Total parenteral nutrition via multilumen catheters does not increase the risk of catheter-related sepsis: A randomized, prospective study

Thomas Y. Ma; Rody Yoshinaka; Alicia Banaag; Beverly Johnson; Sandra Davis; Stephen M. Berman

doi:10.1086/514687

Total parenteral nutrition via multilumen catheters does not increase the risk of catheter-related sepsis: A randomized, prospective study

Thomas Y. Ma, Rody Yoshinaka, Alicia Banaag, Beverly Johnson, Sandra Davis, Stephen M. Berman

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Abstract

The purpose of this study was to determine in a randomized, prospective manner whether administration of total parenteral nutrition (TPN) via multilumen catheters increases the risk of catheter-related sepsis (CRS). All patients receiving hyperalimentation during a 24-month period were randomized to receive either a double-lumen catheter (DLC) or a triple-lumen catheter (TLC). A total of 101 catheters were placed in 79 patients, of which 49 were DLCs and 52 were TLCs. The patients with DLCs received a total of 784 days of TPN, whereas patients with TLCs received a total of 754 days of TPN. CRS was associated with one (2.0%) of the 49 DLCs vs. one (1.9%) of the 52 TLCs. In comparison, the rate of CRS associated with single-lumen catheters (historical control) at our institution was 1.4% (P > .90). We conclude that the use of multilumen catheters in TPN therapy does not result in an increased risk of CRS.

Original language	English (US)
Pages (from-to)	500-503
Number of pages	4
Journal	Clinical Infectious Diseases
Volume	27
Issue number	3
DOIs	https://doi.org/10.1086/514687
State	Published - 1998

All Science Journal Classification (ASJC) codes

Microbiology (medical)
Infectious Diseases

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title = "Total parenteral nutrition via multilumen catheters does not increase the risk of catheter-related sepsis: A randomized, prospective study",

abstract = "The purpose of this study was to determine in a randomized, prospective manner whether administration of total parenteral nutrition (TPN) via multilumen catheters increases the risk of catheter-related sepsis (CRS). All patients receiving hyperalimentation during a 24-month period were randomized to receive either a double-lumen catheter (DLC) or a triple-lumen catheter (TLC). A total of 101 catheters were placed in 79 patients, of which 49 were DLCs and 52 were TLCs. The patients with DLCs received a total of 784 days of TPN, whereas patients with TLCs received a total of 754 days of TPN. CRS was associated with one (2.0%) of the 49 DLCs vs. one (1.9%) of the 52 TLCs. In comparison, the rate of CRS associated with single-lumen catheters (historical control) at our institution was 1.4% (P > .90). We conclude that the use of multilumen catheters in TPN therapy does not result in an increased risk of CRS.",

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year = "1998",

doi = "10.1086/514687",

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T1 - Total parenteral nutrition via multilumen catheters does not increase the risk of catheter-related sepsis

T2 - A randomized, prospective study

AU - Ma, Thomas Y.

AU - Yoshinaka, Rody

AU - Banaag, Alicia

AU - Johnson, Beverly

AU - Davis, Sandra

AU - Berman, Stephen M.

PY - 1998

Y1 - 1998

N2 - The purpose of this study was to determine in a randomized, prospective manner whether administration of total parenteral nutrition (TPN) via multilumen catheters increases the risk of catheter-related sepsis (CRS). All patients receiving hyperalimentation during a 24-month period were randomized to receive either a double-lumen catheter (DLC) or a triple-lumen catheter (TLC). A total of 101 catheters were placed in 79 patients, of which 49 were DLCs and 52 were TLCs. The patients with DLCs received a total of 784 days of TPN, whereas patients with TLCs received a total of 754 days of TPN. CRS was associated with one (2.0%) of the 49 DLCs vs. one (1.9%) of the 52 TLCs. In comparison, the rate of CRS associated with single-lumen catheters (historical control) at our institution was 1.4% (P > .90). We conclude that the use of multilumen catheters in TPN therapy does not result in an increased risk of CRS.

AB - The purpose of this study was to determine in a randomized, prospective manner whether administration of total parenteral nutrition (TPN) via multilumen catheters increases the risk of catheter-related sepsis (CRS). All patients receiving hyperalimentation during a 24-month period were randomized to receive either a double-lumen catheter (DLC) or a triple-lumen catheter (TLC). A total of 101 catheters were placed in 79 patients, of which 49 were DLCs and 52 were TLCs. The patients with DLCs received a total of 784 days of TPN, whereas patients with TLCs received a total of 754 days of TPN. CRS was associated with one (2.0%) of the 49 DLCs vs. one (1.9%) of the 52 TLCs. In comparison, the rate of CRS associated with single-lumen catheters (historical control) at our institution was 1.4% (P > .90). We conclude that the use of multilumen catheters in TPN therapy does not result in an increased risk of CRS.

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ER -

Total parenteral nutrition via multilumen catheters does not increase the risk of catheter-related sepsis: A randomized, prospective study

Abstract

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