{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T18:19:31Z","timestamp":1761675571096,"version":"build-2065373602"},"reference-count":12,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[1999,3,1]],"date-time":"1999-03-01T00:00:00Z","timestamp":920246400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Parenter Enteral Nutr"],"published-print":{"date-parts":[[1999,3]]},"abstract":"<jats:p><jats:italic>Background:<\/jats:italic> Central venous access is crucial for the provision of adequate parenteral nutrition (PN). The type of central venous access device (CVAD) has evolved over the past 10 years. The most recent trend has been to use peripherally inserted central catheters (PICCs). This development has occurred without controlled clinical trials. <jats:italic>Methods:<\/jats:italic> Over a 10\u2010year period, the nutrition support service at a single institution has prospectively collected data on CVADs used for providing PN. The types of CVAD used for providing PN were analyzed, and the major complications associated with CVADs, thrombosis and line sepsis, were compared over three different time periods: 1988\u20131989; 1992\u20131993; 1996\u20131997. In addition, complications associated with PICCs were compared with other CVADs. <jats:italic>Results:<\/jats:italic> The following were the dominant CVADs over each of the three time periods: 1988\u20141989: tunneled catheters, 80%; 1992\u20131993: nontunneled catheters, 46%; and 1996\u20131997: PICCs, 48%. There was a decreased incidence of sepsis and pneumothorax in 1996\u20141997 and an increase in severed or leaking catheters and phlebitis. In a comparison of PICC and non\u2010PICC catheters over the past 3 years, there was a trend toward decreasing sepsis with PICC catheters but an increase in malposition, inadvertent removal, and severed or leaking catheters. <jats:italic>Conclusions:<\/jats:italic> PICCs have replaced tunneled and nontunneled central catheters as the most commonly used CVAD for providing PN. PICCs do not result in increased line sepsis or thrombosis but have an increased incidence of local complications such as leaking catheters, phlebitis, and malposition. <jats:italic>(Journal of Parenteral and Enteral Nutrition<\/jats:italic> <jats:bold>23:<\/jats:bold>85\u201389, 1999)<\/jats:p>","DOI":"10.1177\/014860719902300285","type":"journal-article","created":{"date-parts":[[2008,5,14]],"date-time":"2008-05-14T19:51:26Z","timestamp":1210794686000},"page":"85-89","source":"Crossref","is-referenced-by-count":78,"title":["Peripherally Inserted Central Catheters for Parenteral Nutrition: A Comparison With Centrally Inserted Catheters"],"prefix":"10.1002","volume":"23","author":[{"given":"Donald R.","family":"Duerksen","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Noreen","family":"Papineau","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janice","family":"Siemens","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clifford","family":"Yaffe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[1999,3]]},"reference":[{"key":"e_1_2_1_2_1","first-page":"134","article-title":"Long\u2010term TPN with growth, development, and positive nitrogen balance","volume":"64","author":"Dudrick SJ","year":"1968","journal-title":"Surgery"},{"key":"e_1_2_1_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM197404042901401"},{"key":"e_1_2_1_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/0115426596011005199"},{"key":"e_1_2_1_5_1","first-page":"1","article-title":"Preventing infections associated with indwelling intravascular access devices","volume":"3","author":"Conly J and Subcommittee for the Infection Control Guidelines","year":"1997","journal-title":"Health and Welfare Canada"},{"key":"e_1_2_1_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/0115426596011003109"},{"key":"e_1_2_1_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/0148607195019002133"},{"key":"e_1_2_1_8_1","doi-asserted-by":"crossref","first-page":"1833","DOI":"10.1001\/archinte.1994.00420160070009","article-title":"Peripherally inserted central catheters in an acute\u2010care hospital","volume":"154","author":"Lam S.","year":"1994","journal-title":"Arch Intern Med"},{"key":"e_1_2_1_9_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.90.6.806"},{"key":"e_1_2_1_10_1","doi-asserted-by":"publisher","DOI":"10.4065\/72.3.225"},{"key":"e_1_2_1_11_1","first-page":"169","article-title":"A study of single lumen peripherally inserted central line catheter dwelling time and complications","volume":"11","author":"Rutherford C.","year":"1988","journal-title":"J Intraven Nurs"},{"key":"e_1_2_1_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0142(197905)43:5<1937::AID-CNCR2820430554>3.0.CO;2-T"},{"key":"e_1_2_1_13_1","first-page":"141","article-title":"Experience with PICC at a university medical center","volume":"20","author":"Miller KD","year":"1997","journal-title":"J Intraven Nurs"}],"container-title":["Journal of Parenteral and Enteral Nutrition"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/014860719902300285","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T15:12:40Z","timestamp":1760627560000},"score":1,"resource":{"primary":{"URL":"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/10.1177\/014860719902300285"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1999,3]]},"references-count":12,"journal-issue":{"issue":"2","published-print":{"date-parts":[[1999,3]]}},"alternative-id":["10.1177\/014860719902300285"],"URL":"https:\/\/doi.org\/10.1177\/014860719902300285","archive":["Portico"],"relation":{},"ISSN":["0148-6071","1941-2444"],"issn-type":[{"type":"print","value":"0148-6071"},{"type":"electronic","value":"1941-2444"}],"subject":[],"published":{"date-parts":[[1999,3]]}}}