Central line perforation associated with Staphylococcus epidermidis infection.

J Pediatr Surg

Department of Pediatrics (Neonatal/Surgical Sections), Memorial Miller Children's Hospital, Long Beach, CA 90801.

Published: July 1993

AI Article Synopsis

  • The text discusses case reviews of four VLBW infants who experienced sepsis caused by Staphylococcus epidermidis due to central venous catheter perforation.
  • It highlights the complications arising from fluid collections within the body, which posed diagnostic and treatment challenges in these cases.
  • The authors suggest that localized phlebitis from the S. epidermidis infection may lead to catheter displacement, causing it to shift outside its intended position.

Article Abstract

We present detailed case reviews of four very low birth weight (VLBW) infants in whom central venous silastic catheter perforation was associated with Staphylococcus epidermidis sepsis. The diagnostic and therapeutic dilemma presented by the intracavitary fluid collections occurring in all four of these cases proved to be of clinical interest. Additionally, we propose a model that may account for the etiology of catheter displacement--localized phlebitis as a result of S epidermidis infection with resultant extralumenal migration of the central venous catheter.

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Source
http://dx.doi.org/10.1016/0022-3468(93)90690-mDOI Listing

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