Catheter Related Infections in Pediatric Patients

Main Article Content

Herry Garna


During a 9-month prospective study, from August, 1988 to April, 1989, a total number of 4328 hospitalized pediatric patients at the Department of Child Health, Padjadjaran University, Hasan Sadikin General Hospital Bandung, were observed to identify skin and soft tissue nosocomial infections (not included postoperative), especially catheter related injections.

The gastroentestinal tract was the most frequent site of nosocomial infections (44.3%), then subsequently followed by skin infection (22.6%), bacteremia (16.3%) and urinary tract infection (14.1%). The most frequent cause of nosocomial skin infections like phlebitis was IVFD occurring in 82 out of 93 patients (88.2%). The overall phlebitis attact rate was 4.2% . When the duration of infusion is devided into 3 groups of 0-36 hours, 37-72 hours and ≥ 73 hours, then it becomes clear that the longer the duration of infusion, the higher the attack rate (x2=8.07, p<0.05).

Klebsiella pneumonia seemed to be the pathogen most frequently associated with nosocomial skin infections (26. 7%), followed by Enterobacter aerogenes (20.0%), and then E. coli, Ps. aeruginosa and S. aureus 13.3% each. It could be concluded that the risk of contracting phlebitis from JVFD with a duration  of ≥ 73 hours was. 1.9 times higher than that of less than 72 hours.

Article Details

How to Cite
Garna H. Catheter Related Infections in Pediatric Patients. PI [Internet]. 21Jan.2019 [cited 29Sep.2020];33(5-6):108-4. Available from:
Infection & Tropical Pediatrics
Received 2019-01-21
Published 2019-01-21


1. Stamm WE. II. Prevention of infections. Infections Related to Medical Devices. Ann Med, 1978; 89 : 764 - 9.
2. Centers for Diseases Control (CDC). Guidelines for intravascular infections. Atlanta, Georgia : Guidelines Activity, Hospital Infections Branch, center for infectious Disease, Centers for Disease Control, US . Department of Health and Human Services, 1982.
3. Tully JL, Friedland GH, Baldini LM and Goldmann DA. Complications of intravenous therapy with stell Needles and Teflon Catheter. Am J Med, 1981; 70 : 702 - 6.
4. Tager IB, Ginsberg MB, Ellis SE. et al. An epidemiologic study of the risks associated with peripheral intravenous catheter. Am J Epiderniol, 1983; 118 : 839 -51.
5. Daschner FD and Frank U. Contraversies in Hospital Infection Control. Eur] Clin Microbiol, 1987; 6 : 335- 40.
6. Duggan J and Berenger S. Hospital acquired septicemia and the role of intravenous therapy. Aust Nz J Med, 1988; 18 : 879 - 80.
7. Leibovid L and The Nursing Staff, Department of Internal Medicine "B". Daily change of an antiseptic dressing does not prevent infusion phlebitis. A controlled trial. Am J Infect Conte, 1989; 17 : 23 - 5.