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Central line perforation associated with Staphylococcus epidermidis infection
V Bansal1, A Strauss, M Gyepes
1Department of Pediatrics (Neonatal/Surgical Sections), Memorial Miller Children's Hospital, Long Beach, CA 90801.
Journal of Pediatric Surgery
|July 1, 1993
Summary
Central venous catheter perforation in very low birth weight infants is linked to Staphylococcus epidermidis sepsis. Localized phlebitis may cause catheter displacement and extralumenal migration.
Area of Science:
- Neonatal Medicine
- Infectious Diseases
- Pediatric Surgery
Background:
- Central venous catheters are crucial for very low birth weight (VLBW) infants.
- Catheter-related complications, including sepsis, pose significant risks.
- Staphylococcus epidermidis is a common pathogen in neonatal infections.
Observation:
- Four cases of VLBW infants with central venous silastic catheter perforation are reviewed.
- All cases were associated with Staphylococcus epidermidis sepsis.
- Intracavitary fluid collections presented a diagnostic and therapeutic challenge.
Findings:
- Catheter perforation was directly linked to Staphylococcus epidermidis sepsis.
- A proposed model suggests localized phlebitis as the cause of catheter displacement.
- Extralumenal migration of the central venous catheter resulted from S. epidermidis infection.
Implications:
- Highlights the critical association between S. epidermidis sepsis and catheter perforation in VLBW infants.
- Emphasizes the diagnostic challenges posed by intracavitary fluid collections.
- Suggests a specific mechanism for catheter displacement, aiding in prevention and management strategies.