Korean J Pediatr.  2006 Feb;49(2):157-161. 10.3345/kjp.2006.49.2.157.

Epidemiology of central venous catheter related blood stream infections in pediatric patients

• Kim JH
• Eun HS
• Choi KM
• Kim DS
• Young DE

• KMID: 1966607
• DOI: http://doi.org/10.3345/kjp.2006.49.2.157

Abstract

PURPOSE: The purpose of this study is to investigate the pathogens of central venous catheter-related blood stream infections and search for the association among the insertion site, the duration and the underlying conditions with the prevalence of central venous catheter-related blood stream infections under 15 years old.
METHODS
A retrospective study was performed from Jan, 2003 to Dec, 2003 in Severance Hospital on 112 patients who undertook central venous catheter insertions.
RESULTS
We examined 112 patients who undertook central venous catheter insertion. The mean age of patients was 4.77+/-4.12 years old. Coagulase negative Staphylococci was the most common organism of central venous catheter-related blood stream infections accounting for 33.9 percent, followed by Eenterococcus faecium(9.3 percent), and Staphylococcus aureus(7.5 percent), The most common insertion site was the right femoral vein, followed by the right jugular vein and the left femoral vein. The mean insertion period was 14.17+/-12.00 days.
CONCLUSION
Central venous catheter-related blood stream infections were not only related to the underlying conditions, but also to the insertion site. We need to study the clinical importance of coagulase negative Staphylococci as it is part of the normal flora of the skin. In future, more studies are needed to take preventive measures and improve treatment methods.

Keyword

Catheterization; Central venous; Infection; Staphylococcus epidermidis

MeSH Terms

Adolescent
Catheterization
Central Venous Catheters*
Coagulase
Epidemiology*
Femoral Vein
Humans
Jugular Veins
Prevalence
Retrospective Studies
Rivers*
Skin
Staphylococcus
Staphylococcus epidermidis
Coagulase