Outcome of peripherally inserted central catheter (PICC) complication review is published

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Intravenous literature: Leroyer, C., Lashéras, A., Marie, V., Le Bras, Y., Carteret, T., Dupon, M. and Rogues, A.M. (2013) Prospective follow-up of complications related to peripherally inserted central catheters. Médecine et Maladies Infectieuses. 19th July. [Epub ahead of print].

Abstract:

An increased use of peripherally inserted central catheters (PICC) in French hospitals has been observed in recent years. We report complications having occurred following the placement of PICC in a teaching hospital.

PATIENTS AND METHODS: A prospective study was made for 7months, between October 2010 and April 2011, including all patients having undergone PICC placement in interventional radiology.

RESULTS: Two hundred and sixty-seven PICC were inserted in 222 patients for intravenous antibiotic therapy (68%), parenteral nutrition (13%), or chemotherapy (9%). The median duration of PICC use was 17 days (min-max: 1-140) for the 200 PICC monitored until removal. The most common complication was obstruction (n=41), 16 of which motivated PICC removal (8%). Five cases of vein thrombosis (2.5%) and 20 infectious complications (10%) led to removal. There were 14 accidental removals (7%). The overall infection rate was 2.3 per 1000 catheter-days with 0.86 per 1000 catheter-days for central line-associated bloodstream infection. Thirty-four percent of PICC were removed without any complications without any difference according to use.

CONCLUSION: PICC are a simple alternative to standard central venous catheter but the rate of complications is high and could be decreased by a stringent management and training for this type of catheter.

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