The risk associated with indwelling catheters in children with haemophilia.
Ljung, Rolf LU
(2007)
In British Journal of Haematology
138(5).
p.580-586
- Abstract
- Infections are the most frequent complications associated with the use of central venous lines (CVLs) in children with haemophilia. Several retrospective studies that include data from a substantial number of patients have reported approximately 0.2-0.3 infections per 1000 catheter-days (mainly Port-A-Cath). Some studies have shown a much higher frequency of infections, 1-2/1000 catheter-days. The most plausible explanations, for the difference seen in frequency of infections with Port-A-Caths, are probably related to the protocol used for the device care and the quality of education and the compliance of the users, whether these are parents or health-care professionals. The figures are low for clinically apparent thrombosis in the larger... (More)
- Infections are the most frequent complications associated with the use of central venous lines (CVLs) in children with haemophilia. Several retrospective studies that include data from a substantial number of patients have reported approximately 0.2-0.3 infections per 1000 catheter-days (mainly Port-A-Cath). Some studies have shown a much higher frequency of infections, 1-2/1000 catheter-days. The most plausible explanations, for the difference seen in frequency of infections with Port-A-Caths, are probably related to the protocol used for the device care and the quality of education and the compliance of the users, whether these are parents or health-care professionals. The figures are low for clinically apparent thrombosis in the larger series on record, but routine venograms were not performed in most of these series. In studies, where this has been performed, a high frequency of abnormalities (> 50%) on venograms have been seen in some series but not in others. Despite obvious potential risks with CVLs, they are useful in many cases and facilitate the treatment of a serious disorder. With careful guidelines and surveillance protocols, the risk of complications should be reduced in the future. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/606999
- author
- Ljung, Rolf
LU
- organization
- publishing date
- 2007
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- actor VIII, factor IX, haemophilia A, haemophilia B, venous access
- in
- British Journal of Haematology
- volume
- 138
- issue
- 5
- pages
- 580 - 586
- publisher
- Wiley-Blackwell
- external identifiers
-
- wos:000248591100002
- scopus:34547631468
- ISSN
- 0007-1048
- DOI
- 10.1111/j.1365-2141.2007.06703.x
- language
- English
- LU publication?
- yes
- additional info
- The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Pediatrics/Urology/Gynecology/Endocrinology (013240400), Paediatric Hematologic Research Group (013243020)
- id
- b93b46e8-2c84-45cf-938e-37426e6ed3b0 (old id 606999)
- alternative location
- http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=17686052&dopt=Abstract
- date added to LUP
- 2016-04-01 12:32:21
- date last changed
- 2022-07-22 21:52:33
@article{b93b46e8-2c84-45cf-938e-37426e6ed3b0,
abstract = {{Infections are the most frequent complications associated with the use of central venous lines (CVLs) in children with haemophilia. Several retrospective studies that include data from a substantial number of patients have reported approximately 0.2-0.3 infections per 1000 catheter-days (mainly Port-A-Cath). Some studies have shown a much higher frequency of infections, 1-2/1000 catheter-days. The most plausible explanations, for the difference seen in frequency of infections with Port-A-Caths, are probably related to the protocol used for the device care and the quality of education and the compliance of the users, whether these are parents or health-care professionals. The figures are low for clinically apparent thrombosis in the larger series on record, but routine venograms were not performed in most of these series. In studies, where this has been performed, a high frequency of abnormalities (> 50%) on venograms have been seen in some series but not in others. Despite obvious potential risks with CVLs, they are useful in many cases and facilitate the treatment of a serious disorder. With careful guidelines and surveillance protocols, the risk of complications should be reduced in the future.}},
author = {{Ljung, Rolf}},
issn = {{0007-1048}},
keywords = {{actor VIII; factor IX; haemophilia A; haemophilia B; venous access}},
language = {{eng}},
number = {{5}},
pages = {{580--586}},
publisher = {{Wiley-Blackwell}},
series = {{British Journal of Haematology}},
title = {{The risk associated with indwelling catheters in children with haemophilia.}},
url = {{http://dx.doi.org/10.1111/j.1365-2141.2007.06703.x}},
doi = {{10.1111/j.1365-2141.2007.06703.x}},
volume = {{138}},
year = {{2007}},
}