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Risk of infections associated with umbilical vein catheterization in newborn patients


, : Risk of infections associated with umbilical vein catheterization in newborn patients. East African Medical Journal 64(3): 232-236

80 infants who had umbilical vein catheterisation (UVC) for fluid administration were studied prospectively to determine the risk of infection associated with the procedure. 53 (66.3%) of the catheters were colonized on removal. The rate of colonization of catheters was 30% when the duration of indwelling catheter was less than 12 hours and 83.3% when the duration was more than 48 hours. Out of the 53 positive cultures 41 (77.4%) were single isolates and 12 (22.6%) were multiple isolates. There were 34 Gram positive isolates and 31 Gram negative isolates. The most common isolates were Klebsiella (24.6%), Streptococcus faecalis (16.9%) and Escherichia coli (12.3%). Of the 53 patients with positive cultures 10 died within the first 24 hours, 9 after 24 hours and 2 after 4 days. The last 2 infants had necrotizing enterocolitis. The remaining 32 patients showed features of infection at the time of removal of the catheter and needed a course of antibiotics before dscharge.

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Accession: 006345609

PMID: 3665803

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Related references

Balagtas, R.C.; Bell, C.E.; Edwards, L.D.; Levin, S., 1971: Risk of local and systemic infections associated with umbilical vein catheterization: a prospective study in 86 newborn patients. Pediatrics 48(3): 359-367

Patel, A.; Musoke, R.N., 1987: Risk of infections associated with umbilical vein catheterisation in newborn patients. 80 infants who had umbilical vein catheterisation (UVC) for fluid administration were studied prospectively to determine the risk of infection associated with the procedure. 53 (66.3%) of the catheters were colonized on removal. The rate of coloni...

Komraus Gatniejewska M., 1989: A risk of umbilical vein catheterization in newborn. Pediatria Polska 64(3): 199-202

Komraus-Gatniejewska, M., 1989: Risk of umbilical vein catheterization in the newborn. Pediatria Polska 64(3): 199-202

Anagnostakis, D.; Kamba, A.; Petrochilou, V.; Arseni, A.; Matsaniotis, N., 1975: Risk of infection associated with umbilical vein catheterization. A prospective study in 75 newborn infants. To determine the risk of infection created by catheterization of the umbilical vein per se, 75 jaundiced, but otherwise healthy, newborn infants subjected to exchange transfusion were studied. Twenty-three were given antibiotics because of prematu...

Serra, G.; Bonacci, W.; Fabbri, A., 1977: Evaluation of the infectious risk in umbilical catheterization of the low weight newborn infant and prevention of neonatal infections. Minerva Pediatrica 29(1): 25-36

Hinkel, G.K.; Schwarze, R.; Wichmann, G., 1969: Complications after umbilical vein catheterization in the premature and newborn. Acta Paediatrica Academiae Scientiarum Hungaricae 10(3): 335-343

Blazek, K.; Velemínský, M., 1978: Catheterization of the umbilical vein in newborn infants and the hazards of contamination. Ceskoslovenska Pediatrie 33(3): 152-156

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Williams, J.W.; Rittenberry, A.; Dillard, R.; Allen, R.G., 1973: Liver abscess in newborn. Complication of umbilical vein catheterization. American Journal of Diseases of Children 125(1): 111-113