Does Guidewire Exchange Influence Infection Rate Related to Catheters Used for Vascular Access in Children on Chronic Hemodialysis?
A central venous catheter (CVC) can either be inserted “de novo” or placed by guidewire exchange (GWE). From September 1998 to September 2015, 32 children (19 boys, 13 girls) were hemodialyzed in our unit by using a CVC. The mean age at CVC insertion was 12.6 ± 0.5 years. A total of 121 uncuffed cat...
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| Veröffentlicht in: | Therapeutic apheresis and dialysis 2017-02, Vol.21 (1), p.57-61 |
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| creator | Rus, Rina R Battelino, Nina Ponikvar, Rafael Premru, Vladimir Novljan, Gregor |
| description | A central venous catheter (CVC) can either be inserted “de novo” or placed by guidewire exchange (GWE). From September 1998 to September 2015, 32 children (19 boys, 13 girls) were hemodialyzed in our unit by using a CVC. The mean age at CVC insertion was 12.6 ± 0.5 years. A total of 121 uncuffed catheters were placed, either “de novo” or by GWE in 64 (52.9%) and 57 (47.1%) cases, respectively. The most frequent cause for line revision was catheter dysfunction in 40/121 (33.1%) patients. The overall incidence of bacteremia was 1.5/1000 catheter‐days. The incidence in newly inserted and GWE catheters was 1.4 and 1.7/1000 catheter‐days, respectively. The difference did not reach statistical significance (P = 0.939). The infection rate correlated with patient age, and was higher in younger children (P = 0.006). GWE is an effective option of line revision, and did not influence the infection rate in our study. |
| doi_str_mv | 10.1111/1744-9987.12481 |
| format | Article |
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From September 1998 to September 2015, 32 children (19 boys, 13 girls) were hemodialyzed in our unit by using a CVC. The mean age at CVC insertion was 12.6 ± 0.5 years. A total of 121 uncuffed catheters were placed, either “de novo” or by GWE in 64 (52.9%) and 57 (47.1%) cases, respectively. The most frequent cause for line revision was catheter dysfunction in 40/121 (33.1%) patients. The overall incidence of bacteremia was 1.5/1000 catheter‐days. The incidence in newly inserted and GWE catheters was 1.4 and 1.7/1000 catheter‐days, respectively. The difference did not reach statistical significance (P = 0.939). The infection rate correlated with patient age, and was higher in younger children (P = 0.006). 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From September 1998 to September 2015, 32 children (19 boys, 13 girls) were hemodialyzed in our unit by using a CVC. The mean age at CVC insertion was 12.6 ± 0.5 years. A total of 121 uncuffed catheters were placed, either “de novo” or by GWE in 64 (52.9%) and 57 (47.1%) cases, respectively. The most frequent cause for line revision was catheter dysfunction in 40/121 (33.1%) patients. The overall incidence of bacteremia was 1.5/1000 catheter‐days. The incidence in newly inserted and GWE catheters was 1.4 and 1.7/1000 catheter‐days, respectively. The difference did not reach statistical significance (P = 0.939). The infection rate correlated with patient age, and was higher in younger children (P = 0.006). GWE is an effective option of line revision, and did not influence the infection rate in our study.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Bacteremia - epidemiology</subject><subject>Catheter-Related Infections - epidemiology</subject><subject>Catheterization, Central Venous - instrumentation</subject><subject>Catheters, Indwelling - microbiology</subject><subject>Catheter‐related infection</subject><subject>Central venous catheter</subject><subject>Central Venous Catheters - microbiology</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Chronic Disease</subject><subject>End‐stage renal failure</subject><subject>Female</subject><subject>Guidewire exchange</subject><subject>Hemodialysis</subject><subject>Humans</subject><subject>Incidence</subject><subject>Male</subject><subject>Renal Dialysis</subject><subject>Retrospective Studies</subject><subject>Young