Objective: To describe the experience of PICC line use in neonates <1500g in a NICU regarding to insertion and care of catheter, and also mechanical and infections outcomes and to compare our results with local data (Sao Paulo State) and also with data from developed countries
Methods: Prospective and observational study from Jan/04 to Dec/08, in a 54 bed NICU, 100 neonates/month and X live births/year. The PICC used were silicone catheters, 1.9fr. All PICCs were inserted by a catheter team. Maximal barrier precautions were used, skin antisepsis was done with chlorhexidine-alcohol based product, routinely transparent dressings were changed every 7 day. CDC –
Table 1 – distribution of PICC associated-BSI, PICC utilization rate and mechanical complications rate in Santa Joana’s Hospital (SJH) NICU.
|No. of neonates||No.of PICC-BSI||PICC-days||SJHBSI rate|
|SJH mechanical complications rate||PICC utilization rate|
|SJHBSI rate||State of ||NHSN-BSI||SJH - CLU||State of SP-CLU||NHSN -CLU|
Conclusions: This is the largest report on use of PICC-line in NICU in Brazil. Except on babies £750g, we have similar density of mechanical and infectious complication rates. Even in a under developed country, like Brazil, it is possible to have much better results than the local official rates (State of SP) using a program of preventive measures, but we persist working in the zero tolerance goal and better outcome like developed countries (e.g. US data)