Gastroenterology and Nutrition, Zagreb Children's Hospital, Sisters of Mercy University Hospital Center, Zagreb, Croatia. ivahojsak@gmail.com
authors.forename: Iva
authors.initials: I
authors.lastname: Hojsak
authors.forename: Helena
authors.initials: H
authors.lastname: Strizić
authors.forename: Zrinjka
authors.initials: Z
authors.lastname: Mišak
authors.forename: Irena
authors.initials: I
authors.lastname: Rimac
authors.forename: Gordana
authors.initials: G
authors.lastname: Bukovina
authors.forename: Hrvoje
authors.initials: H
authors.lastname: Prlić
authors.forename: Sanja
authors.initials: S
authors.lastname: Kolaček
mesh_terms: D000293:Adolescent; D062905:Central Venous Catheters / Q000009:adverse effects*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D015994:Incidence; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D016331:Parenteral Nutrition, Home; D010289:Parenteral Nutrition, Total; D012189:Retrospective Studies; D018805:Sepsis / Q000453:epidemiology* / Q000209:etiology; D012772:Shock, Septic; D062606:Tertiary Care Centers