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Management of Central Venous Catheters in Children and Adults on Home Parenteral Nutrition: A French Survey of Current Practice

Although central venous catheter (CVC)-related thrombosis (CRT) is a severe complication of home parenteral nutrition (HPN), the amount and quality of data in the diagnosis and management of CRT remain low. We aimed to describe current practices regarding CVC management in French adult and pediatric...

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Autores principales: Gotchac, Julien, Poullenot, Florian, Guimber, Dominique, Ecochard-Dugelay, Emmanuelle, Schneider, Stéphane, Peretti, Noël, Billiauws, Lore, Borderon, Corinne, Breton, Anne, Chaillou Legault, Emilie, Chambrier, Cécile, Comte, Aurélie, Coste, Marie-Edith, Djeddi, Djamal, Dubern, Béatrice, Dupont, Claire, Espeso, Lucile, Fayemendy, Philippe, Flori, Nicolas, Fotsing, Ginette, Gastineau, Swellen, Goulet, Olivier, Guiot, Emeline, Jirka, Adam, Languepin, Jeanne, Layec, Sabrina, Quilliot, Didier, Rebouissoux, Laurent, Seguy, David, Talon, Isabelle, Turquet, Anne, Vallee, Marjolaine, Willot, Stéphanie, Lamireau, Thierry, Enaud, Raphael
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9227599/
https://www.ncbi.nlm.nih.gov/pubmed/35745262
http://dx.doi.org/10.3390/nu14122532
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author Gotchac, Julien
Poullenot, Florian
Guimber, Dominique
Ecochard-Dugelay, Emmanuelle
Schneider, Stéphane
Peretti, Noël
Billiauws, Lore
Borderon, Corinne
Breton, Anne
Chaillou Legault, Emilie
Chambrier, Cécile
Comte, Aurélie
Coste, Marie-Edith
Djeddi, Djamal
Dubern, Béatrice
Dupont, Claire
Espeso, Lucile
Fayemendy, Philippe
Flori, Nicolas
Fotsing, Ginette
Gastineau, Swellen
Goulet, Olivier
Guiot, Emeline
Jirka, Adam
Languepin, Jeanne
Layec, Sabrina
Quilliot, Didier
Rebouissoux, Laurent
Seguy, David
Talon, Isabelle
Turquet, Anne
Vallee, Marjolaine
Willot, Stéphanie
Lamireau, Thierry
Enaud, Raphael
author_facet Gotchac, Julien
Poullenot, Florian
Guimber, Dominique
Ecochard-Dugelay, Emmanuelle
Schneider, Stéphane
Peretti, Noël
Billiauws, Lore
Borderon, Corinne
Breton, Anne
Chaillou Legault, Emilie
Chambrier, Cécile
Comte, Aurélie
Coste, Marie-Edith
Djeddi, Djamal
Dubern, Béatrice
Dupont, Claire
Espeso, Lucile
Fayemendy, Philippe
Flori, Nicolas
Fotsing, Ginette
Gastineau, Swellen
Goulet, Olivier
Guiot, Emeline
Jirka, Adam
Languepin, Jeanne
Layec, Sabrina
Quilliot, Didier
Rebouissoux, Laurent
Seguy, David
Talon, Isabelle
Turquet, Anne
Vallee, Marjolaine
Willot, Stéphanie
Lamireau, Thierry
Enaud, Raphael
author_sort Gotchac, Julien
collection PubMed
description Although central venous catheter (CVC)-related thrombosis (CRT) is a severe complication of home parenteral nutrition (HPN), the amount and quality of data in the diagnosis and management of CRT remain low. We aimed to describe current practices regarding CVC management in French adult and pediatric HPN centers, with a focus on CVC obstruction and CRT. Current practices regarding CVC management in patients on HPN were collected by an online-based cross-sectional survey sent to expert physicians of French HPN centers. We compared these practices to published guidelines and searched for differences between pediatric and adult HPN centers’ practices. Finally, we examined the heterogeneity of practices in both pediatric and adult HPN centers. The survey was completed by 34 centers, including 21 pediatric and 13 adult centers. We found a considerable heterogeneity, especially in the responses of pediatric centers. On some points, the centers’ responses differed from the current guidelines. We also found significant differences between practices in adult and pediatric centers. We conclude that the management of CVC and CRT in patients on HPN is a serious and complex situation for which there is significant heterogeneity between HPN centers. These findings highlight the need for more well-designed clinical trials in this field.
