scholarly journals Total Parenteral Nutrition and Infections Associated With Use of Central Venous Catheters

2003 ◽  
Vol 12 (4) ◽  
pp. 326-327 ◽  
Author(s):  
Kedar S. Deshpande
PEDIATRICS ◽  
1986 ◽  
Vol 78 (2) ◽  
pp. 245-250 ◽  
Author(s):  
Manuel Durand ◽  
Rangasamy Ramanathan ◽  
Bruce Martinelli ◽  
Milagros Tolentino

With improved neonatal survival, especially of very low birth weight infants, our efforts should be directed toward reduction of morbidity. Sick preterm infants require total parenteral nutrition for prolonged periods of time due to extreme prematurity and feeding intolerance. However, the use of surgically placed Broviac catheters has been associated with a high complication rate. A prospective study of 53 percutaneous central venous Silastic catheterizations for administration of total parenteral nutrition was performed in 45 newborn infants. At the time of catheter insertion, 37 babies weighed less than 1,500 g and 19 weighed less than 1,000 g. Percutaneous central venous catheters were placed successfully the first time in 50 of 55 attempts. In three babies, insertion was successful on second attempt. The catheters remained in place for 25.4 ± 16.7 days ([mean ± SD] range two to 80 days). In babies weighing less than 1,000 g, the catheters remained in place for a longer period of time (34.0 ± 18.0; range 12 to 80 days). Sixty-six percent of the catheters were removed electively. There were four cases of bacteremia (7.5%), and the overall incidence of mechanical complications was 26.4%. We conclude that percutaneous central venous catheters can be used safely and effectively in newborn infants for prolonged administration of total parenteral nutrition, especially in neonates weighing less than 1,000 g.


1991 ◽  
Vol 12 (7) ◽  
pp. 407-411
Author(s):  
Marcelo Segura ◽  
Antonio Sitges-Serra ◽  
Carl W. Armstrong ◽  
C. Glen Mayhall ◽  
Kathy B. Miller ◽  
...  

1991 ◽  
Vol 12 (7) ◽  
pp. 407-411
Author(s):  
Marcelo Segura ◽  
Antonio Sitges-Serra ◽  
Carl W. Armstrong ◽  
C. Glen Mayhall ◽  
Kathy B. Miller ◽  
...  

1990 ◽  
Vol 11 (2) ◽  
pp. 71-78 ◽  
Author(s):  
Carl W. Armstrong ◽  
C. Glen Mayhall ◽  
Kathy B. Miller ◽  
Heber H. Newsome ◽  
Harvey J. Sugerman ◽  
...  

1990 ◽  
Vol 11 (2) ◽  
pp. 71-78 ◽  
Author(s):  
Carl W. Armstrong ◽  
C. Glen Mayhall ◽  
Kathy B. Miller ◽  
Heber H. Newsome ◽  
Harvey J. Sugerman ◽  
...  

1996 ◽  
Vol 11 (3) ◽  
pp. 109-115 ◽  
Author(s):  
Eileen Collins ◽  
Lauren Lawson ◽  
Mary Theresa Lau ◽  
Louise Barder ◽  
Frances Weaver ◽  
...  

2011 ◽  
Vol 2011 ◽  
pp. 1-2 ◽  
Author(s):  
Fernando A. Díaz-Couselo ◽  
Marcelo Zylberman

Acremoniumspp. are filamentous, cosmopolitan fungi commonly isolated from plant debris and soil. They are infrequent pathogens in humans.Acremoniumfungemia has been reported in neutropenic patients associated with central venous catheters and in nonneutropenic patients receiving long-term total parenteral nutrition. TNF-αblockade is associated with fungal infections, but noAcremoniumspp. infection had been reported up to the present. In this paper, we present a patient with ulcerative colitis who developedAcremonium kiliensefungemia associated with infliximab therapy while receiving total parenteral nutrition. The patient was successfully treated with voriconazole.Acremoniumsp. infection must be suspected as another cause of fungal infection in patients under treatment with infliximab.


Sign in / Sign up

Export Citation Format

Share Document