6533b86efe1ef96bd12cc763

RESEARCH PRODUCT

Risk factors associated with adverse events in neonates with peripherally inserted central catheter

M.j. Riera-torresM.j. Borras-vañóM.j. ÁNgel-selfaA. Monedero-valeroR. Montejano-lozoyaC. Padilla-sánchezL. Benavent-taengua

subject

Clinical variablesbusiness.industrymedicine.medical_treatmentPeripherally inserted central catheterExtravasation03 medical and health sciencesLow birth weight0302 clinical medicineIntravenous therapy030225 pediatricsAnesthesiamedicine030212 general & internal medicinemedicine.symptombusinessAdverse effect

description

Abstract Background Peripherally inserted central catheters have become a priority in infants who require long-term intravenous therapy, but their use involves certain risks. Objective The aim of the study was to describe the occurrence of adverse events in newborns with peripherally inserted central catheters and to determine the risk factors associated with them. Methods A descriptive cross-sectional study was designed and performed. All neonates with peripherally inserted central catheters from October 1st, 2014 to September 30th, 2015 were included. The adverse events and sociodemographic and clinical variables related to neonates and analysed catheters were recorded. Results A total of 140 catheters were placed in 116 infants. All of them were analysed. Adverse events occurred in 16.4%: catheter-associated bacteraemia (5.7%), obstruction (5.7%), extravasation (2.1%) and phlebitis (2.1%), Conclusions The periodic evaluation of catheter-related adverse events is very useful to prepare improvement plans. This will maximise safety for the most vulnerable newborns, especially those of extremely low birth weight that require very long treatments.

https://doi.org/10.1016/j.enfie.2018.10.005