scholarly journals Correlation of Positive Blood Cultures with Peripherally Inserted Central Catheter Line Infection in Oncology Patients

Cureus ◽  
2021 ◽  
Author(s):  
Christina Platanaki ◽  
Nicholas Zareifopoulos ◽  
Maria Lagadinou ◽  
Konstantinos Tsiotsios ◽  
Dimitrios Velissaris
Keyword(s):  
Blood Cultures ◽  
Peripherally Inserted Central Catheter ◽  
Central Catheter ◽  
Oncology Patients ◽  
Line Infection

Peripherally Inserted Central Catheter-Related Upper Extremity Venous Thrombosis in Oncology Patients

2016 ◽  
Vol 35 (8) ◽  
pp. 1759-1763 ◽  
Author(s):  
Lei Luo ◽  
Xiao-mei Jing ◽  
Guo-rong Wang ◽  
Ying Qin ◽  
Hai-xin Liang ◽  
...  
Keyword(s):  
Venous Thrombosis ◽  
Upper Extremity ◽  
Peripherally Inserted Central Catheter ◽  
Central Catheter ◽  
Oncology Patients

Centrally inserted tunnelled peripherally inserted central catheter: Off-label use for venous access in oncology patients

2020 ◽  
Vol 21 (5) ◽  
pp. 773-777 ◽  
Author(s):  
Dayananda Lingegowda ◽  
Anisha Gehani ◽  
Saugata Sen ◽  
Sumit Mukhopadhyay ◽  
Priya Ghosh
Keyword(s):  
Bloodstream Infection ◽  
Local Anaesthesia ◽  
Venous Access ◽  
Exit Point ◽  
Safe Procedure ◽  
Peripherally Inserted Central Catheter ◽  
Central Catheter ◽  
Oncology Patients ◽  
Peripheral Venous Access ◽  
Catheter Related Bloodstream Infection

Purpose: Vascular access in oncology patients can often be challenging, especially after a few cycles of chemotherapy through peripheral lines which can cause veins to become attenuated. We evaluated the feasibility of centrally placed non-cuffed tunnelled peripherally inserted central catheter in the chest as an alternative to conventional peripherally inserted central catheter. Method: Patients referred for peripherally inserted central catheter found to have inadequate peripheral venous access in their arms due to prior chemotherapy, and therefore they were offered placement of the non-cuffed tunnelled peripherally inserted central catheter in the chest. Adult patients were subjected to the procedure under local anaesthesia, while paediatric patients underwent this procedure under general anaesthesia. Ultrasound guidance was used for venous access, and fluoroscopy was used for tip positioning. Using internal jugular vein access, BARD Groshong-valved 4F peripherally inserted central catheter was placed with its tip in the cavo-atrial junction. Proximal end of the catheter was brought out through the subcutaneous tunnel, so that the exit point of the peripherally inserted central catheter lies over the upper chest. Extra length of the catheter was trimmed, and extensions were attached. The device was stabilized with adhesive and sutures. Results: Out of 19 patients, 18 patients were male (4–72 years). Technical success was achieved in 100% cases. No catheter-related bloodstream infection was noted within 30 days of peripherally inserted central catheter. Overall, during 1966 catheter days, no catheter-related bloodstream infection was observed. The purpose of peripherally inserted central catheter was achieved in 15 patients (78.9%) either in the form of completion of chemotherapy (8/15) or maintained peripherally inserted central catheter line till death (7/15). Partial or complete pullout was observed in four patients (20.1%), which required cuffed tunnelled catheter or implantable port. External fracture was noted in one patient, which was successfully corrected using repair kit. No exit site infection, bleeding, catheter occlusion, catheter dysfunction, venous thrombosis, venous stenosis or catheter embolizations were noted in our series. Conclusion: Centrally placed tunnelled peripherally inserted central catheter is a promising alternative method, when conventional arm peripherally inserted central catheter placement is not feasible. It is an easy and safe procedure that can be performed under local anaesthesia.

scholarly journals Development of a Pediatric PICC Team Under an Existing Sedation Service: A 5-Year Experience

2019 ◽  
Vol 13 ◽  
pp. 117955651988404
Author(s):  
Shane C Rainey ◽  
Girish Deshpande ◽  
Haley Boehm ◽  
Kim Camp ◽  
Annette Fehr ◽  
...  
Keyword(s):  
Venous Thrombosis ◽  
Quality Data ◽  
Peripherally Inserted Central Catheter ◽  
Central Catheter ◽  
Success Rates ◽  
Ultrasound Guided ◽  
The Mean ◽  
Pediatric Sedation ◽  
Line Infection

Objective: To examine our institutional experiences with ultrasound-guided peripherally inserted central catheter (US-PICC) placement by a dedicated US-PICC team under the umbrella of an existing pediatric sedation service. Methods: Retrospective review of quality data examining 968 US-PICC encounters over a 5-year period from 2012 to 2016. Data for each encounter included line indications, success rate, dwelling time, need for sedation, and incidence of complications including venous thrombosis, infection, and accidental removal. Results: US-PICC lines were successfully placed in 89% of patients with an average age of 5.4 years. Extended antibiotic treatment was the most common indication for US-PICC placement and the mean dwell time was 23 days. Long-term complications were noted in 6.1% of cases, with venous thrombosis and line infection complicating 1.7% and 0.9% of encounters, respectively. Conclusion: Results suggest that our endeavor of creating a dedicated US-PICC team under an existing pediatric sedation service is successful with regard to the number of lines placed, success rates, and incidence of complications. This approach may be beneficial to other institutions seeing to maximize resource utilization and streamline patient care.

A Unique Case of Cutaneous Cunninghamella infection in an Immunocompromised Patient (Preprint)

2020 ◽  
Author(s):  
Mauricio Portillo ◽  
Shyam Allamaneni ◽  
Richard Goodman
Keyword(s):  
Fungal Infections ◽  
Immunocompromised Patient ◽  
Lymphocytic Leukemia ◽  
Peripherally Inserted Central Catheter ◽  
Central Catheter ◽  
Unique Case ◽  
Systemic Complications ◽  
Prompt Treatment ◽  
Mode Of Transmission ◽  
And Control

UNSTRUCTURED Cunninghamella species are an extremely rare cause of fungal infections. The usual mode of transmission is through inhalation however rare cases of cutaneous spread have been reported. The objective of this clinical case report is to highlight the uniqueness of which the patient acquired the infection, the progression, and control of it. A 57-year-old male with chronic lymphocytic leukemia was found to have an abscess next to his peripherally inserted central catheter (PICC) line. The abscess culture grew back Cunninghamella and was debrided and treated with a novel antifungal. The fungal infection was controlled and the total timeframe took 28 days. Rapid recognition and prompt treatment demonstrate the prevention of rapidly progressive angioinvasian and further systemic complications. This case also proves that a novel antifungal may be appropriate in controlling the spread of Cunninghamella species.

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