{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T15:33:50Z","timestamp":1760888030741},"reference-count":23,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[1993,10,1]],"date-time":"1993-10-01T00:00:00Z","timestamp":749433600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1993,10,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>In a prospective study of 879 triple-lumen catheters, 219 pulmonary artery catheters, 31 double-lumen and six single-lumen catheters used for the administration of total parenteral nutrition over a 1-year period, the overall complication rate was 12-5 per cent (14-7 complications per 1000 catheter-days) and the catheter-related sepsis rate 4\u00b74 per cent (5\u00b72 per 1000 catheter-days). The probability of development of catheter-related sepsis did not increase with the duration of catheterization. There were no differences in the rate of complications associated with 427 catheters changed by replacement at a new site compared with 159 lines changed over a guidewire. These data support the use of multilumen central venous catheters for the administration of total parenteral nutrition. They suggest that a routine weekly change of line is unnecessary; catheters should be changed only on the development of a complication. When it is required, a catheter should be changed by replacement over a guidewire.<\/jats:p>","DOI":"10.1002\/bjs.1800801021","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T17:33:31Z","timestamp":1172943211000},"page":"1287-1290","source":"Crossref","is-referenced-by-count":26,"title":["Complications and survival of multilumen central venous catheters used for total parenteral nutrition"],"prefix":"10.1093","volume":"80","author":[{"given":"A P","family":"Savage","sequence":"first","affiliation":[{"name":"Surgical Services, Nutritional Support Unit, Harvard Medical School , Boston, Massachusetts,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"Picard","sequence":"additional","affiliation":[{"name":"Surgical Services, Nutritional Support Unit, Harvard Medical School , Boston, Massachusetts,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C C","family":"Hopkins","sequence":"additional","affiliation":[{"name":"Infection Control Unit, Department of Medicine, Massachusetts General Hospital, and Departments of Surgery and Medicine, Harvard Medical School , Boston, Massachusetts,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R A","family":"Malt","sequence":"additional","affiliation":[{"name":"Surgical Services, Nutritional Support Unit, Harvard Medical School , Boston, Massachusetts,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1993,10,1]]},"reference":[{"key":"2024092811533754200_bib1","doi-asserted-by":"crossref","first-page":"1139","DOI":"10.1001\/archinte.1989.00390050105021","article-title":"Triple vs single-lumen central venous catheters: a prospective study in a critically ill population","volume":"149","author":"Gil","year":"1989","journal-title":"Arch Intern Med"},{"key":"2024092811533754200_bib2","doi-asserted-by":"crossref","first-page":"511","DOI":"10.1177\/0148607188012005511","article-title":"Subclavian catheter infections","volume":"12","author":"Rose","year":"1988","journal-title":"JPEN J Parenter Enteral Nutr"},{"key":"2024092811533754200_bib3","doi-asserted-by":"crossref","first-page":"154","DOI":"10.1086\/645820","article-title":"Infection rate for single lumen v triple lumen subclavian catheters","volume":"9","author":"Yeung","year":"1988","journal-title":"Infect Control Hosp Epidemiol"},{"key":"2024092811533754200_bib4","doi-asserted-by":"crossref","first-page":"591","DOI":"10.1001\/archsurg.1986.01400050109014","article-title":"Sepsis from triple. vs single-lumen catheters during total parenteral nutrition in surgical or critically ill patients","volume":"121","author":"Pemberton","year":"1986","journal-title":"Arch Surg"},{"key":"2024092811533754200_bib5","doi-asserted-by":"crossref","first-page":"1906","DOI":"10.1001\/jama.1980.03300450020013","article-title":"Nutritional support of the hospitalized patient: the team concept","volume":"243","author":"Nehme","year":"1980","journal-title":"JAMA"},{"key":"2024092811533754200_bib6","doi-asserted-by":"crossref","first-page":"408","DOI":"10.1177\/0148607186010004408","article-title":"Total parenteral nutrition by a nutritional support team: improved quality of care","volume":"10","author":"Traeger","year":"1986","journal-title":"JPEN J Parenter Enteral Nutr"},{"key":"2024092811533754200_bib7","doi-asserted-by":"crossref","first-page":"1305","DOI":"10.1056\/NEJM197706092962301","article-title":"A semiquantitative culture method for identifying intravenous catheter-related infection","volume":"296","author":"Maki","year":"1977","journal-title":"N Engl J Med"},{"key":"2024092811533754200_bib8","doi-asserted-by":"crossref","first-page":"457","DOI":"10.1080\/01621459.1958.10501452","article-title":"Nonparametric estimation from incomplete observations","volume":"53","author":"Kaplan","year":"1958","journal-title":"J Am Stat Assoc"},{"key":"2024092811533754200_bib9","first-page":"163","article-title":"Evaluation of survival data and two new rank order statistics arising in its consideration","volume":"50","author":"Mantel","year":"1966","journal-title":"Cancer Chemotherapy Reports"},{"key":"2024092811533754200_bib10","doi-asserted-by":"crossref","first-page":"264","DOI":"10.1097\/00000658-198103000-00002","article-title":"Central