Abstract
We reviewed the records of 30 patients with 37 venous access catheters who were prospectively identified at time of placement to compare complications of BHC (Broviac or Hickman, n=20) and IVD (Mediport or Infusaport, n=17). Choice of catheter type (BHC or IVD) was fay parental discretion. The groups were comparable with respect to age [BHC: mean 5.4y(0.3y-19.0y); IVD: 6.2y(0.7y-19.0y)], sex, diagnoses, days in place (mean=164d, BHC group; 154d IVD group), percent time neutropenic, percent inpatient days, and percent days accessed (BHC: 30% vs IVD: 28% of days). There were 10 catheter-associated infections in the BHC group (3282 days at risk), 3 local and 7 with bacteremia; 4 required catheter removal. There were 9 catheter-associated infections in the IVD group during 2618 days at risk (5 local, 4 with bacteremia); only 1 required catheter removal. All infections requiring catheter removal occurred in patients < 2 years of age. Pathogens included S. epidermidis (8), S. aureus (3), enterococcus (2), E. coli (1), and C. albicans (1). Noninfectious complications occurred in 14 BHC (5 resulting in catheter removal) and 11 IVD (5 resulting in catheter removal). Overall infection rate per 100 catheter days was 0.34 and 0.30 for the IVD and BHC groups respectively. Mechanical complication rate per 100 catheter days was 0.42 for both groups. Thus the incidence of infectious and noninfectious complications was comparable for both types of catheters.
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Wurzel, C., Rubin, L. & Ilalom, K. COMPARATIVE STUDY OF THE INFECTION RATES OF BROVIAC/HICKMAN CATHETERS (BHC) AND TOTALLY IMPLANTABLE VENOUS DEVICES (IVD) IN PEDIATRIC ONCOLOGY PATIENTS. Pediatr Res 21 (Suppl 4), 338 (1987). https://doi.org/10.1203/00006450-198704010-01025
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DOI: https://doi.org/10.1203/00006450-198704010-01025