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Updated: May 14, 2026

A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit
09:57

A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit

Published on: July 13, 2019

Incidence of infectious complications associated with central venous catheters in pediatric population

Viviane Rosado1, Paulo Augusto Moreira Camargos, Wanessa Trindade Clemente

  • 1Infection Control Committee of Clinics Hospital, Federal University of Minas, Gerais (UFMG), Belo Horizonte, Minas Gerais, Brazil.

American Journal of Infection Control
|February 21, 2013
PubMed

Insights

Central venous catheters (CVC) are vital in pediatric intensive care. Removing CVCs within seven days significantly reduces the risk of catheter-associated infections (CAI), a key finding for improving patient safety.

Area of Science:

  • Pediatric critical care medicine
  • Infectious disease epidemiology

Background:

  • Central venous catheters (CVCs) are indispensable in pediatric intensive care units (PICUs).
  • Implementing preventive strategies during CVC insertion and maintenance is crucial for mitigating infection risks.

Purpose of the Study:

  • To investigate the incidence of catheter-associated infections (CAI) in a Brazilian university hospital's PICU.
  • To identify risk factors and preventive measures associated with CAI in pediatric patients.

Main Methods:

  • A prospective cohort study was conducted over two years in a Brazilian university hospital's PICU.
  • Data on 255 CVC insertions were collected, focusing on daily practices and patient outcomes.
  • Patients were monitored throughout their hospital stay to track the occurrence of CAI.

Main Results:

  • The incidence density of CAI was 13.55 per 1,000 CVC-days.
  • No significant association was found between CAI risk and surgical hand antisepsis, maximum barrier precautions, or chlorhexidine skin antisepsis.
  • Catheter use for less than 7 days demonstrated a protective effect against CAI (OR, 0.29; P < .01).

Conclusions:

  • Healthcare teams should judiciously assess the necessity of CVCs and prioritize removal within seven days whenever feasible.
  • Close clinical monitoring and careful consideration of additional blood cultures are recommended for patients with ongoing CVC indications.
Abstract

Keywords:
Catheter-related infectionsInfection controlPrecaution

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