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Complication risk factors related to central venous catheter in pediatric
C Rehn1, J Balicchi2, N Marchiset-Eymard1
1Pharmacie, centre hospitalier de Mayotte, rue de l'Hôpital, 97600 Mamoudzou, Mayotte.
Insights
This study identified five key risk factors for central venous catheter complications in pediatric intensive care, including catheter duration and parenteral nutrition. Implementing audits and standardized procedures can reduce these adverse events.
Area of Science:
- Pediatric Intensive Care
- Epidemiology
- Infectious Disease
Background:
- Prospective epidemiological study conducted at Mayotte Hospital Center (MHC).
- Focus on pediatric intensive care unit (ICU) patients.
- Investigated complications associated with central venous catheterization.
Purpose of the Study:
- Identify and evaluate risk factors for central venous catheterization complications.
- Enhance prevention strategies for side effects.
- Improve patient care in the ICU setting.
Main Methods:
- Data collected over 10 months from 101 patients.
- Central venous catheter approaches included femoral, jugular, and subclavian.
- Chi-squared test used to analyze associations between qualitative and quantitative variables.
Main Results:
- Five significant infectious risk factors identified out of ten variables.
- Highlighted factors include: number of punctures, dressing repair frequency, catheterization duration.
- Parenteral nutrition administration and exposure time also identified as risks.
Conclusions:
- Recommendations include practice evaluation via audits and staff training.
- Standardizing procedures and device assembly can lower complication incidence.
- Aims to reduce complications related to central venous catheter use.
Background:
A prospective epidemiological study was carried out in the pediatric intensive care unit (ICU), at the Mayotte Hospital Center (MHC). The purpose of the study was to identify and to evaluate complications risk factors related to central venous catheterization. Improving side effects prevention and patients care was the second goal.
Method:
Data collection took place over a period of 10 months. The central approaches followed in the study were femoral, jugular and subclavian. Since the database is composed of qualitative and quantitative variables, the Chi2 test has been used to measure the association between two variables.
Results:
The study was carried out on 101 patients. Five infectious risk factors on the 10 variables evaluated have been significantly highlighted: the number of punctures, the number of repair of the dressing, the duration of the catheterization, the exposure time and the parenteral nutrition administration.
Conclusions:
Evaluation of practices through audits, an appropriate training for the staff, the update and the standardization of procedures, development of standardized assembly of the devices should lower the incidence of complications related to the venous approach.
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