We need central venous catheters (CVCs) in management of critically ill patients with
severe burns, either for the administration of fluids or monitoring hemodynamic status.
Central venous catheterization may cause different early or late complications, which
depend on the physician's erudition, the quality of the catheters and quality of Intensive
Care Unit (ICU) nursing care for insertion. 272 CVCs were inserted in 114 both adult
and pediatric patients from 2004 to 2006 in the ICU of the Burn Centre in Ostrava.
The average insertion length of the catheter was 10.2 days, and the average total
length of catheterization was 24 days. The total number of catheter-days was 2768.
All catheter tips removed were routinely cultured. The most frequent infecting pathogens
were coagulase-negative Staphylococci. Peripheral blood cultures were examined in
case of fever. Bacterial findings from wounds, sputa and urine were monitored in all
patients. No exogenous catheter sepsis according to Maki's criteria occurred in our
study group. Endogenous catheter colonization with positive peripheral blood culture
and bacteraemia occurred in 4 cases, which means an incidence density of 1.44 endogenous
colonizations per 1000 catheter-days. The quality of used catheters and particularly
the technique of placement and maintenance of catheters are considered crucial for
good results in the ICU of Burn centre in Ostrava.