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Catheter-Related Complications in Children With Cancer Receiving Parenteral Nutrition: Change in Risk Is Moderated by Catheter Type.

Abstract Although central venous catheters (CVCs) are essential to pediatric cancer care, complications are common (eg, occlusion, central line-associated bloodstream infection [CLABSI]). Parenteral nutrition (PN) and external CVCs are associated with an increased complication risk, but their interaction is unknown.
PMID
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Authors

Mayor MeshTerms
Keywords

catheter-related infection

central venous catheter

child

parenteral nutrition

venous thrombosis

Journal Title jpen. journal of parenteral and enteral nutrition
Publication Year Start
%A Shenep, Melissa A.; Tanner, Mary R.; Sun, Yilun; Culley, Tina; Hayden, Randall T.; Flynn, Patricia M.; Tang, Li; Wolf, Joshua
%T Catheter-Related Complications in Children With Cancer Receiving Parenteral Nutrition: Change in Risk Is Moderated by Catheter Type.
%J JPEN. Journal of parenteral and enteral nutrition
%D 01/2016
%M ENG
%B Although central venous catheters (CVCs) are essential to pediatric cancer care, complications are common (eg, occlusion, central line-associated bloodstream infection [CLABSI]). Parenteral nutrition (PN) and external CVCs are associated with an increased complication risk, but their interaction is unknown.
%Y 10.1177/0148607115624087
%W PHY
%G AUTHOR
%R 2016..............S

@Article{Shenep2016,
author="Shenep, Melissa A.
and Tanner, Mary R.
and Sun, Yilun
and Culley, Tina
and Hayden, Randall T.
and Flynn, Patricia M.
and Tang, Li
and Wolf, Joshua",
title="Catheter-Related Complications in Children With Cancer Receiving Parenteral Nutrition: Change in Risk Is Moderated by Catheter Type.",
journal="JPEN. Journal of parenteral and enteral nutrition",
year="2016",
month="Jan",
day="07",
abstract="Although central venous catheters (CVCs) are essential to pediatric cancer care, complications are common (eg, occlusion, central line-associated bloodstream infection [CLABSI]). Parenteral nutrition (PN) and external CVCs are associated with an increased complication risk, but their interaction is unknown.",
issn="0148-6071",
doi="10.1177/0148607115624087",
url="http://www.ncbi.nlm.nih.gov/pubmed/26743773",
language="ENG"
}

%0 Journal Article
%T Catheter-Related Complications in Children With Cancer Receiving Parenteral Nutrition: Change in Risk Is Moderated by Catheter Type.
%A Shenep, Melissa A.
%A Tanner, Mary R.
%A Sun, Yilun
%A Culley, Tina
%A Hayden, Randall T.
%A Flynn, Patricia M.
%A Tang, Li
%A Wolf, Joshua
%J JPEN. Journal of parenteral and enteral nutrition
%D 2016
%8 Jan 07
%@ 0148-6071
%G ENG
%F Shenep2016
%X Although central venous catheters (CVCs) are essential to pediatric cancer care, complications are common (eg, occlusion, central line-associated bloodstream infection [CLABSI]). Parenteral nutrition (PN) and external CVCs are associated with an increased complication risk, but their interaction is unknown.
%U http://dx.doi.org/10.1177/0148607115624087
%U http://www.ncbi.nlm.nih.gov/pubmed/26743773

PT Journal
AU Shenep, MA
   Tanner, MR
   Sun, Y
   Culley, T
   Hayden, RT
   Flynn, PM
   Tang, L
   Wolf, J
TI Catheter-Related Complications in Children With Cancer Receiving Parenteral Nutrition: Change in Risk Is Moderated by Catheter Type.
SO JPEN. Journal of parenteral and enteral nutrition
JI JPEN J Parenter Enteral Nutr
PD Jan
PY 2016
DI 10.1177/0148607115624087
LA ENG
AB Although central venous catheters (CVCs) are essential to pediatric cancer care, complications are common (eg, occlusion, central line-associated bloodstream infection [CLABSI]). Parenteral nutrition (PN) and external CVCs are associated with an increased complication risk, but their interaction is unknown.
ER

