Related Experiment Video

Updated: May 4, 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

12.9K

Going with the flow or swimming against the tide: should children with central venous catheters swim?

Jessica Miller1, Meghan K Dalton, Christopher Duggan

  • 1Kathleen M. Gura, FASHP, FPPAG, Department of Pharmacy, Clinical Nutrition Service, Division of GI/Nutrition, Center for Advanced Intestinal Rehabilitation, Boston Children's Hospital, 300 Longwood Ave, Boston, MA 02115, USA.

Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition
|December 19, 2013
PubMed

Insights

Swimming with central venous catheters (CVCs) poses infection risks for children on home parenteral nutrition (PN). Limited data prevents firm recommendations, but caution is advised due to potential pathogens in water.

Area of Science:

  • Pediatric critical care
  • Infectious diseases
  • Medical device safety

Background:

  • Children requiring long-term parenteral nutrition (PN) rely on central venous catheters (CVCs).
  • Recreational swimming is common for children but may pose infection risks for those with CVCs.
  • Catheter-related bloodstream infections (CRBSIs) are a concern with CVC immersion in water.

Purpose of the Study:

  • To review literature on infection risks for pediatric patients with CVCs who swim.
  • To assess consensus among home PN (HPN) programs regarding swimming with CVCs.

Main Methods:

  • A systematic review of 45 articles was conducted.
  • A survey of 16 pediatric HPN programs was performed regarding swimming and CVCs.

Main Results:

  • Limited data exists to make a definitive recommendation on swimming with CVCs.
  • Pathogens are present in recreational water, even chlorinated pools.
  • Practitioners can educate parents on risks, but the decision remains with them.

Conclusions:

  • Due to limited evidence and potential risks, a strong recommendation cannot be made.
  • Parents should be informed of risks; if swimming, use protective products and change dressings post-swim.
  • Further research is needed to establish evidence-based guidelines for swimming with CVCs.

Keywords:
central venous cathetershome parenteral nutritionnutritional supportparenteral nutritionpediatricssepsisvenous access devices

More Related Videos

Use of a Central Venous Line for Fluids, Drugs and Nutrient Administration in a Mouse Model of Critical Illness09:17

Use of a Central Venous Line for Fluids, Drugs and Nutrient Administration in a Mouse Model of Critical Illness

Published on: May 2, 2017

8.4K
A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings06:59

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings

Published on: November 9, 2016

33.9K

Related Concept Videos

Parentral Nutrition: Centeral and Peripheral Parental Nutrition01:27

Parentral Nutrition: Centeral and Peripheral Parental Nutrition

Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
2.0K
Venous Thrombosis III: Interprofessional Care01:29

Venous Thrombosis III: Interprofessional Care

Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
482
Cardiac Catheterization IV: Nursing Management01:26

Cardiac Catheterization IV: Nursing Management

Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
1.2K
Endocarditis IV: Nursing Management01:29

Endocarditis IV: Nursing Management

Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
630
Venous Return01:04

Venous Return

The circulatory system plays a crucial role in ensuring the optimal functioning of the human body. One of its critical components is venous return - the process that completes the blood circulation cycle. This article will delve into the concept of venous return, how it works, and its significance to our health.
What is Venous Return?
Venous return refers to the rate at which blood flows back to the heart from the body's peripheral veins. It's an integral part of the circulatory system...
12.8K
Hemodialysis I: Introduction01:25

Hemodialysis I: Introduction

Hemodialysis (HD) is a medical treatment that artificially removes waste products, excess fluids, and toxins from the blood when the kidneys are no longer able to perform these functions effectively. In this process, blood is filtered through a semipermeable membrane, allowing for the selective removal of waste while preserving necessary components like blood cells and proteins. Hemodialysis is typically performed in patients with end-stage renal disease (ESRD) or severe kidney...
4.0K