Peripherally inserted central line catheter infections in burn patients

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Peripherally inserted central line catheter (PICC) use has increased in burn patients. While the risks of central line associated blood stream infections (CLABSI) in burn patients have been well studied, the risks of PICC infections have yet to be fully elucidated. A retrospective chart review was performed of all burn patients with a PICC admitted to our regional burn center from 2006 to 2008. Information collected included: age, total body surface area (TBSA) burn injury, length of hospital stay, duration of PICC line insertion, hospital day of PICC line insertion, and development of infections. All mean values are presented as the mean ± standard error. A total of 56 patients received a PICC during this time period. Eight patients developed PICC infections with an overall rate of 11.7/1000 catheter days. Burn patient CLABSI for the same time period was 12.9/1000 catheter days. Duration of PICC did not differ between infected and noninfected patients (13.3 ± 6 vs. 12.1 ± 9.6 days). Patients with PICC infections had a higher percentage of TBSA (42.7 ± 3.2 vs. 20.6 ± 2.4∗), longer length of admission (72.4 ± 6 vs. 35 ± 3.2∗), and later hospital day of PICC insertion (48 ± 4.6 vs. 17.1 ± 2.5∗). On linear regression analysis, PICC infection was significantly associated with TBSA (B = 22.1∗), length of admission (B = 37.4∗), and hospital day of PICC insertion (B = 30.3∗). On multivariate analysis, TBSA (Odds ratio [OR] = 1.05∗), length of admission (OR = 1.04∗), and hospital day of PICC insertion (OR = 1.05∗) all independently increased the risk of developing a PICC infection. Patients with severe burn injury, long hospital admissions, and later hospital day of PICC insertions are at higher risk of developing PICC infections. This data suggests that protocols should be developed about routine PICC changes in this high-risk burn population.

Original languageEnglish (US)
Pages (from-to)514-517
Number of pages4
JournalJournal of Burn Care and Research
Volume35
Issue number6
DOIs
StatePublished - 2014

Fingerprint

Peripheral Catheterization
Catheters
Infection
Body Surface Area
Odds Ratio
Length of Stay
Burn Units
Wounds and Injuries
Linear Models
Multivariate Analysis
Regression Analysis

ASJC Scopus subject areas

  • Emergency Medicine
  • Rehabilitation
  • Surgery

Cite this

Peripherally inserted central line catheter infections in burn patients. / Barsun, Alura; Sen, Soman; Palmieri, Tina L; Greenhalgh, David G.

In: Journal of Burn Care and Research, Vol. 35, No. 6, 2014, p. 514-517.

Research output: Contribution to journalArticle

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abstract = "Peripherally inserted central line catheter (PICC) use has increased in burn patients. While the risks of central line associated blood stream infections (CLABSI) in burn patients have been well studied, the risks of PICC infections have yet to be fully elucidated. A retrospective chart review was performed of all burn patients with a PICC admitted to our regional burn center from 2006 to 2008. Information collected included: age, total body surface area (TBSA) burn injury, length of hospital stay, duration of PICC line insertion, hospital day of PICC line insertion, and development of infections. All mean values are presented as the mean ± standard error. A total of 56 patients received a PICC during this time period. Eight patients developed PICC infections with an overall rate of 11.7/1000 catheter days. Burn patient CLABSI for the same time period was 12.9/1000 catheter days. Duration of PICC did not differ between infected and noninfected patients (13.3 ± 6 vs. 12.1 ± 9.6 days). Patients with PICC infections had a higher percentage of TBSA (42.7 ± 3.2 vs. 20.6 ± 2.4∗), longer length of admission (72.4 ± 6 vs. 35 ± 3.2∗), and later hospital day of PICC insertion (48 ± 4.6 vs. 17.1 ± 2.5∗). On linear regression analysis, PICC infection was significantly associated with TBSA (B = 22.1∗), length of admission (B = 37.4∗), and hospital day of PICC insertion (B = 30.3∗). On multivariate analysis, TBSA (Odds ratio [OR] = 1.05∗), length of admission (OR = 1.04∗), and hospital day of PICC insertion (OR = 1.05∗) all independently increased the risk of developing a PICC infection. Patients with severe burn injury, long hospital admissions, and later hospital day of PICC insertions are at higher risk of developing PICC infections. This data suggests that protocols should be developed about routine PICC changes in this high-risk burn population.",
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