A Peripherally Inserted Central Catheter is a Safe and Reliable Alternative to Short-Term Central Venous Catheter for the Treatment of Trauma Patients
Purpose To determine whether a peripherally inserted central catheter (PICC) meets the goals of a low infection rate and long-term use in trauma patients. Methods From January 2016 to June 2018, the medical records of patients who underwent central venous catheterization at a level I trauma center w...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Korean Society of Traumatology
2019-09-01
|
| Series: | Journal of Trauma and Injury |
| Subjects: | |
| Online Access: | http://www.jtraumainj.org/upload/pdf/jti-32-3-150.pdf |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1841558850507898880 |
|---|---|
| author | Dong Yeon Ryu Sang Bong Lee Gil Whan Kim Jae Hun Kim |
| author_facet | Dong Yeon Ryu Sang Bong Lee Gil Whan Kim Jae Hun Kim |
| author_sort | Dong Yeon Ryu |
| collection | DOAJ |
| description | Purpose To determine whether a peripherally inserted central catheter (PICC) meets the goals of a low infection rate and long-term use in trauma patients. Methods From January 2016 to June 2018, the medical records of patients who underwent central venous catheterization at a level I trauma center were retrospectively reviewed. Data collected included age, sex, injury severity score, site of catheterization, place of catheterization (intensive care unit [ICU], emergency department, or general ward), type of catheter, length of hospital stay during catheterization, types of cultured bacteria, time to development of central line-associated bloodstream infection (CLABSI), and complications. Results During the study period, 333 central vein catheters (CVC) were inserted with a total of 2,626 catheter-days and 97 PICCs were placed with a total of 2,227 catheter-days. The CLABSI rate was significantly lower in the PICC group when the analysis was limited to patients for whom the catheter was changed for the first time in the ICU after CVC insertion in the ER with similar indication and catheter insertion times (18.6 vs. 10.3/1,000 catheter-days, respectively, p<0.05). The median duration of catheter use was significantly longer in the PICC group than in the CVC group (16 vs. 6 days, respectively, p<0.05). Conclusions The study results showed that the duration of catheter use was longer and the infection rate were lower in the PICC group than in the CVC group, suggesting that PICC is a safe and reliable alternative to conventional CVC. |
| format | Article |
| id | doaj-art-8e38e21079dd4efe8563ae1046ec9938 |
| institution | Kabale University |
| issn | 1738-8767 2287-1683 |
| language | English |
| publishDate | 2019-09-01 |
| publisher | Korean Society of Traumatology |
| record_format | Article |
| series | Journal of Trauma and Injury |
| spelling | doaj-art-8e38e21079dd4efe8563ae1046ec99382025-01-06T01:31:25ZengKorean Society of TraumatologyJournal of Trauma and Injury1738-87672287-16832019-09-0132315015610.20408/jti.2019.015907A Peripherally Inserted Central Catheter is a Safe and Reliable Alternative to Short-Term Central Venous Catheter for the Treatment of Trauma PatientsDong Yeon Ryu0Sang Bong Lee1Gil Whan Kim2Jae Hun Kim3Department of Trauma and Surgical Critical Care, Pusan National University Hospital, Busan, KoreaDepartment of Trauma and Surgical Critical Care, Pusan National University Hospital, Busan, KoreaDepartment of Trauma and Surgical Critical Care, Pusan National University Hospital, Busan, KoreaDepartment of Trauma and Surgical Critical Care, Pusan National University Hospital, Busan, KoreaPurpose To determine whether a peripherally inserted central catheter (PICC) meets the goals of a low infection rate and long-term use in trauma patients. Methods From January 2016 to June 2018, the medical records of patients who underwent central venous catheterization at a level I trauma center were retrospectively reviewed. Data collected included age, sex, injury severity