Clinical and Microbiologic Outcomes of Antifungal Lock-based Catheter Salvage in Pediatric Candidal CLABSI

We report a retrospective review of pediatric candidal central line-associated bloodstream infections (N = 145) with antifungal lock therapy-based catheter salvage. Rates of recurrence (6%) and mortality (5%) were low at 28 days. At 1 year, earlier catheter removal was associated with lower recurrence rates (21% vs. 45%, P = 0.005), but no significant difference in mortality (13% vs. 5%).

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Publication Details

Journal
The Pediatric Infectious Disease Journal
Published
2025-04-03
DOI
https://doi.org/10.1097/inf.0000000000004820
Primary Topic
Central Venous Catheters and Hemodialysis
Type
article
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article

Clinical and Microbiologic Outcomes of Antifungal Lock-based Catheter Salvage in Pediatric Candidal CLABSI

Andrew Nowalk, Lorne W. Walker
The Pediatric Infectious Disease Journal
Central Venous Catheters and Hemodialysis
article

Clinical and Microbiologic Outcomes of Antifungal Lock-based Catheter Salvage in Pediatric Candidal CLABSI

Andrew Nowalk, Lorne W. Walker
article en

Abstract

We report a retrospective review of pediatric candidal central line-associated bloodstream infections (N = 145) with antifungal lock therapy-based catheter salvage. Rates of recurrence (6%) and mortality (5%) were low at 28 days. At 1 year, earlier catheter removal was associated with lower recurrence rates (21% vs. 45%, P = 0.005), but no significant difference in mortality (13% vs. 5%).

The Pediatric Infectious Disease JournalVol. 44(9)
Oregon Health & Science University (US), Children's Hospital of Pittsburgh (US), Pediatric Infectious Diseases Society (US)
Good health and well-being
Openalex Percentile: Top 88%
Central Venous Catheters and Hemodialysis
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