Risk factors of peripheral venous catheter-related complication and infection in children with bronchopneumonia

• Published in: BMC infectious diseases Vol. 23; no. 1; pp. 603 - 6
• Main Authors: Li, Hong-Mei, Wan, Li-Li, Jin, Cai-Xiang, Zhang, Guo-Ying, Yang, Hui, Zhang, Xiao-Yu
• Format: Journal Article
• Language: English
• Published: England BioMed Central Ltd 15.09.2023; BioMed Central; BMC
• Subjects: Age; Age composition; Bacterial diseases; Bacterial infections; Bronchopneumonia; Bronchopneumonia - complications; Bronchopneumonia - epidemiology; Care and treatment; Catheter-Related Infections - epidemiology; Catheters; Child; Children; Comparative analysis; Complications and side effects; Cooperation; Demographic aspects; Drug withdrawal; Extubation; Humans; Indwelling part; Infection factors; Intravenous catheterization; Intravenous therapy; Medical instruments; Needles; Nosocomial infections; Patient outcomes; Pediatrics; Peripheral venous catheter; Phlebitis; Regression analysis; Retention; Retention time; Risk Factors; Variables; China; Children; Peripheral venous catheter; Retention time; Infection factors; Indwelling part
• ISSN: 1471-2334; 1471-2334
• DOI: 10.1186/s12879-023-08540-1

To investigate the risk factors associated with the peripheral venous catheter-related complication and infection in children with bronchopneumonia. A total of 185 patients were divided into case group (n = 114) and control group (n = 71) according to the presence of catheter-related infection and complications related to indwelling needle. We performed a multivariate logistic regression analysis to explore the risk factors associated with the infection. Age was divided into 4 categories (0 < age ≤ 1, 1 < age ≤ 3, 3 < age ≤ 6, age > 6). The case group had a higher percentage of patients with 0 < age ≤ 1 than the control group (21% vs. 9.7%) and the age distribution was significant different between the two groups (P = 0.045). The case group had a longer retention time than the control group (≥ 3 days: 56% vs. 35%, P < 0.001). The results of binary logistics regression analysis revealed that the indwelling time and indwelling site were the factors that influenced the complications or bacterial infection. Among the three indwelling sites, the hand is more prone to infection and indwelling needle-related complications than the head (OR: 2.541, 95% CI 1.032 to 6.254, P = 0.042). The longer the indwelling time, the more likely the infection and indwelling needle related complications (OR: 2.646, 95% CI 1.759 to 3.979, P< 0.001). Indwelling time and indwelling site are the influencing factors of complications or bacterial infection, which should be paid more attention to prevent the catheter-related infection in children with bronchophenumonia.