Hickman catheter complications in marrow transplant recipients

The complications associated with the insertion and use of 95 single lumen and 312 double lumen Hickman right atrial catheters in 357 marrow transplant recipients were retrospectively analyzed. Three-hundred (84%) first inserted catheters were in place for a median of 93 days (range, 16-209) without...

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Published inJPEN. Journal of parenteral and enteral nutrition Vol. 10; no. 1; p. 58
Main Authors Petersen, F B, Clift, R A, Hickman, R O, Sanders, J E, Meyers, J D, Kelleher, J, Buckner, C D
Format Journal Article
LanguageEnglish
Published United States 01.01.1986
Subjects
Adolescent
Adult
Bone Marrow Transplantation
Catheterization - adverse effects
Catheterization - instrumentation
Child
Child, Preschool
Humans
Infant
Middle Aged
Sepsis - etiology
Staphylococcal Infections - etiology
Time Factors
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Summary:The complications associated with the insertion and use of 95 single lumen and 312 double lumen Hickman right atrial catheters in 357 marrow transplant recipients were retrospectively analyzed. Three-hundred (84%) first inserted catheters were in place for a median of 93 days (range, 16-209) without complications and were removed electively. Thirty-nine (9.6%) of all catheters were removed for infections and 24 (5.9%) for mechanical complications. Ninety-five patients (26.6%) had 111 episodes of septicemia involving 128 separate organisms and 25 patients had 25 episodes of localized catheter infection with 26 separate organisms. The most frequently isolated organism was coagulase-negative staphylococcus. Twelve of 24 removals due to mechanical complications were caused by accidental pulling of the catheter by the patient.
ISSN:0148-6071
DOI:10.1177/014860718601000158