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Risk of infections associated with umbilical vein catheterization in newborn patients






East African Medical Journal 64(3): 232-236

Risk of infections associated with umbilical vein catheterization 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 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.


Accession: 006345609

PMID: 3665803



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