Thread by @BCHPedsID, 1/Few learning slides/points from case conference this morning!Can PIVs (peripheral catheters) be [...]

BCH Infectious Diseases

BCHPedsID

1/
Few learning slides/points from case conference this morning!

Can PIVs (peripheral catheters) be the source of blood stream infections? - yes

Check out these two recent papers:
https://pubmed.ncbi.nlm.nih.gov/31615450/
https://pubmed.ncbi.nlm.nih.gov/29020252/

2/
How long can PIVs stay in?

Here is the guidance from the guidelines --> in children "replace only when clinically indicated"

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3106269/

3/
Looking closer at some of the references noted though.
https://pubmed.ncbi.nlm.nih.gov/4202639/
https://pubmed.ncbi.nlm.nih.gov/7352802/
https://pubmed.ncbi.nlm.nih.gov/7211903/

So defining the time is difficult but,

when evaluating pts with known or suspected bacteremia, pay attention to PIVs as potential source as well.

3/Looking closer at some of the references noted though. https://pubmed.ncbi.nlm.nih.gov/4202639/ https://pubmed.ncbi.nlm.nih.gov/7352802/ https://pubmed.ncbi.nlm.nih.gov/7211903/ So defining the time is difficult but, when evaluating pts with known or suspected bacteremia, pay attention to PIVs as potential source as well.

4/
Next up, we spoke briefly about appendicitis management and appendectomy timing

https://pediatrics.aappublications.org/content/pediatrics/139/6/e20160742.full.pdf

https://pubmed.ncbi.nlm.nih.gov/24509193/

5/
Thinking about non-operative management

https://pubmed.ncbi.nlm.nih.gov/26676711/

6/
https://pubmed.ncbi.nlm.nih.gov/16226993/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4485681/

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