How long should umbilical venous catheters remain in place in neonates

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“In neonates requiring long-term central access, does removal of the umbilical venous catheter (UVC) on days 5-7 and replacement with a peripherally inserted central catheter line compared with leaving the UVC in situ reduce rates of central line-associated bloodstream infections?” Keir et al (2014).

Reference:

Keir, A., Giesinger, R. and Dunn, M. (2014) How long should umbilical venous catheters remain in place in neonates who require long-term (≥5-7 days) central venous access? Journal of Paediatrics and Child Health. 50(8), p.649-52.

Abstract:

In this evidenced-based review, we examine the current available literature to help answer the question ‘In neonates requiring long-term central access [patient], does removal of the umbilical venous catheter (UVC) on days 5-7 and replacement with a peripherally inserted central catheter line [intervention]compared with leaving the UVC in situ [comparison]reduce rates of central line-associated bloodstream infections [outcome]?’

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