Newly born preterm infants in use of peripheral inserted central catheter
Conditions
Interventions
Experimental group: 16 neonates will receive multiple intravenous therapy via peripheral inserted central catheter (PICC) double lumen during the time needed for their recovery or the occurrence of co
Device
Sponsors
Universidade Federal do Paraná
Universidade Federal do Paraná
Eligibility
Age
0 Days to 7 Days
Inclusion criteria
Inclusion criteria: Need of parenteral total nutrition; need of venous catheter for more than six days; use of antibiotics or vasoativ drugs and consent by parents
Exclusion criteria
Exclusion criteria: Use or duration of the PICC for less than 7 days; Use of another central catheter prior to inclusion in the survey; Initial location of the catheter tip in the peripheral region; Transfer of the Intensive Care Unit (ICU) during the period of use of the PICC and parents under the age of 18 years.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Increase in the occurrence of peripheral insertion central catheter (PICC) obstruction evaluated until catheter withdrawal. The obstruction was classified in total and partial. Total obstructions were those in which infusion of fluids through the catheter pathway was prevented due to the presence of clot or crystal of medication that obstructed the passage of the same. The partial obstruction was considered by the identification of the resistance of the infusion route by the team and was confirmed by the nurses. The relation of the blood reflux as a criterion to consider partial obstruction was not used due to the inherent characteristics of the fine catheters used in neonatology. The Mann-Whitney and Fisher's Exact tests were used to assess difference of the outcomes in both groups, with significance level <0.05.;The rates of total (p = 0.55) and partial (p = 0.35) obstruction were similar between groups with no statistical difference.;Increase in the occurrence of infection related to the central peripheral insertion catheter (PICC), evaluated until catheter withdrawal. The diagnostic criteria used for its identification were those recommended by the National Agency of Sanitary Surveillance (ANVISA): one or more positive blood cultures by non-contaminating microorganisms of the skin and not related to the other primary infection; Or show signs and symptoms such as thermal instability, bradycardia, respiratory distress or apnea, food intolerance, hemodynamic instability, hypoactivity / lethargy, not correlated with another infection. In addition, the newborn should have common skin contaminant microorganisms cultured in at least two blood cultures taken at different sites, with a maximum interval of 48 hours between collections; Or a coagulase negative staphylococcus cultured in at least 01 peripheral blood cultures of a patient with a central vascular catheter. Considering the impossibility of refluxing all the catheters for differentiation in the growth time or c | — |
Secondary
| Measure | Time frame |
|---|---|
| Increased number of peripheral venous punctures, considered through evaluation of puncture records in the medical record, counted by the number of occurrences. For this variable Fisher's exact test was used to verify differences between the groups, with a level of statistical significance <0.05.;The control group received more peripheral venous accesses than the experimental group (p = 0.01). | — |
Countries
Brazil
Contacts
Public ContactClélia Giacomozzi
Universidade Federal do Paraná
Outcome results
None listed