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Epidemiology of central venous catheter related blood stream infections in pediatric patients

Korean Journal of Pediatrics 2006;49(2):157-161.
Published online February 15, 2006.
Epidemiology of central venous catheter related blood stream infections in pediatric patients
Jung Hyun Kim1, Ho Sun Eun1, Kyung Min Choi1, Dong Soo Kim1, Dong Eun Young2
1Department of Pediatrics, College of Medicine, Yonsei University, Seoul, Korea
2Department of Pediatrics, College of Medicine, Yonsei University, Seoul, Korea
중심정맥 도관 관련 감염의 역학 고찰
김정현1, 은호선1, 최경민1, 김동수1, 용동은2
1연세대학교 의과대학 소아과학교실
2연세대학교 의과대학 진단검사의학교실
Correspondence: 
Dong Soo Kim, Email: dskim6634@yumc.yonsei.ac.kr
Abstract
Purpose
: The purpose of this study is to investigate the pathogens of central venous catheter-related blood stream infections and search for the association among the insertion site, the duration and the underlying conditions with the prevalence of central venous catheter-related blood stream infections under 15 years old.
Methods
: A retrospective study was performed from Jan, 2003 to Dec, 2003 in Severance Hospital on 112 patients who undertook central venous catheter insertions.
Results
: We examined 112 patients who undertook central venous catheter insertion. The mean age of patients was 4.77¡¾4.12 years old. Coagulase negative Staphylococci was the most common organism of central venous catheter-related blood stream infections accounting for 33.9 percent, followed by Eenterococcus faecium(9.3 percent), and Staphylococcus aureus(7.5 percent), The most common insertion site was the right femoral vein, followed by the right jugular vein and the left femoral vein. The mean insertion period was 14.17¡¾12.00 days.
Conclusion
: Central venous catheter-related blood stream infections were not only related to the underlying conditions, but also to the insertion site. We need to study the clinical importance of coagulase negative Staphylococci as it is part of the normal flora of the skin. In future, more studies are needed to take preventive measures and improve treatment methods.
Key Words: Catheterization , Central venous , Infection , Staphylococcus epidermidis


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