score, site of catheterization, place of catheterization (intensive care unit [ICU], emergency department, or general ward), type of catheter, length of hospital stay during catheterization, types of cultured bacteria, time to development of central line-associated bloodstream infection (CLABSI), and complications. Results During the study period, 333 central vein catheters (CVC) were inserted with a total of 2,626 catheter-days and 97 PICCs were placed with a total of 2,227 catheter-days. The CLABSI rate was significantly lower in the PICC group when the analysis was limited to patients for whom the catheter was changed for the first time in the ICU after CVC insertion in the ER with similar indication and catheter insertion times (18.6 vs. 10.3/1,000 catheter-days, respectively, p<0.05). The median duration of catheter use was significantly longer in the PICC group than in the CVC group (16 vs. 6 days, respectively, p<0.05). Conclusions The study results showed that the duration of catheter use was longer and the infection rate were lower in the PICC group than in the CVC group, suggesting that PICC is a safe and reliable alternative to conventional CVC.http://www.jtraumainj.org/upload/pdf/jti-32-3-150.pdfcatheterizationperipheralcentral venous catheterscatheter related infectionstrauma centers |
| spellingShingle | Dong Yeon Ryu Sang Bong Lee Gil Whan Kim Jae Hun Kim A Peripherally Inserted Central Catheter is a Safe and Reliable Alternative to Short-Term Central Venous Catheter for the Treatment of Trauma Patients Journal of Trauma and Injury catheterization peripheral central venous catheters catheter related infections trauma centers |
| title | A Peripherally Inserted Central Catheter is a Safe and Reliable Alternative to Short-Term Central Venous Catheter for the Treatment of Trauma Patients |
| title_full | A Peripherally Inserted Central Catheter is a Safe and Reliable Alternative to Short-Term Central Venous Catheter for the Treatment of Trauma Patients |
| title_fullStr | A Peripherally Inserted Central Catheter is a Safe and Reliable Alternative to Short-Term Central Venous Catheter for the Treatment of Trauma Patients |
| title_full_unstemmed | A Peripherally Inserted Central Catheter is a Safe and Reliable Alternative to Short-Term Central Venous Catheter for the Treatment of Trauma Patients |
| title_short | A Peripherally Inserted Central Catheter is a Safe and Reliable Alternative to Short-Term Central Venous Catheter for the Treatment of Trauma Patients |
| title_sort | peripherally inserted central catheter is a safe and reliable alternative to short term central venous catheter for the treatment of trauma patients |
| topic | catheterization peripheral central venous catheters catheter related infections trauma centers |
| url | http://www.jtraumainj.org/upload/pdf/jti-32-3-150.pdf |
| work_keys_str_mv | AT dongyeonryu aperipherallyinsertedcentralcatheterisasafeandreliablealternativetoshorttermcentralvenouscatheterforthetreatmentoftraumapatients AT sangbonglee aperipherallyinsertedcentralcatheterisasafeandreliablealternativetoshorttermcentralvenouscatheterforthetreatmentoftraumapatients AT gilwhankim aperipherallyinsertedcentralcatheterisasafeandreliablealternativetoshorttermcentralvenouscatheterforthetreatmentoftraumapatients AT jaehunkim aperipherallyinsertedcentralcatheterisasafeandreliablealternativetoshorttermcentralvenouscatheterforthetreatmentoftraumapatients AT dongyeonryu peripherallyinsertedcentralcatheterisasafeandreliablealternativetoshorttermcentralvenouscatheterforthetreatmentoftraumapatients AT sangbonglee peripherallyinsertedcentralcatheterisasafeandreliablealternativetoshorttermcentralvenouscatheterforthetreatmentoftraumapatients AT gilwhankim peripherallyinsertedcentralcatheterisasafeandreliablealternativetoshorttermcentralvenouscatheterforthetreatmentoftraumapatients AT jaehunkim peripherallyinsertedcentralcatheterisasafeandreliablealternativetoshorttermcentralvenouscatheterforthetreatmentoftraumapatients |