Adult</subject><issn>1744-9979</issn><issn>1744-9987</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkDtPwzAURi0E4lGY2ZBHltLc2EmcCVXlVQkJVLWslutcUyM3BjtR6cwfJ6XQFQ--n66OP8mHkHNIrqA7Ayg475elKK4g5QL2yPFus7_LRXlETmJ8S5I05YwdkqO0KETOIT8mXzceI71vbYUrG5DefuqFql-RjmvjWqz1T0LdWF_TiWqQTtB1o6KNpyPVLLDBEOksdhvjA31RUbdOBTrUGmOktqajhXVVwJr6TQ6-tpo-4NJXVrl1tPH6lBwY5SKe_c4emd3dTkcP_cen-_Fo-NjXLC-gzypTJd2lmciM4CyFXMwV44koU4AiA8Og-ywkUCoFmdHalInKtZnrVBRcsB653Pa-B__RYmzk0kaNzqkafRslCJblguc5dOhgi-rgYwxo5HuwSxXWEhK5MS83buXGs_wx3724-C1v50usdvyf6g7ItsDKOlz_1yenw-dt8Tf2KY2_</recordid><startdate>201702</startdate><enddate>201702</enddate><creator>Rus, Rina R</creator><creator>Battelino, Nina</creator><creator>Ponikvar, Rafael</creator><creator>Premru, Vladimir</creator><creator>Novljan, Gregor</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201702</creationdate><title>Does Guidewire Exchange Influence Infection Rate Related to Catheters Used for Vascular Access in Children on Chronic Hemodialysis?</title><author>Rus, Rina R ; Battelino, Nina ; Ponikvar, Rafael ; Premru, Vladimir ; Novljan, Gregor</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3671-3dfd03dfc385f8432168ba34089211751f319971019aa15fccf90a6cfbc287483</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Bacteremia - epidemiology</topic><topic>Catheter-Related Infections - epidemiology</topic><topic>Catheterization, Central Venous - instrumentation</topic><topic>Catheters, Indwelling - microbiology</topic><topic>Catheter‐related infection</topic><topic>Central venous catheter</topic><topic>Central Venous Catheters - microbiology</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Children</topic><topic>Chronic Disease</topic><topic>End‐stage renal failure</topic><topic>Female</topic><topic>Guidewire exchange</topic><topic>Hemodialysis</topic><topic>Humans</topic><topic>Incidence</topic><topic>Male</topic><topic>Renal Dialysis</topic><topic>Retrospective Studies</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rus, Rina R</creatorcontrib><creatorcontrib>Battelino, Nina</creatorcontrib><creatorcontrib>Ponikvar, Rafael</creatorcontrib><creatorcontrib>Premru, Vladimir</creatorcontrib><creatorcontrib>Novljan, Gregor</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Therapeutic apheresis and dialysis</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rus, Rina R</au><au>Battelino, Nina</au><au>Ponikvar, Rafael</au><au>Premru, Vladimir</au><au>Novljan, Gregor</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Does Guidewire Exchange Influence Infection Rate Related to Catheters Used for Vascular Access in Children on Chronic Hemodialysis?</atitle><jtitle>Therapeutic apheresis and dialysis</jtitle><addtitle>Ther Apher Dial</addtitle><date>2017-02</date><risdate>2017</risdate><volume>21</volume><issue>1</issue><spage>57</spage><epage>61</epage><pages>57-61</pages><issn>1744-9979</issn><eissn>1744-9987</eissn><abstract>A central venous catheter (CVC) can either be inserted “de novo” or placed by guidewire exchange (GWE). From September 1998 to September 2015, 32 children (19 boys, 13 girls) were hemodialyzed in our unit by using a CVC. The mean age at CVC insertion was 12.6 ± 0.5 years. A total of 121 uncuffed catheters were placed, either “de novo” or by GWE in 64 (52.9%) and 57 (47.1%) cases, respectively. The most frequent cause for line revision was catheter dysfunction in 40/121 (33.1%) patients. The overall incidence of bacteremia was 1.5/1000 catheter‐days. The incidence in newly inserted and GWE catheters was 1.4 and 1.7/1000 catheter‐days, respectively. The difference did not reach statistical significance (P = 0.939). The infection rate correlated with patient age, and was higher in younger children (P = 0.006). GWE is an effective option of line revision, and did not influence the infection rate in our study.</abstract><cop>Australia</cop><pmid>27786416</pmid><doi>10.1111/1744-9987.12481</doi><tpages>5</tpages></addata></record> |
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| subjects | Adolescent Adult Bacteremia - epidemiology Catheter-Related Infections - epidemiology Catheterization, Central Venous - instrumentation Catheters, Indwelling - microbiology Catheter‐related infection Central venous catheter Central Venous Catheters - microbiology Child Child, Preschool Children Chronic Disease End‐stage renal failure Female Guidewire exchange Hemodialysis Humans Incidence Male Renal Dialysis Retrospective Studies Young Adult |
| title | Does Guidewire Exchange Influence Infection Rate Related to Catheters Used for Vascular Access in Children on Chronic Hemodialysis? |
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