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Correlation between “malfunctioning events” and catheter-related infections in pediatric cancer patients bearing tunneled indwelling central venous catheter: results of a prospective observational study

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Abstract

Aim of the study

To evaluate the possible link between malfunctioning events and catheter related infections in indwelling central venous devices in children with cancer.

Patients and methods

Prospective observation of 418 devices inserted in 2 Italian tertiary care pediatric cancer centers. The presence of a relationship was identified if a malfunctioning event was followed by a catheter related infection within 10 days, or vice versa.

Results

The 418 catheters were followed for a period of 107,012 days. Among the malfunctioning events 2 out of 141 (1%) were followed by a catheter related infection while among infectious episodes 3 out of 93 (3%) were followed by a malfunctioning event.

Conclusions

Malfunctioning events followed by catheter related infections and catheter related infections followed by malfunctioning are both rare events in children with cancer.

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References

  1. Castagnola E, Molinari AC, Fratino G, Viscoli C (2003) Conditions associated with infections of indwelling central venous catheters in cancer patients: a summary. Br J Haematol 121:233–239

    PubMed  Google Scholar 

  2. Crnich CJ, Maki DG (2002) The promise of novel technology for prevention of intravascular device related bloodstream infections. II. Long term devices. Clin Infect Dis 34:1362–1368

    Google Scholar 

  3. Darouiche RO (2001) Device associated infections: a macroproblem that starts with microadherence. Clin Infect Dis 33:1567–1572

    Google Scholar 

  4. De Pauw B, Meunier F (2000) Infections in patients with acute leukemia and lymphoma. In: Mandell GL, Bennett JB, Dolin R (eds) Mandell, Douglas and Bennett’s principles and practice of infectious diseases. Churchill Livingstone, Philadelphia, pp 3090–3102

    Google Scholar 

  5. Donlan RM (2001) Biofilm formation: a clinically relevant microbiological process. Clin Infect Dis 33:1387–1393

    Google Scholar 

  6. Fratino G, Mazzola C, Buffa P, Torre M, Castagnola E, Magillo P et al (2001) Mechanical complications related to indwelling central venous catheter in hematology/oncology patients. Pediatr Hematol Oncol 18:317–324

    Google Scholar 

  7. Fratino G, Molinari AC, Parodi S, Longo S, Saracco P, Castagnola E, Haupt R (2005) Central venous catheter related complications in children with oncological/hematological diseases: an observational study on 418 devices. Ann Oncol. [Epub ahead of print]

  8. Journeycake JM, Buchanan GR (2003) Thrombotic complications of central venous catheters in children. Curr Opin Hematol 10:369–374

    Google Scholar 

  9. Mermel LA (2000) Prevention of intravascular catheter related infections. Ann Intern Med 132:391–402

    CAS  PubMed  Google Scholar 

  10. Molinari AC, Castagnola E, Mazzola C, Piacentino M, Fratino G (2001) Thromboembolic complications related to indwelling central venous catheters in children with oncological/haematological diseases: a retrospective study on 362 catheters. Support Care Cancer 9:539–544

    Article  CAS  PubMed  Google Scholar 

  11. O’Grady NP, Alexander M, Dellinger EP, Gerberding JL, Heard SO, Dennis G, Maki DG et al (2002) Guidelines for the prevention of intravascular catheter-related infections. Clin Infect Dis 35:1281–1307

    Article  Google Scholar 

  12. Raad II, Luna M, Khalil SA, Costerton JW, Lam C, Bodey GP (1994) The relationship between the thrombotic and infectious complications of central venous catheters. JAMA 271:1014–1016

    Google Scholar 

  13. Tolar B, Gould JR (1996) The timing and sequence of multiple device related complications in patients with long term indwelling Groshong catheters. Cancer 78:1308–1313

    Google Scholar 

  14. Viscoli C, Castagnola E, Giacchino M, Cesaro S, Properzi E, Tucci F et al (1999) Bloodstream infections in children with cancer: a multicentre surveillance study of the Italian Association of Paediatric Haematology and Oncology. Supportive Therapy Group Infectious Diseases Section. Eur J Cancer 35:770–774

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgements

The study was partially supported by a grant from the G. Gaslini Children’s Hospital, by the Fondazione CARIGE, and by the Italian Association for Research on Neuroblastoma.

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Correspondence to Riccardo Haupt.

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Castagnola, E., Fratino, G., Valera, M. et al. Correlation between “malfunctioning events” and catheter-related infections in pediatric cancer patients bearing tunneled indwelling central venous catheter: results of a prospective observational study. Support Care Cancer 13, 757–759 (2005). https://doi.org/10.1007/s00520-005-0802-y

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  • DOI: https://doi.org/10.1007/s00520-005-0802-y

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