<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.2 20190208//EN" "https://jats.nlm.nih.gov/publishing/1.2/JATS-journalpublishing1.dtd">
<article xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML" article-type="research-article" dtd-version="1.2" xml:lang="en">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">IJMABHR</journal-id>
<journal-title-group><journal-title>International Journal of Medical and All Body Health Research</journal-title><abbrev-journal-title>IJMABHR</abbrev-journal-title></journal-title-group>
<issn pub-type="epub">2582-8940</issn>
<publisher><publisher-name>Anfo Publication House</publisher-name></publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">272</article-id>
<title-group><article-title>Care for Central Venous Catheters and Their Removal: A Retrospective Study</article-title></title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes"><name><surname>Shailesh</surname><given-names>Vara Manthan</given-names></name><xref ref-type="aff" rid="aff1"/></contrib>
<contrib contrib-type="author"><name><surname>Goel</surname><given-names>Sharad</given-names></name><xref ref-type="aff" rid="aff2"/></contrib>
<contrib contrib-type="author"><name><surname>Gupta</surname><given-names>Lokesh Kumar</given-names></name><xref ref-type="aff" rid="aff3"/></contrib>
<aff id="aff1"><label>1</label>Post Graduate student (Anaesthesiology), Saraswathi institute of medical sciences Hapur, Uttar Pradesh, India</aff>
<aff id="aff2"><label>2</label>Professor &amp; HOD (Anaesthesiology), Saraswathi institute of medical sciences Hapur, Uttar Pradesh, India</aff>
<aff id="aff3"><label>3</label>Professor (Anaesthesiology), Saraswathi institute of medical sciences Hapur, Uttar Pradesh, India</aff>
</contrib-group>
<pub-date publication-format="electronic" date-type="pub"><year>2024</year></pub-date>
<volume>5</volume>
<issue>4</issue>
<fpage>165</fpage>
<lpage>167</lpage>
<history>
<date date-type="received"><day>03</day><month>10</month><year>2024</year></date>
<date date-type="accepted"><day>05</day><month>11</month><year>2024</year></date>
</history>
<permissions><license license-type="open-access" xlink:href="https://creativecommons.org/licenses/by-nc-sa/4.0/?utm"><license-p>CC BY-NC-SA 4.0</license-p></license></permissions>
<self-uri xlink:href="https://www.allmedicaljournal.com/article/272/care-for-central-venous-catheters-and-their-removal-a-retrospective-study"/>
<self-uri content-type="pdf" xlink:href="https://www.allmedicaljournal.com/article/272/download"/>
<abstract><p>Aim: To examine the reasons why central venous catheters are removed, if there is any clinical improvement following removal and to observe its relation to rates of CR-BSI.

Methods: We conducted a retrospective analysis of central venous catheter placement, management, and removal in ICU of Saraswathi institute of medical science, Hapur. Clinical signs of sepsis were used to characterise suspected CR-BSI, and the only possible cause of septicaemia was catheter tip colonisation. Later, a catheter tip colonisation with the same microorganism generated from a peripheral blood culture was used to define confirmed CR- BSI.

Results: A total of 87 CVCs were examined, with an average insertion time of

5.5 days. Absence of indication was the most frequent cause of removal (28.7%). Only 1 of the 17 out of 87 CVCs (19.7%) that were removed based on CRBSI suspicions had the diagnosis verified. We also checked the cultured catheters for signs of biochemical improvement after removal. We found no difference in mean insertion time among patients whose inflammatory markers improved after CVC removal, and they were no more likely to have colonised CVCs.

Conclusion: 15.6% of central venous catheters were routinely replaced after an average of 7.1 days without any apparent reason other than to avoid catheter-related infection. Even if some of these lines became colonised throughout culture, we did not see any biochemical advantages to routinely eliminating them.


 </p></abstract>
<kwd-group kwd-group-type="author"><kwd>CVCs</kwd><kwd>Catheter related blood stream infection</kwd></kwd-group>
</article-meta>
</front>
<back><ref-list><title>References</title>
<ref id="R1"><label>1</label><mixed-citation>Eyer S, Brummitt C, Crossley K, Siegel R, Cerra F. Catheter related sepsis: prospective, randomized study of three methods of long-term catheter maintenance. Crit Care Med. 1990;18:1073-1079.</mixed-citation></ref>
<ref id="R2"><label>2</label><mixed-citation>Cobb DK, High KP, Sawyer RG, et al. A controlled trial of scheduled replacement of central venous and pulmonary artery catheters. N Engl J Med . 1992;327:1062–1068.</mixed-citation></ref>
<ref id="R3"><label>3</label><mixed-citation>Lorente L, Martin MM, et al. Should central venous catheter be systematically removed in patients with suspected catheter related infection? Critical Care. 2014;18:564.</mixed-citation></ref>
<ref id="R4"><label>4</label><mixed-citation>Tomlinson et al. Defining bloodstream infections related to central venous catheters in patients with cancer: a systematic review. Clinical infectious diseases. 2011;53(7):697-710.</mixed-citation></ref>
<ref id="R5"><label>5</label><mixed-citation>Garnacha-Montero J, Aldabo-Pallas T et al. Risk factors and prognosis of catheter-related bloodstream infection in critically ill patients: a multicentre study. Intensive care medicine. 2008;34:2185-93.</mixed-citation></ref>
<ref id="R6"><label>6</label><mixed-citation>Rijnders BJ, Peetermans WE, et al. Watchful waiting versus immediate catheter removal in ICU patients with suspected catheter related infection: a randomized trial. Intensive care medicine. 2004;30:1073-80j Copyright and License © The Author(s). Authors retain the copyright of their published articles. This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution Non Commercial-Share A like 4.0 International (CC BY-NC-SA 4.0) License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.</mixed-citation></ref>
</ref-list></back>
</article>