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spelling pubmed-92275992022-06-25 Management of Central Venous Catheters in Children and Adults on Home Parenteral Nutrition: A French Survey of Current Practice Gotchac, Julien Poullenot, Florian Guimber, Dominique Ecochard-Dugelay, Emmanuelle Schneider, Stéphane Peretti, Noël Billiauws, Lore Borderon, Corinne Breton, Anne Chaillou Legault, Emilie Chambrier, Cécile Comte, Aurélie Coste, Marie-Edith Djeddi, Djamal Dubern, Béatrice Dupont, Claire Espeso, Lucile Fayemendy, Philippe Flori, Nicolas Fotsing, Ginette Gastineau, Swellen Goulet, Olivier Guiot, Emeline Jirka, Adam Languepin, Jeanne Layec, Sabrina Quilliot, Didier Rebouissoux, Laurent Seguy, David Talon, Isabelle Turquet, Anne Vallee, Marjolaine Willot, Stéphanie Lamireau, Thierry Enaud, Raphael Nutrients Article Although central venous catheter (CVC)-related thrombosis (CRT) is a severe complication of home parenteral nutrition (HPN), the amount and quality of data in the diagnosis and management of CRT remain low. We aimed to describe current practices regarding CVC management in French adult and pediatric HPN centers, with a focus on CVC obstruction and CRT. Current practices regarding CVC management in patients on HPN were collected by an online-based cross-sectional survey sent to expert physicians of French HPN centers. We compared these practices to published guidelines and searched for differences between pediatric and adult HPN centers’ practices. Finally, we examined the heterogeneity of practices in both pediatric and adult HPN centers. The survey was completed by 34 centers, including 21 pediatric and 13 adult centers. We found a considerable heterogeneity, especially in the responses of pediatric centers. On some points, the centers’ responses differed from the current guidelines. We also found significant differences between practices in adult and pediatric centers. We conclude that the management of CVC and CRT in patients on HPN is a serious and complex situation for which there is significant heterogeneity between HPN centers. These findings highlight the need for more well-designed clinical trials in this field. MDPI 2022-06-18 /pmc/articles/PMC9227599/ /pubmed/35745262 http://dx.doi.org/10.3390/nu14122532 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Gotchac, Julien
Poullenot, Florian
Guimber, Dominique
Ecochard-Dugelay, Emmanuelle
Schneider, Stéphane
Peretti, Noël
Billiauws, Lore
Borderon, Corinne
Breton, Anne
Chaillou Legault, Emilie
Chambrier, Cécile
Comte, Aurélie
Coste, Marie-Edith
Djeddi, Djamal
Dubern, Béatrice
Dupont, Claire
Espeso, Lucile
Fayemendy, Philippe
Flori, Nicolas
Fotsing, Ginette
Gastineau, Swellen
Goulet, Olivier
Guiot, Emeline
Jirka, Adam
Languepin, Jeanne
Layec, Sabrina
Quilliot, Didier
Rebouissoux, Laurent
Seguy, David
Talon, Isabelle
Turquet, Anne
Vallee, Marjolaine
Willot, Stéphanie
Lamireau, Thierry
Enaud, Raphael
Management of Central Venous Catheters in Children and Adults on Home Parenteral Nutrition: A French Survey of Current Practice
title Management of Central Venous Catheters in Children and Adults on Home Parenteral Nutrition: A French Survey of Current Practice
title_full Management of Central Venous Catheters in Children and Adults on Home Parenteral Nutrition: A French Survey of Current Practice
title_fullStr Management of Central Venous Catheters in Children and Adults on Home Parenteral Nutrition: A French Survey of Current Practice
title_full_unstemmed Management of Central Venous Catheters in Children and Adults on Home Parenteral Nutrition: A French Survey of Current Practice
title_short Management of Central Venous Catheters in Children and Adults on Home Parenteral Nutrition: A French Survey of Current Practice
title_sort management of central venous catheters in children and adults on home parenteral nutrition: a french survey of current practice
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9227599/
https://www.ncbi.nlm.nih.gov/pubmed/35745262
http://dx.doi.org/10.3390/nu14122532
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