Intravenous peripherally-inserted central catheters for antibiotic therapy in children with cystic fibrosis

S Bui1, F Babre, S Hauchecorne

  • 1CHU de Bordeaux, Hôpital Pellegrin-Enfants, CRCM Pédiatrique, France. stephanie.bui@chu-bordeaux.fr

Insights

Peripherally inserted central catheters (PICCs) are safe and effective for delivering intravenous therapy in children with cystic fibrosis (CF). This study found high success rates, minimal complications, and improved patient well-being with PICC use.

Area of Science:

  • Pediatric Medicine
  • Vascular Access Devices
  • Cystic Fibrosis Management

Background:

  • Cystic Fibrosis (CF) requires frequent intravenous (IV) therapy.
  • Central venous access is crucial for effective CF treatment.
  • Peripherally inserted central catheters (PICCs) offer a potential solution for venous access in pediatric CF patients.

Purpose of the Study:

  • To evaluate the safety and efficacy of peripherally inserted central catheters (PICCs) in children with cystic fibrosis.
  • To assess the procedural success rate, complications, and patient/operator satisfaction associated with PICC insertion in this population.

Main Methods:

  • A descriptive study involving the insertion of PICCs in pediatric patients with CF.
  • Data collected included insertion success rates, procedure duration, difficulties encountered, and side effects.
  • Patient and operator satisfaction, catheter functionality, and central vein patency were also assessed.

Main Results:

  • PICC insertion was successful in 93.2% of 44 procedures across 24 children (median age 10.2 years).
  • Few procedural difficulties and no major complications or infections were observed.
  • Catheters remained functional for IV therapy in most cases, with high operator and patient satisfaction.

Conclusions:

  • Peripherally inserted central catheters (PICCs) are a safe, well-tolerated, and effective option for IV therapy in pediatric CF patients.
  • PICC insertion can be performed easily in a ward setting, potentially improving patient comfort and well-being.
  • PICCs demonstrate high functionality and lead to positive outcomes in children with cystic fibrosis requiring long-term venous access.
Abstract

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