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Previous PICC placement may be associated with catheter-related infections in hemodialysis patients

Philip J Butler1, Shreya Sood, Hamid Mojibian

  • 1Department of Diagnostic Radiology, Yale University School of Medicine, P.O. Box 208042 (SP2-323), New Haven, CT 06520-8042, USA. philip.butler@yale.edu

Cardiovascular and Interventional Radiology
|September 22, 2010
PubMed

Insights

History of peripherally inserted central catheters (PICCs) is linked to increased catheter-related infections (CRIs) in hemodialysis patients. This finding suggests PICC use may be a modifiable risk factor for CRIs, potentially improving patient outcomes.

Area of Science:

  • Nephrology
  • Infectious Diseases
  • Vascular Access

Background:

  • Catheter-related infections (CRIs) are a major cause of illness and death in hemodialysis patients.
  • Identifying new, treatable risk factors for CRIs is crucial for enhancing patient care.
  • Peripherally inserted central catheters (PICCs) may lead to vascular damage and thrombosis, which are implicated in CRIs.

Purpose of the Study:

  • To investigate the association between prior peripherally inserted central catheter (PICC) placement and the incidence of catheter-related infections (CRIs) in patients undergoing chronic hemodialysis.

Main Methods:

  • A retrospective review of chronic hemodialysis catheter placements and exchanges was conducted.
  • PICC line history was identified through radiologic records.
  • Catheter-related complications were assessed and correlated with PICC line history.

Main Results:

  • Of 185 patients with 713 hemodialysis catheter placements, 38 (20.5%) had a history of PICC use.
  • Patients with a history of PICC placement had a significantly higher likelihood of developing CRIs (OR = 2.46, P < .001).
  • No significant differences in age or the number of catheters placed were observed between groups.

Conclusions:

  • Previous peripherally inserted central catheter (PICC) placement is associated with an increased risk of catheter-related infections (CRIs) in hemodialysis patients.
Abstract

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