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581 Prospective Study of Central Venous Catheter Infections in Critically Ill Children at a Regional Paediatric Intensive Care Unit
  1. H Gowda,
  2. C Penrose
  1. Paediatric Intensive Care Unit, Leeds Teaching Hospitals NHS Trust, Leeds, UK

Abstract

Background and Aims Central venous catheters (CVC) play an important role in the management of critically ill children, serving both as a reliable vascular access and site of venous pressure monitoring.

To find the incidence CVC related infection and risk factors associated with these complications from different central venous access sites in critically ill children.

Methods A prospective study (August 2010 to July 2011) of 227 central venous catheterisations in children of different ages in a large regional Paediatric Intensive Care Unit. Data on demography, site of insertion and type of CVC infections were collected.

Results Total number of CVC days (for 227 CVC) was 960 days.

Abstract 581 Table 1

CVC infections

Abstract 581 Table 2

Catheter related bacteremia

Abstract 581 Table 3

Internal jugular vein vs femoral vein

Relative risk (RR) for femoral vein vs internal jugular vein for CVC infections is 1.4.

Conclusion Incidence of catheter related bacteremia was 7.29 per 1000 catheter days. Femoral lines have marginal higher infections compared to internal jugular lines.

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