Evidence map›Paper›PMID 40714873›Full record

ArticleNutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition2025

Treatment outcomes in pediatric intestinal failure patients with ambulatory Candida central line-associated bloodstream infections with and without central venous line removal: A retrospective case series.

Hamza Hassan Khan, Candi S Jump, Jessica Bauer, Qian Wu, Stephen Thacker, Allison Ross Eckard

Abstract read
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Article in Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Hamza Hassan KhanDepartment of Pediatrics, Division of Gastroenterology, Medical University of South Carolina, Charleston, South Carolina, USA.ORCID https://orcid.org/0000-0001-7024-974X
Candi S JumpDepartment of Pediatrics, Division of Gastroenterology, Medical University of South Carolina, Charleston, South Carolina, USA.
Jessica BauerDepartment of Pediatrics, Division of Gastroenterology, Medical University of South Carolina, Charleston, South Carolina, USA.
Qian WuDepartment of Population and Quantitative Health Sciences, Case Western Reserve University, Cleveland, Ohio, USA.
Stephen ThackerDepartment of Pediatrics, Division of Infectious Diseases, Medical University of South Carolina, Charleston, South Carolina, USA.ORCID https://orcid.org/0000-0002-3410-4524
Allison Ross EckardDepartment of Pediatrics, Division of Infectious Diseases, Medical University of South Carolina, Charleston, South Carolina, USA.ORCID https://orcid.org/0000-0002-3069-7721

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLack of central venous line (CVL) sites is a common indication for intestinal transplantation in intestinal failure (IF) patients. For treatment of central line-associated bloodstream infections (CLABSIs), many pediatric gastroenterologists preserve CVL access, but line removal is typically recommended for Candida sp CLABSI due to high risk of systemic complications. However, no data exist on outcomes for IF patients treated for Candida sp CLABSI. This study aims to assess if CVL preservation increases the risk of complications or recurrence. MATERIALS AND

methodsA retrospective chart review was conducted for children <18 years of age with IF and Candida sp CLABSI between 2012 and 2023. Patients with blood cultures positive for Candida sp from the CVL were included. Each CLABSI event was analyzed for key variables.

resultsTwelve patients were included, with 18 events (median age 6.4 years). Candida species identified included C albicans (33.3%) and C parapsilosis (38.9%). Antifungal therapy exceeded 14 days in all events, and ethanol lock therapy (70% concentration) was used in 72%. CVL was removed in 44.4% of events. Five patients had multiple events, with Candida species identified in subsequent infections. No secondary site seeding or long-term sequelae occurred, and no patients died.

conclusionOur data suggest that CVL preservation in pediatric IF patients with Candida sp CLABSI is feasible without increased complications or mortality. Limitations include small sample size and retrospective design.

Indexed as

CandidemiaCandidiasisCatheterization, Central VenousCatheter-Related InfectionsCentral Venous CathetersDevice RemovalIntestinal FailureAdolescentAntifungal AgentsCandidaChildChild, PreschoolFemaleHumansInfantMaleAntifungal AgentsCandidemiacentral line‐associated bloodstream infectionscentral venous lineintestinal failureintestinal transplantationline salvagepediatrics

Identifiers

PMID40714873
PMCPMC12450325

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.