Abstract
Background and Objective: Peripherally inserted central catheters (PICC) and umbilical venous catheters (UVC) are frequently used for vascular access in neonatal intensive care units (NICUs). While there is a significant need for these devices for critically ill neonates, there are many complications associated with their use. We aimed at investigating the incidence of UVC and PICC complications in very low birth weight (VLBW) infants. Materials and Methods: This is an observational study performed with neonates of the tertiary General Hospital of Piraeus, Greece, during an 18 month-period. Seventy-one neonates were recruited and divided into two groups: 34 neonates with PICC and 37 neonates with UVC. We recorded: Catheter dwell time, the causes of catheter removal, other complications, infections, and catheter tip colonization rates. Results: No significant statistical differences were noticed between the 2 study groups with regards to demographic characteristics, causes for catheter removal, catheter indwelling time or the incidence of nosocomial infection. Eleven UVC tips and no PICC tips were proved colonized (p = 0.001) following catheter removal. Conclusions: The incidence of complications associated with the use of UVCs and PICCs in VLBW infants did not significantly differ in our study. Their use seems to be equally safe. Further studies, with larger samples, are necessary to confirm our results.
Highlights
Intravenous lines are broadly divided into two categories: Short-term peripheral lines and central venous catheters (CVCs)
During the 18-month study period, CVCs were inserted (34 Peripherally inserted central catheters (PICC) and 37 umbilical venous catheters (UVC)) in 71 neonates hospitalized in our neonatal intensive care units (NICUs)
We investigated Central lines associated bloodstream infection (CLABSI), but all possible complications associated with CVCs use in very low birth weight (VLBW) infants
Summary
Intravenous lines are broadly divided into two categories: Short-term peripheral lines and central venous catheters (CVCs). CVCs are essential in neonatal intensive care units (NICUs) for diagnostic and therapeutic purposes in neonates They are commonly used to provide fluids, medications and total parenteral nutrition (TPN) to critically ill infants, especially to very low birth weight (VLBW) and extremely low birth weight (ELBW) neonates, in line with the practice of minimal handling, allowing longer dwell time and less frequent need for reinsertion, reducing stress [1,2]. Inserted central catheters (PICC) and umbilical venous catheters (UVC) are frequently used for vascular access in neonatal intensive care units (NICUs). Conclusions: The incidence of complications associated with the use of UVCs and PICCs in VLBW infants did not significantly differ in our study. With larger samples, are necessary to confirm our results
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