venous catheterization for parenteral nutrition","volume":"193","author":"Padberg","year":"1981","journal-title":"Ann Surg"},{"key":"2024092811533754200_bib11","first-page":"469","article-title":"Clinical significance and etiology of infected catheters used for total parenteral nutrition","volume":"163","author":"Hansell","year":"1986","journal-title":"Surg Gynecol Obstet"},{"key":"2024092811533754200_bib12","doi-asserted-by":"crossref","first-page":"766","DOI":"10.1097\/00000658-198512000-00017","article-title":"Septic and technical complications of central venous catheterization: a prospective study of 200 consecutive patients","volume":"202","author":"Sitzmann","year":"1985","journal-title":"Ann Surg"},{"key":"2024092811533754200_bib13","doi-asserted-by":"crossref","first-page":"628","DOI":"10.1177\/0148607188012006628","article-title":"Guidewire catheter exchange with triple culture technique in the management of catheter sepsis","volume":"12","author":"Porter","year":"1988","journal-title":"JPEN J Parenter Enteral Nutr"},{"key":"2024092811533754200_bib14","doi-asserted-by":"crossref","first-page":"757","DOI":"10.1056\/NEJM197404042901401","article-title":"Catheter complications in total parenteral nutrition: a prospective study of 200 patients","volume":"290","author":"Ryan","year":"1974","journal-title":"N Engl J Med"},{"key":"2024092811533754200_bib15","doi-asserted-by":"crossref","first-page":"1472","DOI":"10.1097\/00005373-198810000-00012","article-title":"Do multi-lumen catheters increase central venous catheter sepsis compared to single-lumen catheters?","volume":"28","author":"Lee","year":"1988","journal-title":"J Trauma"},{"key":"2024092811533754200_bib16","doi-asserted-by":"crossref","first-page":"2520","DOI":"10.1128\/jcm.28.11.2520-2525.1990","article-title":"Prospective multicenter study of vascular-catheter-related complications and risk factors for positive central-catheter cultures in intensive care unit patients","volume":"28","author":"Richet","year":"1990","journal-title":"J Clin Microbiol"},{"key":"2024092811533754200_bib17","doi-asserted-by":"crossref","first-page":"597","DOI":"10.1016\/0002-9610(87)90224-8","article-title":"Colonization and sepsis from triple-lumen catheters in critically ill patients","volume":"154","author":"Mantese","year":"1987","journal-title":"Am J Surg"},{"key":"2024092811533754200_bib18","doi-asserted-by":"crossref","first-page":"588","DOI":"10.1177\/0148607190014006588","article-title":"Central catheter-related infections: comparison of pulmonary artery catheters and triple lumen catheters for the delivery of hyperalimentation in a critical care setting","volume":"14","author":"Horowitz","year":"1990","journal-title":"JPEN J Parenter Enteral Nutr"},{"key":"2024092811533754200_bib19","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1097\/00000658-197102000-00003","article-title":"Subclavian vein catheterizations: a prospective study. II. Infectious complications","volume":"173","author":"Bernard","year":"1971","journal-title":"Ann Surg"},{"key":"2024092811533754200_bib20","doi-asserted-by":"crossref","first-page":"1062","DOI":"10.1056\/NEJM199210083271505","article-title":"A controlled trial of scheduled replacement of central venous and pulmonary artery catheters","volume":"327","author":"Cobb","year":"1992","journal-title":"N Engl J Med"},{"key":"2024092811533754200_bib21","doi-asserted-by":"crossref","first-page":"1073","DOI":"10.1097\/00003246-199010000-00005","article-title":"Catheter-related sepsis: prospective, randomized study of three methods of long-term catheter maintenance","volume":"18","author":"Eyer","year":"1990","journal-title":"Crit Care Med"},{"key":"2024092811533754200_bib22","doi-asserted-by":"crossref","first-page":"560","DOI":"10.1177\/0148607184008005560","article-title":"Mechanical complications from insertion of subclavian venous feeding catheters: comparison of de novo percutaneous venipuncture to change of catheter over guidewire","volume":"8","author":"Newsome","year":"1984","journal-title":"JPEN J Parenter Enteral Nutr"},{"key":"2024092811533754200_bib23","first-page":"180","article-title":"Safety of central venous catheter change over guidewire for suspected catheter-related sepsis. A prospective randomized trial","volume":"73","author":"Michel","year":"1988","journal-title":"Int Surg"}],"container-title":["Journal of British Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fbjs.1800801021","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/80\/10\/1287\/59399166\/bjs1800801021.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/80\/10\/1287\/59399166\/bjs1800801021.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,28]],"date-time":"2024-09-28T11:53:48Z","timestamp":1727524428000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/bjs\/article\/80\/10\/1287\/6172277"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1993,10,1]]},"references-count":23,"journal-issue":{"issue":"10","published-online":{"date-parts":[[1993,10,1]]},"published-print":{"date-parts":[[1993,10,1]]}},"URL":"https:\/\/doi.org\/10.1002\/bjs.1800801021","relation":{},"ISSN":["0007-1323","1365-2168"],"issn-type":[{"type":"print","value":"0007-1323"},{"type":"electronic","value":"1365-2168"}],"subject":[],"published-other":{"date-parts":[[1993,10]]},"published":{"date-parts":[[1993,10,1]]}}}