Long-term outcome of patients with systemic sclerosis requiring home parenteral nutrition

Harrison, Elizabeth; Herrick, Ariane L.; Dibb, Martyn; McLaughlin, John; Lal, Simon

doi:10.1016/j.clnu.2014.11.002

Cited by 20 publications

(10 citation statements)

References 21 publications

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“…Among patients using TCVCs, the highest rate of CRBSI was reported by Messing et al with a rate of 2.93 per 1000 catheter days, whereas the lowest rate of CRBSI was 0.19 per 1000 catheter days reported by Harrison et al . In contrast, the rate of CRBSI in the PICC population ranges from 0 to 1.96 per 1000 catheter days.…”

Section: Resultsmentioning

confidence: 89%

“…The number of participants varies significantly from 8 to 296 patients. Five studies were prospective observational studies, whereas the other 12 studies involved retrospective evaluation of data . Of the 25 included studies, 5 were comparative studies that were deemed suitable for a standard DerSimonian and Laird random effects model (REM) meta‐analysis …”

Section: Resultsmentioning

confidence: 99%

“…It is noteworthy, however, that only 7 studies followed strict laboratory protocols for CRBSI diagnosis, which require microbial concordance of positive blood culture from a peripheral sample and a central sample. The other studies either required only 1 sample of positive culture irrespective of location or did not describe the exact criteria for CRBSI diagnosis …”

Section: Resultsmentioning

confidence: 99%

“…The total number of catheter days observed across the studies was 1,090,987 days for TCVCs and 158,246 days for PICC. The 34 In contrast, the rate of CRBSI in the PICC population ranges from 0 to 1.96 per 1000 catheter days. It is noteworthy, however, that only 7 studies followed strict laboratory protocols for CRBSI diagnosis, which require microbial concordance of positive blood culture from a peripheral sample and a central sample.…”

Section: Methodological Quality Of the Studiesmentioning

confidence: 99%

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Rate of Catheter‐Related Bloodstream Infections Between Tunneled Central Venous Catheters Versus Peripherally Inserted Central Catheters in Adult Home Parenteral Nutrition: A Meta‐analysis

Hon

Bihari

Holt

et al. 2018

J Parenter Enteral Nutr

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TCVC is more commonly used in long-term HPN. Our analysis of comparative studies showed a lower rate of CRBSI in HPN patients using PICC compared with TCVC; however, analysis of single-arm studies showed that the rate of CRBSI was comparable in PICC and TCVC use. The decision to which type of catheter is most suited for HPN patients should hence be based on the duration of treatment, level of care, patients' dexterity, as well patients' underlying comorbidities that may potentially contribute to other catheter-related complications.

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Section: Resultsmentioning

confidence: 89%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Methodological Quality Of the Studiesmentioning

confidence: 99%

See 2 more Smart Citations

Rate of Catheter‐Related Bloodstream Infections Between Tunneled Central Venous Catheters Versus Peripherally Inserted Central Catheters in Adult Home Parenteral Nutrition: A Meta‐analysis

Hon

Bihari

Holt

et al. 2018

J Parenter Enteral Nutr

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“…56 However, where indicated, long-term PN can offer a safe and effective means of nutritional support in patients with severe small bowel involvement. 57 Other connective tissue and rheumatological disorders have been associated with dysmotility including systemic lupus erythematosus, rheumatoid arthritis and Still's disease. 58 59 Amyloidosis…”

Section: Systemic Sclerosis (Scleroderma) and Other Connective Tissuementioning

confidence: 99%

The management of adult patients with severe chronic small intestinal dysmotility

Nightingale

Paine

McLaughlin

et al. 2020

Gut

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Adult patients with severe chronic small intestinal dysmotility are not uncommon and can be difficult to manage. This guideline gives an outline of how to make the diagnosis. It discusses factors which contribute to or cause a picture of severe chronic intestinal dysmotility (eg, obstruction, functional gastrointestinal disorders, drugs, psychosocial issues and malnutrition). It gives management guidelines for patients with an enteric myopathy or neuropathy including the use of enteral and parenteral nutrition.

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Epidemiology of Infectious and Noninfectious Catheter Complications in Patients Receiving Home Parenteral Nutrition: A Systematic Review and Meta‐Analysis

Reitzel

Rosenblatt

Chaftari

et al. 2019

J Parenter Enteral Nutr

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Patients receiving parenteral nutrition (PN) as their primary source of nutrition are at high risk for both infectious and noninfectious catheter complications (catheter‐related infections, catheter occlusion, and venous thrombosis). The aim of this review was to synthesize and evaluate what is known about catheter complications and prevention strategies in the PN population. Three electronic databases (Medline, Embase, and CINAHL) were screened for studies published between January 2012 and February 2019 regarding infectious and noninfectious catheter complications in patients receiving PN. Rates of infectious and noninfectious catheter complications, prevalence of causative pathogens, potential risk factors, and prevention strategies via the use of antimicrobial lock therapy (ALT) were assessed. Fifty‐three catheter complication studies and 12 ALT studies were included. Studies were grouped by definition of complication: catheter‐related bloodstream infections (CRBSI) or central line–associated bloodstream infections (CLABSI). Random effects summary rates per 1000 catheter days were 0.85 CRBSI episodes (95% CI 0.27–2.64) and 1.65 CLABSI episodes (95% CI 1.09–2.48). Use of taurolidine or ethanol ALT was efficacious in reducing infectious catheter complications; however, several studies had concerns for adverse mechanical complications. Potential risk factors for catheter complications were highly varied and often contradictory between studies. The rates of catheter complications were higher among catheterized patients receiving PN compared with nationally reported rates of complications in all catheterized patients. Risk factors for catheter complications need to be better understood for targeted prophylactic use of ALT. Future studies are warranted; however, they should be conducted using more standardized definitions and criteria.

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Long-term outcome of patients with systemic sclerosis requiring home parenteral nutrition

Cited by 20 publications

References 21 publications

Rate of Catheter‐Related Bloodstream Infections Between Tunneled Central Venous Catheters Versus Peripherally Inserted Central Catheters in Adult Home Parenteral Nutrition: A Meta‐analysis

Rate of Catheter‐Related Bloodstream Infections Between Tunneled Central Venous Catheters Versus Peripherally Inserted Central Catheters in Adult Home Parenteral Nutrition: A Meta‐analysis

The management of adult patients with severe chronic small intestinal dysmotility

Epidemiology of Infectious and Noninfectious Catheter Complications in Patients Receiving Home Parenteral Nutrition: A Systematic Review and Meta‐Analysis

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