Prospective evaluation of peripherally inserted central catheter complications in both inpatient and outpatient settings

• Published in: American journal of infection control Vol. 45; no. 9; pp. 1046 - 1049
• Main Authors: Liscynesky, Christina, MD, Johnston, Jessica, MS, Haydocy, Kelci E., MPH, Stevenson, Kurt B., MD, MPH
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.09.2017
• Subjects: Adult; Bacteremia - diagnosis; Bacteremia - etiology; Bacteremia - microbiology; Catheter-Related Infections - diagnosis; Catheter-Related Infections - etiology; Catheter-Related Infections - microbiology; Catheterization, Central Venous - adverse effects; Catheterization, Peripheral - adverse effects; Central line-associated bloodstream infection; Female; Humans; Infection Control; Infectious Disease; Inpatients; Intraluminal thrombosis; Male; Middle Aged; Neutropenia - diagnosis; Neutropenia - etiology; Neutropenia - microbiology; Outpatients; Parenteral Nutrition - statistics & numerical data; Prospective Studies; Venous Thrombosis - diagnosis; Venous Thrombosis - etiology; Venous Thrombosis - microbiology; Central line-associated bloodstream infection; Intraluminal thrombosis
• ISSN: 0196-6553; 1527-3296
• DOI: 10.1016/j.ajic.2017.02.006

We describe a prospective observational cohort (N = 187) to evaluate peripherally inserted central catheter line complications concurrently from the time of placement until removal. A significantly higher percentage of patients who experienced intraluminal thrombosis were receiving total parenteral nutrition ( P ≤ .001) and had a dual lumen catheter ( P  = .01). Among patients with a confirmed or suspected infection, a significantly higher proportion received total parenteral nutrition ( P  = .01), had dual-lumen catheters ( P  = .04), and were neutropenic ( P  = .04).