Michael A. Leoncio, D.O.: No financial relationships to disclose
Peripherally inserted central catheters (PICC) are being increasingly used in hospitalized and non-hospitalized pediatric patients who require a long duration of intravenous treatments. Complication rates have historically been based on adult data. More recently, however, specific pediatric data have begun to emerge. Reports on success rates and the safety profile of PICC have been highly variable. The reported rates for central line-associated bloodstream infection (CLABSI) were 1.1% to 22% and for venous thrombosis (VTE) were 2.1% to 33%. We conducted a retrospective chart analysis of all non-neonatal patients in a single children's hospital with a newly placed PICC between 2015 and 2016 using our electronic medical record. Our primary study objective was to evaluate variables associated with the successful placement of PICC in children.
Learning Objectives:
Define the variables associated with successful PICC placement in pediatrics.
Compare CLABSI and thrombosis rates versus historically reported rates.
Understand the more challenging pediatric populations that may require more support and/or vigilance during the placement and maintenance of PICC.