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Original Research

Open Access

Peripherally inserted central catheter complications in neonates – our experiences

  • STOJISLAV KONJEVIĆ1
  • DARIO DJUKIĆ1
  • BARBARA STANIMIROVIĆ1
  • ANA BLAGOJEVIĆ1
  • VANJA BOBIĆ1
  • BILJANA BANJA1

1Paediatric Clinic, University Hospital Clinical Centre Banja Luka, Bosnia and Herzegovina

DOI: 10.22514/SV101.062015.3 Vol.10,Issue S1,June 2015 pp.16-19

Published: 22 June 2015

*Corresponding Author(s): STOJISLAV KONJEVIĆ E-mail: stojislav.konjevic@gmail.com

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Abstract

The aim of this study was to investigate the incidence and risk factors of peripherally inserted central venous catheters (PICCs) in critically ill premature neonates; A retrospective analysis of 30 infants with very low and extremely low birth weights (VLBW, ELBW) who underwent PICC placement over a three-year period, from January 2012 till January 2015. Gestational age, birth weight (BW), sex, site of catheter placement, reason for catheter removal, duration of catheter use, proven sepsis, type of reported organism and rate of complications were collected. The infants were classified into two groups according to BWs: Group 1—VLBW infants (BW be-tween 1,000 and 1,500 g) and Group 2—ELBW infants (BW <1,000 g). During the study period PICCs were attempted in 40 patients. A PICC was successfully inserted into 30 patients (75%). PICCs placed in either the upper or the lower extremity. There were no differences in complication rates. The median time of catheter inser-tion was 13 (1-35) days for Group 1 and 11 (6-19) days for Group 2. The median du-ration of PICCs was 10.5 (2-16) and 12.2 (3-25) days. Statistical analysis showed that there was a significant difference between the groups for both catheter insertion day and mean duration of PICCs (p= 0.241, respectively). There were no significant differences between groups for the reasons for catheter removal (p=0.598). PICCs are convenient for the administration of long course antibiotics and parenteral nutrition for both VLBW and ELBW infants, but there are many risks associated with the insertion of PICCs, including serious and fatal complications.

Key words

Catheter-related infections, Cen-tral venous catheterization, Complications, Extremely low birth weight infant, Very low birth weight infant

Cite And Share

STOJISLAV KONJEVIĆ,DARIO DJUKIĆ,BARBARA STANIMIROVIĆ,ANA BLAGOJEVIĆ,VANJA BOBIĆ,BILJANA BANJA. Peripherally inserted central catheter complications in neonates – our experiences. Signa Vitae. 2015. 10(S1);16-19.

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