This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by DeLegge, M. H. Articles by Moore, N. Search for Related Content PubMed PubMed Citation Articles by DeLegge, M. H. Articles by Moore, N. Social Bookmarking                         What's this?

Central Venous Access in the Home Parenteral Nutrition Population–You PICC

From the Section of Nutrition, Digestive Disease Center, Medical University of South Carolina, Charleston, SC

Correspondence: Mark H. DeLegge, MD, Medical University of South Carolina, 96 Jonathan Lucas St., Ste 210, Charleston, SC 29425. Electronic mail may be sent to deleggem{at}musc.edu.

Background: Central venous access is imperative for the delivery of home parenteral nutrition (HPN). Peripherally inserted central catheters (PICC) are being used more frequently for the delivery of HPN. There is an abundance of short-term information on the use of PICC in the hospitalized patient. However, there are no data comparing the use of PICC to other central venous access devices (OCVAD; Hickman, port) for the delivery of HPN. Catheter-related infections (CRI) are the most common cause of hospital readmission for the HPN patients. Methods: A retrospective analysis was performed from the Digestive Disease Center HPN database at the Medical University of South Carolina and the open architecture clinical information system (OACIS) hospital and clinic reporting system. All CRI were analyzed and compared between patients with PICC and OCVAD. The PICC group and the OCVAD group were further broken down into diabetic patients and nondiabetic patients, and the incidence of CRI was compared within those groups. Results: HPN patients with PICC had a statistically significant increase (p < .01) of CRI as compared with OCVAD within our HPN patients. There was no statistically significant increase in CRI between diabetic and nondiabetic patients. Conclusions: The use of PICC for HPN may be associated with an increase in CRI. A prospective, randomized trial in the HPN population between PICC and OCVAD must be performed.

Journal of Parenteral and Enteral Nutrition, Vol. 29, No. 6, 425-428 (2005)
DOI: 10.1177/0148607105029006425


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?