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[Microbiological findings in children with an indwelling central venous catheter]

Martin Uher1, Mária Pisarcíková, Milan Kurák

  • 1Department of Pediatrics, St. Cyril and Method's Hospital, Bratislava, Slovak Republic. uhermar@hotmail.com

Klinicka Mikrobiologie a Infekcni Lekarstvi
|January 19, 2005
PubMed

Insights

Central venous catheters (CVCs) in children can lead to infections. Minimizing CVC sampling and maintaining strict sterile techniques during insertion and use are crucial for reducing infectious complications and improving patient outcomes.

Area of Science:

  • Pediatric Infectious Diseases
  • Medical Microbiology
  • Catheter-Associated Infections

Background:

  • Central venous catheters (CVCs) offer patient benefits but pose risks of infectious complications.
  • A 5-year microbiological evaluation of pediatric patients with indwelling CVCs was conducted.

Purpose of the Study:

  • To perform a microbiological evaluation of pediatric patients with indwelling CVCs over a 5-year period.
  • To assess the incidence and types of infectious complications associated with CVC use in children.

Main Methods:

  • A retrospective analysis of 218 CVCs in 165 pediatric patients over 5 years (1995-1999).
  • Microbiological assessment of blood and catheter tips using standard sterile techniques and culture systems.
  • Infectious complication diagnosis based on Sirges-Serra classification and CDC criteria.

Main Results:

  • 71 infectious complications were observed, including 31 contaminated catheters, 27 catheter sepsis cases, and 11 catheter bacteremia cases.
  • Staphylococcus epidermidis and Candida spp. were the dominant microbes. Gram-negative bacteria predominated in catheter sepsis.
  • No infectious complications occurred in 67.43% of catheters. CVCs were implicated as the cause of death in 3.6% of patients.

Conclusions:

  • Microbiological findings align with existing literature.
  • Minimizing CVC sampling is essential for reducing infectious complication rates.
  • Strict sterile insertion and aseptic handling of CVCs are critical for minimizing infection risk.
Abstract

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