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低出生体重児(小児科）

関連論文：

		12:	Randomized trial of percutaneous central venous lines versus peripheral intravenous lines.
			著者: D Wilson, M T Verklan, K A Kennedy 雑誌名: J Perinatol. 2007 Feb;27(2):92-6. doi: 10.1038/sj.jp.7211650. Abstract/Text OBJECTIVE: To compare the occurrence of systemic infection or death in preterm infants with elective percutaneous central line (PCVL) placement versus peripheral intravenous catheter (PIV) placement. STUDY DESIGN: A total of 96 infants < or =1250 g or < or =30 weeks gestation were randomized by 4 days of age to elective placement of a PCVL or continued use of PIV catheters. The primary outcome of systemic infection (defined as a positive blood or cerebrospinal fluid (CSF) culture treated for at least 5 days) or death was monitored until the infants did not require intravenous (iv) support for 7 consecutive days. RESULTS: Systemic infection or death occurred in 17/46 (39%) infants in the PCVL group and 14/50 (28%) in the PIV group (relative risk (RR)=1.32 with 95% confidence interval (CI) 0.70, 2.53; risk difference (RD)=0.09 with 95% CI -0.10, 0.28). The PCVL group had significantly fewer skin punctures for iv access. CONCLUSION: There was no significant difference in systemic infection or death (expressed either as a combined outcome or as separate component outcomes) between the groups. The number of skin punctures was significantly reduced in the PCVL group. PMID 17262041 J Perinatol. 2007 Feb;27(2):92-6. doi: 10.1038/sj.jp.7211650.