Vnitr Lek 2012, 58(12):955-957

Current guidelines on the care of tunelized vascular catheters in patients on home parenteral nutrition

J. Víšek*, J. Maňák, R. Šafránek, M. Kubišová, R. Dlouhá, L. Sobotka, V. Bláha
III. interní gerontometabolická klinika Lékařské fakulty UK a FN Hradec Králové, přednosta prof. MUDr. Luboš Sobotka, CSc.

Home parenteral nutrition is the only option to provide nutrition in a number of patients. Care of venous entry, its management and treatment of complications resulting from its use importantly affect patient survival. Appropriate care of the catheter and the use of current knowledge may prolong the lifespan of the catheter, reduce patient morbidity and mortality and thus increase quality of life of patients who are dependent on home parenteral nutrition. The present paper summarizes recommendations for the care of long-term venous catheters.

Keywords: parenteral nutrition; catheter infection; antibiotic lock

Received: June 12, 2012; Accepted: October 16, 2012; Published: December 1, 2012  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Víšek J, Maňák J, Šafránek R, Kubišová M, Dlouhá R, Sobotka L, Bláha V. Current guidelines on the care of tunelized vascular catheters in patients on home parenteral nutrition. Vnitr Lek. 2012;58(12):955-957.
Download citation

References

  1. Pittiruti M, Hamilton H, Biffi R et al. ESPEN Guidelines on Parenteral Nutrition: central venous catheters (access, care, diagnosis and therapy of complications). Clin Nutr 2009; 28: 365-377. Go to original source... Go to PubMed...
  2. Mimoz O, Pieroni L, Lawrence C et al. Prospective, randomized trial of two antiseptic solutions for prevention of central venous or arterial catheter colonization and infection in intensive care unit patients. Crit Care Med 1996; 24: 1818-1823. Go to original source... Go to PubMed...
  3. Bozzetti F, Mariani L, Bertinet DB et al. Central venous catheter complications in 447 patients on home parenteral nutrition: an analysis of over 100.000 catheter days. Clin Nutr 2002; 21: 475-485. Go to original source... Go to PubMed...
  4. Zapletal O, Blatný J, Štarha J. Heparinem indukovaná trombocytopenie při léčbě nízkomolekulárními hepariny u dětí. Je čeho se obávat? Vnitř Lék 2010; 56: (Suppl 1): 55-57.
  5. Staun M, Pironi L, Bozzetti F et al. ESPEN Guidelines on Parenteral Nutrition: Home Parenteral Nutrition (HPN) in adult patients. Clin Nutr 2009; 28: 467-479. Go to original source... Go to PubMed...
  6. Pronovost P, Needham D, Berenholtz S et al. An intervention to decrease catheter-related bloodstream infections in the ICU. N Engl J Med 2006; 355: 2725-2732. Go to original source... Go to PubMed...
  7. Vanholder R, Canaud B, Fluck R et al. Diagnosis, prevention and treatment of haemodialysis catheter-related blood stream infections (CRBSI): a position statement of European Renal Best Practice (ERBP). NDT Plus 2010; 3: 234-246. Go to original source... Go to PubMed...
  8. Mermel LA, Allon M, Bouza E et al. Clinical practice guidelines for the diagnosis and management of intravascular catheter-related infection: 2009 update by the Infectious Diseases Society of America. Clin Infect Dis 2009; 49: 1-45. Go to original source... Go to PubMed...
  9. Oliveira C, Nasr A, Brindle M, Wales PW. Ethanol Locks to Prevent Catheter-Related Bloodstream Infections in Parenteral Nutrition: A Meta-Analysis. Pediatrics 2012; 129: 318-329. Go to original source... Go to PubMed...
  10. Sherertz RJ, Boger MS, Collins CA, Mason L, Raad II. Comparative in vitro efficacies of various catheter lock solutions. Antimicrob Agents Chemother 2006; 50: 1865-1868. Go to original source... Go to PubMed...
  11. Touré A, Lauverjat M, Peraldi C et al. Taurolidine lock solution in the secondary prevention of central venous catheter-associated bloodstream infection in home parenteral nutrition patients. Clinical Nutr 2012; 31: 567-570. Go to original source... Go to PubMed...




Vnitřní lékařství

Madam, Sir,
please be aware that the website on which you intend to enter, not the general public because it contains technical information about medicines, including advertisements relating to medicinal products. This information and communication professionals are solely under §2 of the Act n.40/1995 Coll. Is active persons authorized to prescribe or supply (hereinafter expert).
Take note that if you are not an expert, you run the risk of danger to their health or the health of other persons, if you the obtained information improperly understood or interpreted, and especially advertising which may be part of this site, or whether you used it for self-diagnosis or medical treatment, whether in relation to each other in person or in relation to others.

I declare:

  1. that I have met the above instruction
  2. I'm an expert within the meaning of the Act n.40/1995 Coll. the regulation of advertising, as amended, and I am aware of the risks that would be a person other than the expert input to these sites exhibited


No

Yes

If your statement is not true, please be aware
that brings the risk of danger to their health or the health of others.