Abstract OBJECTIVE: To study the application of umbilical venous catheter (UVC) combined with peripherally inserted central catheter (PICC) in very low birth weight infants (VLBWIs). METHODS: A retrospective analysis was performed on the VLBWIs in the neonatal intensive care unit who received UVC combined with PICC (catheter group, n=63) or did not receive the catheter treatment (non-catheter group, n=38) to compare the differences in nosocomial infection, weight gain, and length of hospital stay between the two groups. RESULTS: The rate of nosocomial infection was 17% in the catheter group and 24% in the non-catheter group (P>0.05). Compared with the non-catheter group, the catheter group had a significantly higher weight gain (11.7±2.0 g/kg?d vs 10.6±2.3 g/kg?d; P<0.05) and a significantly shorter length of hospital stay (40±11 days vs 45±14 days; P<0.05). There was no significant difference in the incidence of complications between the two groups. CONCLUSIONS: Compared with those not receiving catheter treatment, the VLBWIs receiving UVC combined with PICC have a markedly higher weight gain and a markedly shorter length of hospital stay and show a declining trend in the rate of nosocomial infection.
YANG Zu-Ming,WANG San-Nan,MA Yue-Lan et al. Application of umbilical venous catheter combined with peripherally inserted central catheter in very low birth weight infants[J]. CJCP, 2013, 15(5): 353-355.
YANG Zu-Ming,WANG San-Nan,MA Yue-Lan et al. Application of umbilical venous catheter combined with peripherally inserted central catheter in very low birth weight infants[J]. CJCP, 2013, 15(5): 353-355.
[4]Parry G, Tucker J, Tarnow-Mordi W; UK Neonatal Staffing Study Collaborative Group. CRIB II: an update of the clinical risk index for babies score[J]. Lancet, 2003, 361(9371): 1789-1791.
[9]Polin RA, Denson S, Brady MT; Committee on Fetus and Newborn; Committee on Infections Diseases. Epidemiology and diagnosis of health care-associated infections in the NICU[J]. Pediatrics, 2012, 129(4): e1104-e1109.
[10]Hornik CP, Fort P, Clark RH, Watt K, Benjamin DK Jr, Smith PB, et al. Early and late onset sepsis in very-low-birth-weight infants from a large group of neonatal intensive care units[J]. Early Hum Dev, 2012, 88, (Suppl 2): S69-S74.
[12]Ainsworth SB, Clerihew L, McGuire W. Percutaneous central venous catheters versus peripheral cannulae for delivery of parenteral nutrition in neonates[J]. Cochrane Database Syst Rev, 2007, 18(3): CD004219.