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REDUCTION IN THE INCIDENCE OF COMPLICATIONS DUE TO USING OF SKIN-TUNNELED CATHETERS IN CHILDREN WITH SHORT BOWEL SYNDROME RECEIVING HOME PARENTERAL NUTRITION
- Authors: Chubarova A.I.1,2, Kostomarova E.A.3,1, Zhikhareva N.S.3, Radchenko E.R.3
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Affiliations:
- Russian National Research Medical university named after N.I. Pirogov
- Children's City Hospital named after N.F. Filatov
- Bashlyaevskaja Pediatric City Hospital
- Issue: Vol 5, No 1 (2015)
- Pages: 98-106
- Section: INTENSIVE CARE
- URL: https://rps-journal.ru/jour/article/view/137
- DOI: https://doi.org/10.17816/psaic137
- ID: 137
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Abstract
The number of patients with chronic intestinal failure including «short bowel syndrome» (SBS) who require long-term parenteral nutrition (PN) is growing now. 10-year experience of authors in providing home parenteral nutrition (HPN) in Russia shows that HPN is cost-saving method that improves prognosis of patients. The effect of skin-tunneled catheters and venous port-systems in hospital and home PN was analyzed in the open prospective study. 23 PN periods in 20 children were studied. The incidence of catheter-associated infections was 2.58 for 1000 catheter-days for tunneled catheter or port. It was shown that skin-tunneled central venous catheters (CVC) and port-systems reduce the incidence of all infectious complications by 10 cases (p=0.033) per 1000 catheter-days in average, the incidence of catheter-related system infections by 9 cases (p=0.004), the incidence of technical complications by 5 cases (p=0.005) per 1000 catheter-days if compared with standard CVC. Our results make it possible to recommend the use of skin-tunneled CVC and port-systems as a method of choice for patients requiring long-term PN.
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About the authors
A. I. Chubarova
Russian National Research Medical university named after N.I. Pirogov; Children's City Hospital named after N.F. Filatov
Author for correspondence.
Email: ach-08@yandex.ru
Russian Federation
E. A. Kostomarova
Bashlyaevskaja Pediatric City Hospital; Russian National Research Medical university named after N.I. Pirogov
Email: eleni@abloy.ru
Russian Federation
N. S. Zhikhareva
Bashlyaevskaja Pediatric City Hospital
Email: natali_sf@hotmail.com
Russian Federation
E. R. Radchenko
Bashlyaevskaja Pediatric City Hospital
Email: elen.radchenko@list.ru
Russian Federation
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