Complications of peripherally inserted central catheters in adults with cystic fibrosis or bronchiectasis.

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Complications of peripherally inserted central catheters in adults with cystic fibrosis or bronchiectasis.

J Vasc Access. 2015 Feb 4;0(0):0

Authors: Dupont C, Gouya H, Panzo R, Hubert D, Correas JM, Agrario L, Chapron J, Honoré I, Kanaan R, Legmann P, Dusser D, Vignaux O, Burgel PR

Abstract
BACKGROUND: Peripherally inserted central catheters (PICCs) are increasingly used in patients with cystic fibrosis (CF) or with non-CF bronchiectasis, but little data exist on catheter-related complications in this setting.
METHODS: Prospective follow-up of consecutive PICCs inserted for intravenous (IV) antibiotics in adults with CF or with non-CF bronchiectasis at Cochin Hospital (Paris, France).
RESULTS: Between March 2009 and December 2011, 182 PICCs were prescribed in 117 adults (67 CF and 50 non-CF patients). Ultrasound-guided placement of catheter was successful in 174/182 (95.6%) procedures; no insertion complication occurred. The mean ± SD catheter dwell time was 15 ± 9 days. No catheter-associated bloodstream infection occurred; main complications were symptomatic upper limb deep vein thrombosis (2%), catheter obstruction (18%) and persistent pain after catheter insertion (18%). Patients' satisfaction was high and PICC could be used to perform antibiotic courses in most patients.
CONCLUSIONS: PICCs were generally safe for performing IV antibiotic courses in patients with CF or non-CF bronchiectasis, but prolonged pain and/or catheter obstruction occurred in approximately 20% of cases.

PMID: 25656251 [PubMed - as supplied by publisher]

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