Antimicrobial therapy of Broviac catheter infections in pediatric hematology oncology patients

T A Olson; G W Fischer; M C Lupo; V F Garcia; D A Maybee; J Keiser; K R Hartman

doi:10.1016/s0022-3468(87)80650-4

Antimicrobial therapy of Broviac catheter infections in pediatric hematology oncology patients

T A Olson, G W Fischer, M C Lupo, V F Garcia, D A Maybee, J Keiser, K R Hartman

Pediatrics

Research output: Contribution to journal › Article › peer-review

22 Scopus citations

Abstract

Long-term therapy of pediatric oncology patients has been facilitated by permanent indwelling venous catheters. Over a 3-year period, 54 Broviac catheters were placed in 43 oncology patients and two hemophiliacs. There were 20 episodes of sepsis in 14 patients and the most common bacteria were S epidermidis (4), S aureus (4), and K pneumoniae (3). Catheter exit site infections occurred ten times in six patients; S aureus eight of ten. Antibiotic therapy without catheter removal was successful in 18 of 20 children with catheter sepsis and 8 of 10 patients with exit site infections. These data strongly suggest that although catheter-related infections are common, removal of Broviac catheters is not required for successful treatment of the infection.

Original language	English
Pages (from-to)	839-42
Number of pages	4
Journal	Journal of Pediatric Surgery
Volume	22
Issue number	9
DOIs	https://doi.org/10.1016/s0022-3468(87)80650-4
State	Published - Sep 1987

Keywords

Anti-Bacterial Agents/therapeutic use
Catheters, Indwelling/adverse effects
Child
Child, Preschool
Female
Hematologic Diseases/therapy
Humans
Infant
Infections/drug therapy
Male
Neoplasms/therapy
Prospective Studies

Access to Document

10.1016/s0022-3468(87)80650-4

Cite this

@article{2d5e69d8f70447979fe1dfb7d89e05fa,

title = "Antimicrobial therapy of Broviac catheter infections in pediatric hematology oncology patients",

abstract = "Long-term therapy of pediatric oncology patients has been facilitated by permanent indwelling venous catheters. Over a 3-year period, 54 Broviac catheters were placed in 43 oncology patients and two hemophiliacs. There were 20 episodes of sepsis in 14 patients and the most common bacteria were S epidermidis (4), S aureus (4), and K pneumoniae (3). Catheter exit site infections occurred ten times in six patients; S aureus eight of ten. Antibiotic therapy without catheter removal was successful in 18 of 20 children with catheter sepsis and 8 of 10 patients with exit site infections. These data strongly suggest that although catheter-related infections are common, removal of Broviac catheters is not required for successful treatment of the infection.",

keywords = "Anti-Bacterial Agents/therapeutic use, Catheters, Indwelling/adverse effects, Child, Child, Preschool, Female, Hematologic Diseases/therapy, Humans, Infant, Infections/drug therapy, Male, Neoplasms/therapy, Prospective Studies",

author = "Olson, {T A} and Fischer, {G W} and Lupo, {M C} and Garcia, {V F} and Maybee, {D A} and J Keiser and Hartman, {K R}",

year = "1987",

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doi = "10.1016/s0022-3468(87)80650-4",

language = "English",

volume = "22",

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TY - JOUR

T1 - Antimicrobial therapy of Broviac catheter infections in pediatric hematology oncology patients

AU - Olson, T A

AU - Fischer, G W

AU - Lupo, M C

AU - Garcia, V F

AU - Maybee, D A

AU - Keiser, J

AU - Hartman, K R

PY - 1987/9

Y1 - 1987/9

N2 - Long-term therapy of pediatric oncology patients has been facilitated by permanent indwelling venous catheters. Over a 3-year period, 54 Broviac catheters were placed in 43 oncology patients and two hemophiliacs. There were 20 episodes of sepsis in 14 patients and the most common bacteria were S epidermidis (4), S aureus (4), and K pneumoniae (3). Catheter exit site infections occurred ten times in six patients; S aureus eight of ten. Antibiotic therapy without catheter removal was successful in 18 of 20 children with catheter sepsis and 8 of 10 patients with exit site infections. These data strongly suggest that although catheter-related infections are common, removal of Broviac catheters is not required for successful treatment of the infection.

AB - Long-term therapy of pediatric oncology patients has been facilitated by permanent indwelling venous catheters. Over a 3-year period, 54 Broviac catheters were placed in 43 oncology patients and two hemophiliacs. There were 20 episodes of sepsis in 14 patients and the most common bacteria were S epidermidis (4), S aureus (4), and K pneumoniae (3). Catheter exit site infections occurred ten times in six patients; S aureus eight of ten. Antibiotic therapy without catheter removal was successful in 18 of 20 children with catheter sepsis and 8 of 10 patients with exit site infections. These data strongly suggest that although catheter-related infections are common, removal of Broviac catheters is not required for successful treatment of the infection.

KW - Anti-Bacterial Agents/therapeutic use

KW - Catheters, Indwelling/adverse effects

KW - Child

KW - Child, Preschool

KW - Female

KW - Hematologic Diseases/therapy

KW - Humans

KW - Infant

KW - Infections/drug therapy

KW - Male

KW - Neoplasms/therapy

KW - Prospective Studies

U2 - 10.1016/s0022-3468(87)80650-4

DO - 10.1016/s0022-3468(87)80650-4

M3 - Article

C2 - 3668775

SN - 0022-3468

VL - 22

SP - 839

EP - 842

JO - Journal of Pediatric Surgery

JF - Journal of Pediatric Surgery

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ER -