Long-term central venous catheter for total parenteral nutrition: Catheter care, permanence period, and incidence of infections
Keywords:
catheters, parenteral nutrition, sepsisAbstract
Long-term venous catheters are used for the total parenteral nutrition infusion, which is essential for feeding
short-bowel syndrome patients. However, complications are likely to occur. The incidence of catheter related
infections ranges from 3 to 20% in hospitalized patients. The Divisão de Nutrição Clínica do Hospital das
Clínicas da Faculdade de Medicina de Ribeirão Preto, University of São Paulo, Brazil, has been providing
nutrition support to short-bowel syndrome patients, using totally implantable venous catheters. This is a
retrospective study, which aims to show the Divisão de Nutrição Clínica experience with such catheters, and to
discuss the incidence of infections. We retrospectively evaluated infection complications in 21 catheters
implanted in 16 patients. The permanence-time of the catheters was 768±664.3 days (median: 529 days). The
incidence of infection was 0.029 per patient, per year. These results are comparable to data from developed
countries. Considering that the patients here studied were imunossupressed due to intestinal mal-absorption,
our findings suggest that the catheter care, as provided by our team, contributed to diminish the rate of
infections, and to increase the utilization period of each catheter
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