title: [Reasons for non-elective removal of epicutaneous catheters in neonates].
abstract: This study aimed to describe the incidence and reasons for nonelective removal of epicutaneous catheters in neonates, identifying its association with the catheter insertion site. This was a prospective cohort study, conducted in a neonatal intensive care unit of a private tertiary hospital in the city of São Paulo, Brazil. We analyzed 266 epicutaneous catheter insertions. The incidence of non-elective removal was 39.1%. The most frequent post-insertion complications were suspicion of catheter-related bloodstream infection (25%) and rupture (23.1%). Most catheters were inserted through the right side of the body (65%), in upper limbs (77.1%), and using the axillary veins (31.2%). The findings did not suggest association between the incidence of non-elective removal and the insertion site of the epicutaneous catheter in neonates. Nurses should implement strategies to improve care and decrease incidence of non-elective epicutaneous catheter removals among neonates.
authors.affiliation: Escola de Enfermagem, Universidade Federal Fluminense, Brasil, Rio de Janeiro, Enfermeira. Professora Doutora, Escola de Enfermagem , Universidade Federal Fluminense , Rio de Janeiro , Brasil .
authors.forename: Eny Dórea
authors.initials: ED
authors.lastname: Paiva
authors.affiliation: Escola de Enfermagem, Universidade de São Paulo, Brasil, São PauloSP, Enfermeira. Doutoranda em Ciências da Saúde. Especialista em Laboratório de Ensino, Escola de Enfermagem , Universidade de São Paulo , São Paulo , SP , Brasil .priscila2.costa@usp.br.
authors.forename: Priscila
authors.initials: P
authors.lastname: Costa
authors.affiliation: Escola de Enfermagem, Universidade de São Paulo, Brasil, São PauloSP, Enfermeira. Professora Doutora, Escola de Enfermagem , Universidade de São Paulo , São Paulo , SP , Brasil .fumiko@usp.br.
authors.forename: Amélia Fumiko
authors.initials: AF
authors.lastname: Kimura
authors.affiliation: Hospital e Maternidade São Luiz, Brasil, São PauloSP, Enfermeira. Chefe da Unidade de Terapia Intensiva Neonatal, Hospital e Maternidade São Luiz , São Paulo , SP , Brasil .tec_castro@hotmail.com.
authors.forename: Talita
authors.initials: T
authors.lastname: Elci  de Castro
mesh_terms: D002408:Catheters, Indwelling; D020878:Device Removal / Q000592:standards*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D011446:Prospective Studies