Central venous catheter sepsis in surgical newborns

摘要: We examined central venous catheter (CVC) sepsis in newborn surgical patients, as this group appeared to have a higher incidence of complication. During 3-year period 79 patients on the service required tunneled, cuffed, Broviac CVC. Nineteen (24% or 9.9 episodes per 1000 days) had proven and 8 (10% 1.9/1000 suspected sepsis. An intestinal stoma was definitely related CVC (p<0.001). Other risk factors included lower gestational age, more operations, younger age at first stoma. Temperature, white blood cell (WBC) count, platelet count did not correlate with found no better indicator than presentation an ill child. Certainly temperature, WBC, are reliable indicators. Surgeons little control over that were be It would appear reasonable from these results maintain high index suspicion high-risk groups, use peripherally inserted catheters (PIC lines) line long-term vascular access, bring CVCs out nonabdominal site, perhaps scalp, stomas.