PMID- 26743773
OWN - NLM
STAT- Publisher
DA  - 20160108
LR  - 20160109
IS  - 0148-6071 (Electronic)
IS  - 0148-6071 (Linking)
DP  - 2016 Jan 7
TI  - Catheter-Related Complications in Children With Cancer Receiving Parenteral
      Nutrition: Change in Risk Is Moderated by Catheter Type.
LID - 0148607115624087 [pii]
AB  - BACKGROUND: Although central venous catheters (CVCs) are essential to pediatric
      cancer care, complications are common (eg, occlusion, central line-associated
      bloodstream infection [CLABSI]). Parenteral nutrition (PN) and external CVCs are 
      associated with an increased complication risk, but their interaction is unknown.
      METHODS: A retrospective matched cohort study of pediatric oncology patients who 
      received PN through subcutaneous ports or external CVCs. Complication rates were 
      compared between CVC types during PN and non-PN periods (log-negative binomial
      model). RESULTS: Risk of CLABSI was higher during PN for children with ports
      (relative risk [RR] = 39.6; 95% confidence interval, 5.0-309) or external CVCs
      (RR = 2.9; 95% confidence interval, 1.1-7.4). This increased risk during PN was
      greater for ports than for external CVCs (ratio of relative risks = 13.6).
      Occlusion risk was higher during PN in both groups (RR = 10.0 for ports; RR = 2.0
      for external CVCs), and the increase was significantly greater in ports (ratio of
      relative risks, 4.9). Overall, complication rates for ports were much lower than 
      for external CVCs during the non-PN period but similar during the PN period.
      CONCLUSION: Children with cancer who receive PN have increased risk of CLABSI and
      occlusion. The risk increase is greatest in children with ports: a 40- and
      10-fold increase in infection risk and occlusion, respectively, resulting in
      similar complication rates during PN regardless of CVC type and negating the
      usual benefits of ports. Children with cancer who will require PN should have
      primary insertion of external CVCs where possible.
CI  - (c) 2016 American Society for Parenteral and Enteral Nutrition.
FAU - Shenep, Melissa A
AU  - Shenep MA
AD  - Department of Infectious Diseases, St. Jude Children's Research Hospital,
      Memphis, Tennessee.
FAU - Tanner, Mary R
AU  - Tanner MR
AD  - Department of Infectious Diseases, St. Jude Children's Research Hospital,
      Memphis, Tennessee.
FAU - Sun, Yilun
AU  - Sun Y
AD  - Department of Biostatistics, St. Jude Children's Research Hospital, Memphis,
      Tennessee.
FAU - Culley, Tina
AU  - Culley T
AD  - Department of Infectious Diseases, St. Jude Children's Research Hospital,
      Memphis, Tennessee.
FAU - Hayden, Randall T
AU  - Hayden RT
AD  - Department of Pathology, St. Jude Children's Research Hospital, Memphis,
      Tennessee.
FAU - Flynn, Patricia M
AU  - Flynn PM
AD  - Department of Infectious Diseases, St. Jude Children's Research Hospital,
      Memphis, Tennessee.
FAU - Tang, Li
AU  - Tang L
AD  - Department of Biostatistics, St. Jude Children's Research Hospital, Memphis,
      Tennessee.
FAU - Wolf, Joshua
AU  - Wolf J
AD  - Department of Infectious Diseases, St. Jude Children's Research Hospital,
      Memphis, Tennessee Department of Paediatrics, University of Melbourne, Parkville,
      Victoria, Australia [email protected]
LA  - ENG
PT  - JOURNAL ARTICLE
DEP - 20160107
TA  - JPEN J Parenter Enteral Nutr
JT  - JPEN. Journal of parenteral and enteral nutrition
JID - 7804134
OTO - NOTNLM
OT  - catheter-related infection
OT  - central venous catheter
OT  - child
OT  - parenteral nutrition
OT  - venous thrombosis
EDAT- 2016/01/09 06:00
MHDA- 2016/01/09 06:00
CRDT- 2016/01/09 06:00
AID - 0148607115624087 [pii]
AID - 10.1177/0148607115624087 [doi]
PST - aheadofprint
SO  - JPEN J Parenter Enteral Nutr. 2016 Jan 7. pii: 0148607115624087.
TY  - JOUR
AU  - Shenep, Melissa A.
AU  - Tanner, Mary R.
AU  - Sun, Yilun
AU  - Culley, Tina
AU  - Hayden, Randall T.
AU  - Flynn, Patricia M.
AU  - Tang, Li
AU  - Wolf, Joshua
PY  - 2016/Jan/07
TI  - Catheter-Related Complications in Children With Cancer Receiving Parenteral Nutrition: Change in Risk Is Moderated by Catheter Type.
T2  - JPEN J Parenter Enteral Nutr
JO  - JPEN. Journal of parenteral and enteral nutrition
N2  - Although central venous catheters (CVCs) are essential to pediatric cancer care, complications are common (eg, occlusion, central line-associated bloodstream infection [CLABSI]). Parenteral nutrition (PN) and external CVCs are associated with an increased complication risk, but their interaction is unknown.
SN  - 0148-6071
UR  - http://dx.doi.org/10.1177/0148607115624087
UR  - http://www.ncbi.nlm.nih.gov/pubmed/26743773
ID  - Shenep2016
ER  - 
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