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Managing Adverse Skin Reactions Associated With Central Line Dressings in Children: A Survey of Dermatologists

Carly Mulinda1, Maria C Garzon2,3,4,5, Kimberly D Morel2,3,4,5

  • 1Columbia University Vagelos College of Physicians and Surgeons, New York, USA.

Pediatric Dermatology
|December 17, 2024
PubMed

Insights

Central line dressings (CLDs) can cause skin reactions in children. Standardized protocols are lacking, highlighting the need for evidence-based guidelines to manage these adverse events effectively.

Area of Science:

  • Pediatric Dermatology
  • Infection Control

Background:

  • Central line dressings (CLDs) are crucial for preventing infections but can cause adverse skin reactions in pediatric patients.
  • Current management of these cutaneous reactions lacks standardized protocols in pediatric literature and clinical practice.

Purpose of the Study:

  • To assess current dermatological management practices for central line dressing-associated skin reactions in children.
  • To evaluate the availability and variability of standardized protocols among institutions.

Main Methods:

  • A survey was distributed to dermatologists at multiple institutions who manage pediatric consults.
  • The survey assessed their practices and protocol usage for CLD-related cutaneous adverse reactions.

Main Results:

  • All 35 surveyed dermatologists reported managing CLD-related skin reactions, often with interdisciplinary teams.
  • A majority (66%) lacked standardized management protocols, and existing protocols varied significantly.
  • Practices included inconsistent use of chlorhexidine gluconate and patch testing.

Conclusions:

  • There is a significant need for standardized, evidence-based protocols to manage skin reactions associated with central line dressings in children.
  • Further research should identify patient and agent-specific factors contributing to these reactions.
  • Development and validation of a multicenter protocol are recommended to optimize patient care.

Keywords:
central line dressingscentral line‐associated bloodstream infectionschlorhexidine gluconateinfants

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