Adolescent eating disorder with catheter‐related bloodstream infection
| العنوان: | Adolescent eating disorder with catheter‐related bloodstream infection |
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| المؤلفون: | Hiroyuki Suzuki, Kazuhiro Mizumoto, Yuko Tsuda, Akira Tamura, Koichi Minami |
| المصدر: | Pediatrics International. 63:678-684 |
| بيانات النشر: | Wiley, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Catheterization, Central Venous, medicine.medical_specialty, Catheters, Adolescent, biology, business.industry, Antifungal drug, Bacteremia, Candida parapsilosis, biology.organism_classification, Peripherally inserted central catheter, Feeding and Eating Disorders, Catheter, Catheter-Related Infections, Internal medicine, Pediatrics, Perinatology and Child Health, medicine, Humans, Medical nutrition therapy, medicine.symptom, Risk factor, Complication, business, Weight gain, Retrospective Studies |
| الوصف: | Background Treatment of adolescent eating disorder requires early improvement of nutritional status. Central venous hyperalimentation is used but catheter-related bloodstream infection (CRBSI) is a complication. There have been no reports examining risk factors for CRSBI in eating disorders. Methods The subjects were 51 patients who received nutritional therapy with the use of a peripherally inserted central catheter (PICC) from January 2012 to December 2019. The courses of weight and white blood cell (WBC) count were examined retrospectively during nutritional therapy. Onset factors for CRBSI were determined and a case series of CRBSI caused by Candida parapsilosis is presented. Results The day of minimum weight occurred on or before day 7 in 37 of the 51 patients, and this day was preceded by the day with the lowest WBC at a significant rate. The minimum weight day was significantly delayed in CRSBI cases compared with non-CRBSI cases (P = 0.02). In the case series of CRBSI caused by C. parapsilosis, the median WBC count before CRBSI decreased to 2,570 (1,680-3,270)/μL at a median of day (12-90) 36. Catheter-related bloodstream infection developed at a median of day (26-133) 38. The PICC was immediately removed and an antifungal drug was started, leading to cure with no after effects in all subjects. Conclusions In patients with an eating disorder treated with nutritional therapy using a PICC, prolonged resistance to weight gain became a risk factor for developing CRBSI. White blood cell counts recover after weight gain, which suggests that there is a risk of developing CRBSI, even with improved appetite and weight gain. |
| تدمد: | 1442-200X 1328-8067 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::45445750127f02a7ac980b492541bd1f https://doi.org/10.1111/ped.14511 |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.doi.dedup.....45445750127f02a7ac980b492541bd1f |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 1442200X 13288067 |
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