I was hoping you might be able to send me to links that might help me understand what happened to my father. My father was given a picc line, it was never cleaned after 8 days it was discovered that he had a fungi infection as well as a yeast infection both coming from the picc line, it tested positive. Some of my many questions are; who is responsible for the picc line protocol, after 24 shifts and many different people looking at my fathers chart shouldn't someone have seen that\the picc line was not cleaned? My father died due to the fungi filling up his lungs and he suffocated. I just want to see were the ball was dropped it was the hardest thing I ever had to deal with telling him to stop fighting and go be with my mother. I am sorry for writing to you but if you could help me or know of anyone who could I would truly be grateful!
I am sorry to hear that my prayers to you. Although we can not dispense medical advice I can give some general information that may help you.
1. PICC lines are a very popular form of venous access in part due to their extremely low infection rate. Studies vary but overall only 1-2% of patients with a PICC will experience an infection.
2. Dressing changes are generally done either every 48hrs (if gauze under the dressing) or every 7 days and often will have a biopatch placed at the insertion site to further decrease thei nfection risk. This biopatch has chlorhexadine that will last 7 days. Generally patients in the hospital will have at least a daily flush but often more if they are using the catheter in an acute care setting. Some catheters that are capped off and not used can be flushed weekly.
3. Most catheter-related bloodstream infections come from the patients own skin. This is why it is crucial to use maximum barrier precautions and strict sterile technique when inserting these lines.
4. Patients that get fungal infections are often severely immunocompromised( immune system not functioning properly and pt cannot fight infection as well). Infection can come from another part of the body and infect the catheter.
5.Usually when a patient gets an infection from a venous access device within the first 10 days or so after insertion it is usually related to the actual insertion and after that is usually related to poor care or patient so immunocomprimised they they cannot fight infection .
6. You did not say why your dad was hospitalized that would give us a big clue as to what might have happened Of course you will be told to talk with your dads MD to find out the sequence of events
hope this helps a bit and god bless
Last edit by iluvivt on Jun 9, '08
: Reason: spelling