Use of peripherally inserted central catheters in the management of recalcitrant maxillofacial infection

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
Shofiq IslamGary R Hoffman

Abstract

The most common short-term method for the delivery of parenteral antimicrobial therapy in an acute hospitalized patient has traditionally been via a short peripherally inserted intravenous cannula. This approach, however, has significant limitations, particularly in patients who require prolonged, uninterrupted intravenous access. In this article, we report on our experience with an alternative method used to establish and maintain medium- to long-term intravenous access utilizing a peripherally inserted central catheter (PICC) to treat patients presenting with aggressive or recalcitrant maxillofacial head and neck infections. We undertook a retrospective review of the medical records of 100 consecutive patients admitted to a tertiary referral teaching hospital, during the period February 2006 to February 2007, with a primary diagnosis of infection in the oral and maxillofacial region. We identified 6 patients in whom a PICC was used in the treatment of the condition. We also analyzed data obtained from an audit conducted by our infectious diseases unit. This audit recorded the outcome of 849 nurse-placed PICCs in the department's ambulatory intravenous therapy service. Using this data, we also performed a PICC line survival an...Continue Reading

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Citations

Jul 3, 2016·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Matthias ZirkMatthias Kreppel
Jul 13, 2016·The British Journal of Radiology·Tze Y ChanRichard G McWilliams
May 9, 2015·The Journal of Vascular Access·Laura Valbousquet SchneiderJulien Potet
Jun 12, 2013·British Journal of Nursing : BJN·Linda Kelly
Jan 11, 2014·British Journal of Nursing : BJN·Patricia Healy, Anne Fallon
Jun 11, 2021·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Rachel LimJasjit K Dillon

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