Efficacy of ethanol locks in reducing central venous catheter infections in pediatric patients with intestinal failure

Brian A Jones, Melissa A. Hull, Denise S. Richardson, David Zurakowski, Kathleen Gura, Shimae C. Fitzgibbons, Debora Duro, Clifford W. Lo, Christopher Duggan, Tom Jaksic

Research output: Contribution to journalArticle

96 Citations (Scopus)

Abstract

Purpose: We sought to determine whether a regimen of 70% ethanol locks could reduce the rate of central venous catheter (CVC) infections in parenteral nutrition-dependent children with intestinal failure. Methods: We performed a retrospective review of 23 parenteral nutrition-dependent children in our multidisciplinary intestinal rehabilitation clinic who started ethanol lock therapy between September 2007 and June 2009. The treatment regimen consisted of a 70% ethanol lock instilled 3 times per week in each catheter lumen. The rate of CVC infections before and after initiation of ethanol lock therapy was compared using the Wilcoxon signed ranks test with significance set at P < .05. Results: The most common diagnoses leading to intestinal failure were necrotizing enterocolitis (26.1%), gastroschisis (21.7%), and intestinal atresia (14.3%). Ethanol locks were well tolerated with no reported adverse side effects. The infection rate decreased from 9.9 per 1000 catheter days prior to initiation of ethanol locks to 2.1 per 1000 catheter days during therapy (P = .03). Conclusions: A regimen of ethanol lock therapy administered three days per week appears to be a safe and effective means of reducing the rate of CVC infections in parenteral nutrition-dependent children with intestinal failure.

Original languageEnglish (US)
Pages (from-to)1287-1293
Number of pages7
JournalJournal of pediatric surgery
Volume45
Issue number6
DOIs
StatePublished - Jan 1 2010

Fingerprint

Central Venous Catheters
Ethanol
Pediatrics
Infection
Parenteral Nutrition
Catheters
Intestinal Atresia
Gastroschisis
Therapeutics
Necrotizing Enterocolitis
Nonparametric Statistics
Rehabilitation

Keywords

  • Catheter-related sepsis
  • Central venous catheter infection
  • Ethanol locks
  • Intestinal failure

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health

Cite this

Efficacy of ethanol locks in reducing central venous catheter infections in pediatric patients with intestinal failure. / Jones, Brian A; Hull, Melissa A.; Richardson, Denise S.; Zurakowski, David; Gura, Kathleen; Fitzgibbons, Shimae C.; Duro, Debora; Lo, Clifford W.; Duggan, Christopher; Jaksic, Tom.

In: Journal of pediatric surgery, Vol. 45, No. 6, 01.01.2010, p. 1287-1293.

Research output: Contribution to journalArticle

Jones, BA, Hull, MA, Richardson, DS, Zurakowski, D, Gura, K, Fitzgibbons, SC, Duro, D, Lo, CW, Duggan, C & Jaksic, T 2010, 'Efficacy of ethanol locks in reducing central venous catheter infections in pediatric patients with intestinal failure', Journal of pediatric surgery, vol. 45, no. 6, pp. 1287-1293. https://doi.org/10.1016/j.jpedsurg.2010.02.099
Jones, Brian A ; Hull, Melissa A. ; Richardson, Denise S. ; Zurakowski, David ; Gura, Kathleen ; Fitzgibbons, Shimae C. ; Duro, Debora ; Lo, Clifford W. ; Duggan, Christopher ; Jaksic, Tom. / Efficacy of ethanol locks in reducing central venous catheter infections in pediatric patients with intestinal failure. In: Journal of pediatric surgery. 2010 ; Vol. 45, No. 6. pp. 1287-1293.
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abstract = "Purpose: We sought to determine whether a regimen of 70{\%} ethanol locks could reduce the rate of central venous catheter (CVC) infections in parenteral nutrition-dependent children with intestinal failure. Methods: We performed a retrospective review of 23 parenteral nutrition-dependent children in our multidisciplinary intestinal rehabilitation clinic who started ethanol lock therapy between September 2007 and June 2009. The treatment regimen consisted of a 70{\%} ethanol lock instilled 3 times per week in each catheter lumen. The rate of CVC infections before and after initiation of ethanol lock therapy was compared using the Wilcoxon signed ranks test with significance set at P < .05. Results: The most common diagnoses leading to intestinal failure were necrotizing enterocolitis (26.1{\%}), gastroschisis (21.7{\%}), and intestinal atresia (14.3{\%}). Ethanol locks were well tolerated with no reported adverse side effects. The infection rate decreased from 9.9 per 1000 catheter days prior to initiation of ethanol locks to 2.1 per 1000 catheter days during therapy (P = .03). Conclusions: A regimen of ethanol lock therapy administered three days per week appears to be a safe and effective means of reducing the rate of CVC infections in parenteral nutrition-dependent children with intestinal failure.",
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