Catheter-related bloodstream infections in children receiving parenteral nutrition: Experience of a single center with 178 patients Bactériémies liées au cathéter chez l'enfant sous nutrition parentérale: expérience d'un centre avec 178 patients
Nutrition Clinique et Metabolisme, cilt.37, sa.1, ss.39-44, 2023 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 37 Sayı: 1
- Basım Tarihi: 2023
- Doi Numarası: 10.1016/j.nupar.2022.10.005
- Dergi Adı: Nutrition Clinique et Metabolisme
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, PASCAL, CAB Abstracts, EMBASE, Food Science & Technology Abstracts
- Sayfa Sayıları: ss.39-44
- Anahtar Kelimeler: Catheter related infection, Central venous catheter, Children, Parenteral nutrition
- Hacettepe Üniversitesi Adresli: Evet
Özet
© 2022 Société francophone nutrition clinique et métabolisme (SFNCM)Objective: Catheter-related bloodstream infections are common in children who require parenteral nutrition and can have serious consequences, including mortality. This study aims to evaluate the frequency and nature of catheter-related bloodstream infections in children receiving parenteral nutrition. Materials and Methods: Patients between one month and 18 years of age who received parenteral nutrition within two years were evaluated for indications and complications by focusing on catheter-related bloodstream infections. Results: Twenty-nine different catheter-related bloodstream infections were detected in 24 of 147 episodes in which parenteral nutrition was delivered via a catheter. The frequency of catheter-related bloodstream infections was 7.7 infections per 1000 catheter days. Coagulase-negative staphylococci, Gram-negative enteric bacilli, enterococci, and Candida species were the most common causative microorganisms. Five patients died. Infection frequency increased with increasing PN duration and receiving PN via a non-tunneled internal jugular catheter. Gender, age, and the number of catheter lumens were not associated with infection frequency. Conclusion: Catheter-related bloodstream infection is a common complication in children receiving parenteral nutrition. Appropriate management is essential. Because parenteral nutrition duration is a risk for catheter-related bloodstream infections, the transition to enteral feeding should be considered as soon as possible.