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Published on: February 23, 2014
Risk factors of peripheral venous catheter-related complication and infection in children with bronchopneumonia
Hong-Mei Li1, Li-Li Wan2, Cai-Xiang Jin3
1Department of General Services, Nanjing Hospital of Integrated Traditional Chinese and Western Medicine, No. 179 of Xiaolingwei Street, Xuanwu District, Nanjing, 210014, China.
Insights
Peripheral venous catheter complications and infections in children with bronchopneumonia are linked to longer indwelling times and specific insertion sites. The hand is a more vulnerable site than the head for infections and complications.
Area of Science:
- Pediatric Infectious Diseases
- Medical Device Complications
- Respiratory Illnesses
Background:
- Peripheral venous catheters are crucial for treating pediatric bronchopneumonia.
- Catheter-related complications and infections pose significant risks to young patients.
- Identifying risk factors is essential for improving patient outcomes and reducing healthcare-associated infections.
Purpose of the Study:
- To investigate risk factors for peripheral venous catheter-related complications and infections in children diagnosed with bronchopneumonia.
- To identify specific indwelling times and sites associated with increased risk.
- To provide evidence-based recommendations for preventing catheter-related issues.
Main Methods:
- A case-control study involving 185 pediatric patients with bronchopneumonia.
- Patients were categorized into case (catheter-related infection/complications) and control groups.
- Multivariate logistic regression analysis was employed to determine significant risk factors.
Main Results:
- Younger age (0–1 year) and longer catheter indwelling times (≥3 days) were associated with higher complication rates.
- The hand was identified as a higher-risk indwelling site compared to the head (OR: 2.541, P=0.042).
- Increased indwelling time significantly correlated with a higher likelihood of infection and complications (OR: 2.646, P<0.001).
Conclusions:
- Indwelling time and indwelling site are critical factors influencing catheter-related complications and bacterial infections in pediatric bronchopneumonia.
- Healthcare providers should prioritize monitoring catheter duration and choosing optimal insertion sites.
- Implementing targeted preventive strategies based on these findings can reduce the incidence of catheter-related issues.
Objective:
To investigate the risk factors associated with the peripheral venous catheter-related complication and infection in children with bronchopneumonia.
Methods:
A total of 185 patients were divided into case group (n = 114) and control group (n = 71) according to the presence of catheter-related infection and complications related to indwelling needle. We performed a multivariate logistic regression analysis to explore the risk factors associated with the infection.
Results:
Age was divided into 4 categories (0 < age ≤ 1, 1 < age ≤ 3, 3 < age ≤ 6, age > 6). The case group had a higher percentage of patients with 0 < age ≤ 1 than the control group (21% vs. 9.7%) and the age distribution was significant different between the two groups (P = 0.045). The case group had a longer retention time than the control group (≥ 3 days: 56% vs. 35%, P < 0.001). The results of binary logistics regression analysis revealed that the indwelling time and indwelling site were the factors that influenced the complications or bacterial infection. Among the three indwelling sites, the hand is more prone to infection and indwelling needle-related complications than the head (OR: 2.541, 95% CI 1.032 to 6.254, P = 0.042). The longer the indwelling time, the more likely the infection and indwelling needle related complications (OR: 2.646, 95% CI 1.759 to 3.979, P< 0.001).
Conclusion:
Indwelling time and indwelling site are the influencing factors of complications or bacterial infection, which should be paid more attention to prevent the catheter-related infection in children with bronchophenumonia.
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