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Open AccessArticle

Umbilical Venous Catheters and Peripherally Inserted Central Catheters: Are They Equally Safe in VLBW Infants? A Non-Randomized Single Center Study

1
NICU, General Hospital “Agios Panteleimon”, 18454 Piraeus, Greece
2
Royal Alexandra Children’s Hospital Brighton, Eastern Road, Brighton, East Sussex BN2 5BE, UK
3
NICU, University General Hospital, 41222 Larissa, Greece
*
Author to whom correspondence should be addressed.
Medicina 2019, 55(8), 442; https://doi.org/10.3390/medicina55080442
Received: 25 June 2019 / Revised: 30 July 2019 / Accepted: 2 August 2019 / Published: 6 August 2019
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Abstract

Background and Objective: Peripherally inserted central catheters (PICC) and umbilical venous catheters (UVC) are frequently used for vascular access in neonatal intensive care units (NICUs). While there is a significant need for these devices for critically ill neonates, there are many complications associated with their use. We aimed at investigating the incidence of UVC and PICC complications in very low birth weight (VLBW) infants. Materials and Methods: This is an observational study performed with neonates of the tertiary General Hospital of Piraeus, Greece, during an 18 month-period. Seventy-one neonates were recruited and divided into two groups: 34 neonates with PICC and 37 neonates with UVC. We recorded: Catheter dwell time, the causes of catheter removal, other complications, infections, and catheter tip colonization rates. Results: No significant statistical differences were noticed between the 2 study groups with regards to demographic characteristics, causes for catheter removal, catheter indwelling time or the incidence of nosocomial infection. Eleven UVC tips and no PICC tips were proved colonized (p = 0.001) following catheter removal. Conclusions: The incidence of complications associated with the use of UVCs and PICCs in VLBW infants did not significantly differ in our study. Their use seems to be equally safe. Further studies, with larger samples, are necessary to confirm our results. View Full-Text
Keywords: very low birth weight neonates; central venous catheters; umbilical venous catheters; peripherally inserted central catheters; central lines associated bloodstream infection very low birth weight neonates; central venous catheters; umbilical venous catheters; peripherally inserted central catheters; central lines associated bloodstream infection
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Konstantinidi, A.; Sokou, R.; Panagiotounakou, P.; Lampridou, M.; Parastatidou, S.; Tsantila, K.; Gounari, E.; Gounaris, A.K. Umbilical Venous Catheters and Peripherally Inserted Central Catheters: Are They Equally Safe in VLBW Infants? A Non-Randomized Single Center Study. Medicina 2019, 55, 442.

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