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Peripherally inserted central catheter securement with cyanoacrylate glue and bloodstream infection: A retrospective cohort study.
- Source :
-
JPEN. Journal of parenteral and enteral nutrition [JPEN J Parenter Enteral Nutr] 2024 Feb; Vol. 48 (2), pp. 215-223. Date of Electronic Publication: 2024 Jan 10. - Publication Year :
- 2024
-
Abstract
- Background: Treatment via a peripherally inserted central venous catheter is important for anticancer treatment, perioperative management, and nutrition management. In this study, we aimed to investigate the usefulness of cyanoacrylate glue (CG) in managing peripherally inserted central venous catheters in adults.<br />Methods: This retrospective cohort study enrolled 411 adults requiring a central venous catheter for treatment in the Chiba University Esophageal-Gastro-Intestinal Surgery department between January 2021 and October 2022. The preventive effect of CG in reducing adverse events, including infection, tip migration, and thrombus formation, was evaluated by reviewing electronic medical records, chest radiographs, and contrast-enhanced computed tomography scans.<br />Results: CG and other dressings were used in 158 (CG group) and 253 (control group) patients, respectively. The incidence of catheter infection based on the clinical course was lower in the CG group (3.2%) than in the control group (9.1%; P = 0.03). However, cases of infection confirmed by blood or catheter cultures did not differ between the CG (1.3%) and control (1.9%) groups (P = 1.0). Chest radiographs revealed that catheter tip migration (mean ± SD) was lesser in the CG group (8.2 ± 6.7 mm) than in the control group (15.0 ± 15.8 mm; P < 0.01). There were two cases of venous thrombus formation in the control group.<br />Conclusion: In a population dominated by esophago-gastroenterological malignancy, peripherally inserted central catheter securement via CG was associated with decreased catheter removal because of suspected catheter infection. Further research on larger cohorts is needed to determine if other adverse events decrease following peripherally inserted central catheter securement via CG.<br /> (© 2024 The Authors. Journal of Parenteral and Enteral Nutrition published by Wiley Periodicals LLC on behalf of American Society for Parenteral and Enteral Nutrition.)
- Subjects :
- Adult
Humans
Catheters, Indwelling adverse effects
Cyanoacrylates therapeutic use
Retrospective Studies
Catheterization, Central Venous adverse effects
Catheterization, Central Venous methods
Central Venous Catheters adverse effects
Sepsis etiology
Catheterization, Peripheral adverse effects
Thrombosis etiology
Catheter-Related Infections prevention & control
Catheter-Related Infections etiology
Subjects
Details
- Language :
- English
- ISSN :
- 1941-2444
- Volume :
- 48
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- JPEN. Journal of parenteral and enteral nutrition
- Publication Type :
- Academic Journal
- Accession number :
- 38047542
- Full Text :
- https://doi.org/10.1002/jpen.2583