Naslov
Retrospective study of the usage of central venous catheters in two-year period at the Department of Pediatrics in University Hospital Centre Zagreb, Croatia

Autori
Kljaić, Kristina ; Živković, Nives ; Šijak, Dorotea ; Vuković, Jurica

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Izvornik
Archives of disease in childhood, 106 (2021), Suppl 2 / - , 2021, A120-A120

Skup
10th Congress of European Paediatric Association EPA/UNEPSA jointly held with 14 th Congress of Croatian Paediatric Society

Mjesto i datum
Zagreb, Hrvatska, 07.10.2021. - 09.10.2021

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
central venous catether ; microbiology ; usage

Sažetak
Aim To analyze methods of central venous catheter (CVC) usage, to establish the state of current practice and perhaps change the approach depending on the analysis of our results. Methods A retrospective study which included a cohort of patients treated at the Department of Pediatrics UHC Zagreb, to whom in the period from January 1th 2018 till December 31th 2019 the CVC was extracted. A sample was formed based on results of microbiological analysis of the CVC tip. The main source of data was the hospital’s information system, which was analyzed using descriptive statistics methods. According to the variety of the underlying disease, patients have been divided into 4 groups: congenital anomalies, cardiovascular, hemato – oncological diseases and others. Results 11, 648 children were hospitalized in our Department during a two-year period, when CVC was extracted in 505 (4.3% ) of all hospitalized children. One CVC had 385, two 81, three or more 39 of 505 children. A total of 693 catheters were extracted: 449 Broviac, 195 PICC, 38 umbilical, 7 Port-a-Cath and 2 Hickman catheters. The distribution of CVC by groups was: heart diseases (287), congenital anomalies (224), hemato – oncological (78), other diseases (104). Based on the available data, we singled out the causes of extraction in 91 respondents (i.e. 122 removed catheters). We list them in order: end of treatment (75/122), dysfunction (9/122), displacement (6/122), mechanical damage (5/122) and catheter sepsis (2/122). A total of 667 catheters were microbiologically analyzed, 172 of them were positive (25.78%). The most common agents were: Coagulase – negative Staphylococcus (51), Staphylococcus epidermidis (44) and Candida yeasts (18). There was no difference in the incidence of positive catheters in groups of respondents with different numbers of catheters (I 24.5%, II 27.5%, III 27.1%). Patients with congenital anomalies had a slightly higher incidence of microbiologically positive catheters (32%), while in cardiovascular, hemato – oncological and other diseases, incidence was almost equal (22%, 25%, 26%). Conclusion CVC is rarely required in the treatment of our patients, but unavoidable in cardio-surgical, hemato – oncological patients and in many others with complex congenital anomalies. A significant number of catheters had been colonized over the time, but even in the case of an invasive disease, antimicrobial treatment was continued using the same catheter. Its extraction was needed extremely rare. Regardless to the nature of diseases in which the CVC was used, our results suggest the requisite to revise their usage.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA