Related Experiment Videos
Central line associated bacteremia in the pediatric patient
Insights
The daily risk of central line-associated bacteremia in infants and toddlers is 7.7 per 1,000 catheter days. Minimizing central line use for multiple purposes can reduce infection risks.
Area of Science:
- Pediatric Infectious Diseases
- Vascular Access Management
Background:
- Central venous catheters are crucial for infant and toddler care.
- Central line-associated bacteremia (CLAB) poses a significant risk in this population.
Purpose of the Study:
- To determine the daily incidence of CLAB in infants and toddlers.
- To identify risk factors contributing to CLAB development.
Main Methods:
- A retrospective analysis using the Central Line Data Tool.
- Data collected on 102 central venous catheters in 73 patients (1 day to 29 months).
- Inclusion criteria: catheter dwell time of 3 days or longer.
Main Results:
- 17 CLAB cases occurred over a 1-year study period, equating to 7.7 infections per 1,000 catheter days.
- Significant risk factors identified: PAS infusion, catheter type/site, medication administration, blood withdrawal, and accidental line disruption.
Conclusions:
- The study quantifies the per-day risk of CLAB in young children.
- Recommendations include minimizing the use of central lines for multiple functions to reduce infection rates.
Purpose:
To define the per-day risk of central line associated bacteremia in an infant-toddler population and to describe risk factors associated with the development of central line bacteremia.
Method:
The Central Line Data Tool collected information on 102 central venous catheters from 73 patients ranging in age from 1 day to 29 months. Each line was in place for 3 days or longer.
Findings:
There were 17 documented catheter-related infections during the 1-year study period (7.7 infections per 1,000 catheter days). Factors significantly associated with central line bactermia included: PAS infusion, catheter type and site, medication administration, blood withdrawal, and accidental line disruption.
Conclusions:
Use of central lines for multiple purposes should be minimized.