Sepsis and Lung Abscess Following Malposition of an Umbilical Vein Catheter in a Neonate

被引：4

作者：

Ihm, K. ^{[1
]}

Bosk, A. ^{[2
]}

Szavay, P. ^{[3
]}

Schaefer, J. ^{[4
]}

Hofbeck, M. ^{[2
]}

机构：

[1] Univ Tubingen, Dept Hematol & Gen Pediat, Tubingen, Germany

[2] Univ Tubingen, Dept Pediat Cardiol Pulmonol & Intens Care, Tubingen, Germany

[3] Univ Tubingen, Dept Pediat Surg, Tubingen, Germany

[4] Univ Tubingen, Dept Diagnost Radiol, Tubingen, Germany

来源：

KLINISCHE PADIATRIE | 2009年 / 221卷 / 02期

关键词：

central venous line; umbilical catheter; malposition; neonatal sepsis; lung abscess; ESBL; Klebsiella; VENOUS CATHETERS; COMPLICATIONS;

D O I：

10.1055/s-0028-1104594

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Background: Umbilical vein catheterisation is a common and useful procedure in the care of critically ill newborns, but several complications may occur. Patients: We report on a newborn, who developed sepsis and necrotizing pneumonia of the right middle lobe due to extended spectrum beta lactamase (ESBL) Klebsiella following malposition of an umbilical vein catheter into a right pulmonary vein. Results: Due to failed conservative treatment the child required lobectomy of the right middle lobe. Conclusion: Our case highlights the importance of exact determination of the position of central catheters by x-ray and/or ultrasound immediately after placement.

引用

页码：76 / 77

页数：2

共 5 条

[1] PULMONARY COMPLICATIONS OF UMBILICAL VENOUS CATHETERS [J].

BJORKLUND, LJ ;

MALMGREN, N ;

LINDROTH, M .

PEDIATRIC RADIOLOGY, 1995, 25 (02) :149-152

[2] A randomized trial comparing long-term and short-term use of umbilical venous catheters in premature infants with birth weights of less than 1251 grams [J].

Butler-O'Hara, Meggan ;

Buzzard, Carol J. ;

Reubens, Linda ;

McDermott, Michael P. ;

DiGrazio, William ;

D'Angio, Carl T. .

PEDIATRICS, 2006, 118 (01) :E25-E35

[3]

Green C, 1998, Neonatal Netw, V17, P23

[4] Risk factors in the acquisition of extended-spectrum β-lactamase Klebsiella pneumoniae:: a case-control study in a district teaching hospital in Taiwan [J].

Lin, MF ;

Huang, ML ;

Lai, SH .

JOURNAL OF HOSPITAL INFECTION, 2003, 53 (01) :39-45

[5] EFFICIENCY AND COMPLICATIONS OF PERCUTANEOUS CENTRAL VENOUS CATHETERS IN NEONATAL INTENSIVE-CARE [J].

STERNISTE, W ;

VAVRIK, K ;

LISCHKA, A ;

SACHER, M .

KLINISCHE PADIATRIE, 1994, 206 (01) :18-21

← 1 →